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Minnesota Department of Human Services Provider Manual
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MHCP Provider Manual - Provider Basics

This online MHCP Provider Manual is your primary information source for MHCP coverage policies, rates and billing procedures. The following five sections are for all providers and considered “provider basics”:

Provider Requirements

  • Access Services
  • Billing Organizations/Responsibilities
  • Enroll with MHCP
  • Excluded Provider Lists
  • Provider Screening Requirements
  • Risk Levels and Enrollment Verification Requirements
  • Rule 101
  • Health Care Programs and Services

  • Emergency Medical Assistance (EMA)
  • MHCP Benefits at-a-glance
  • Program HH (HIV/AIDS) Covered Services
  • Managed Care Organizations (MCOs) and Prepaid Health Plans (PPHPs)

    Billing Policy (Overview)

  • Billing the Recipient
  • Medicare and Other Insurance
  • Out of State Providers
  • Payment Methodology - Hospital
  • Payment Methodology - Non-hospital
  • Authorization

  • Drug Authorizations
  • MHCP Pharmacy Quick Reference
  • To Provider Manual Home page

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    © 2018 Minnesota Department of Human Services Updated: 8/6/18 10:29 AM | Accessibility | Terms/Policy | Contact DHS | Top of Page | Updated: 8/6/18 10:29 AM