new text begin [144.2256] CERTIFIED BIRTH RECORD FOR PERSONS ELIGIBLE
FOR MEDICAL ASSISTANCE.
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new text begin Subdivision 1. new text end

new text begin Application; birth record. new text end

new text begin A subject of a birth record who is eligible
for medical assistance according to chapter 256B and who has been treated for a substance
use disorder within the last 12 months may apply to the state registrar or a local issuance
office for a certified birth record according to this section. The state registrar or local issuance
office shall issue a certified birth record, or statement of no vital record found, to a subject
of a birth record who submits:
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new text begin (1) a completed application signed by the subject of the birth record;
new text end

new text begin (2) a statement of eligibility from an employee of a human services agency or treatment
provider licensed under chapter 245G that receives public funding to provide services to
people with substance use disorders. The statement must verify the subject of the birth
record is medical assistance eligible according to chapter 256B and has been treated for a
substance use disorder in the last 12 months. The statement must comply with the
requirements in subdivision 2; and
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new text begin (3) identification in the form of:
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new text begin (i) a document of identity listed in Minnesota Rules, part 4601.2600, subpart 8, or, at
the discretion of the state registrar or local issuance office, Minnesota Rules, part 4601.2600,
subpart 9;
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new text begin (ii) a statement that complies with Minnesota Rules, part 4601.2600, subparts 6 and 7;
or
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new text begin (iii) a statement of identity provided by the employee of a human services agency or
treatment provider that receives public funding to provide services to people with substance
use disorders who verified eligibility. The statement must comply with Minnesota Rules,
part 4601.2600, subpart 7.
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new text begin Subd. 2. new text end

new text begin Statement of eligibility. new text end

new text begin A statement of eligibility must be from an employee
of a human services agency or treatment provider that receives public funding to provide
services to people with substance use disorders and must verify the subject of the birth
record is medical assistance eligible according to chapter 256B and has been treated for a
substance use disorder within the last 12 months. The statement of eligibility must include:
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new text begin (1) the employee's first name, middle name, if any, and last name; home or business
address; telephone number, if any; and email address, if any;
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new text begin (2) the name of the human services agency or treatment provider that receives public
funding to provide services to people with substance use disorders that employs the person
making the eligibility statement;
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new text begin (3) the first name, middle name, if any, and last name of the subject of the birth record;
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new text begin (4) a copy of the individual's employment identification or verification of employment
linking the employee to the human services agency or treatment provider that provided
treatment; and
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new text begin (5) a statement specifying the relationship of the individual providing the eligibility
statement to the subject of the birth record.
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new text begin Subd. 3. new text end

new text begin Data practices. new text end

new text begin Data listed under subdivision 1, clauses (2) and (3), are private
data on individuals.
new text end