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MHCP Benefits at-a-glance

Revised: 03-23-2016

The information below is an “at-a-glance” overview of MHCP covered services for fee-for-service (FFS) recipients (X denotes coverage). Review the linked service-specific sections for details about coverage criteria, limitations and requirements. For recipients enrolled in an MCO, contact the appropriate health plan for coverage and copay information.

Some services have copays. Review Billing the Recipient for recipient cost-sharing information.

Minnesota Health Care Programs (MHCP)

Major Program Code

MA, NM, RM, IM

AC

EH

KK, LL

FF, JJ

BB

Service

May be enrolled in MCO

X

 

X

X

X

Alcohol and Drug Abuse: Residential & Outpatient

X

X

X

X

Ambulatory Surgical Services

X

X

X

X

Anesthesia Services

X

X

X

X

Child and Teen Checkups

X

 

X

Chiropractic

X

X

X

X

Clinic Services

X

X

X

X

Community Health Worker

X

X

X

X

CW-TCM VA and DD Case Management

X

X

Day Training & Habilitation

X

Dental for Children & Pregnant Women

X

X

X

Dental for Non-Pregnant Adults

X

X

X

Emergency Room

X

X emergency only

X

X

X

EW and AC

X
(EW only)

X
(AC only)

Equipment and Supplies

X

X

X

X

Eye Exams

X

X

X

X

Eyeglasses and Vision Care Services

X

X

X

X

Family Planning

X

 

X

X

X

HCBS Waiver Services

X

Hearing Aid Services

X

X

X

X

Home Care Services

X

X

X

X

Hospice Services

X

X

X

X

Hospital Services

X

X emergency only

X

X

X

Hospital In-reach Service Coordination (IRSC)

X

X

X

X

ICF/DD

X

Immunizations & Vaccinations

X

X

X

X

Individual Education Plan (IEP) Services

X

X

Interpreters (sign, spoken)

X

X

X

X

X

Lab and Pathology Services

X

X

X

X

Medication Management Therapy Services (MTMS)

X

X

X

X

Mental Health Services

X

X

X

X

Nursing Facilities

X

X

PCA Services

X

X

Pharmacy Services

X

X

X

X

Physician and Professional Services

X

X

X

X

Radiology and Diagnostic Services

X

X

X

X

Rehab Services (PT, OT, SLP, audiology)

X

X

X

X

Renal Dialysis

X

X

X

X

Reproductive Health and OB-GYN

X

X

X

X

RSC-TCM

X

Transportation - Access or common carrier

X

X

X

Transportation - Ambulance or emergency

X

X emergency only

X

X

X

Transportation - STS

X

X

X

Tribal and Federal IHS

X

X

X

X

Programs with limited benefit sets

Refer to the following Provider Manual sections for more information about services covered by these programs:

  • FP – Minnesota Family Planning Program (MFPP)
  • HH – HIV/AIDS
  • UN (with Eligibility Type EC) – Essential Community Supports (ECS)
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