MHCP Provider News

May 2, 2016


  • Quality Improvement across the Continuum: Join home and community-based service providers and nursing facilities for the 2016 Long-Term Services and Supports conference on June 16, 2016. For conference details, review the Quality Improvement Across the Continuum web page.
  • Professional and outpatient claims reprocessing: MHCP corrected a system error that incorrectly denied professional and institutional outpatient claims processed between March 9, 2016, and April 27, 2016. These claims were reported on your remittance advice with remark code N265, indicating a missing, incomplete or invalid ordering provider name. We have identified claims that were denied in error and will begin replacing them for the May 3, 2016, payment date.
  • RFP for qualified responders to provide financial management services for people who use CSG and CDCS: The DHS Disability Services and Aging and Adult Services divisions seek proposals from qualified responders to provide vendor fiscal or employer agent financial management services (VF/EA FMS) for Consumer Support Grant (CSG) and Consumer Directed Community Supports (CDCS). Go to RFP available for qualified responders to provide financial management services for people who use CSG and CDCS for more information.
  • Request for Proposal (RFP) and Request for Information (RFI) available for crisis respite service providers: The DHS Disability Services Division (DSD) seeks proposals to provide crisis respite services. DHS requests proposals from qualified providers to develop new out-of-home crisis respite services for adults and children with intellectual or developmental disabilities (I/DD). We are also asking for information from providers about how to increase the network of providers who can successfully serve adults and children with I/DD who need short-term, in-home, crisis respite services. Both the RFP and the RFI are posted on the DHS Grants and RFPs web page. Review the April 22, 2016, email list announcement, RFP and RFI available for Crisis Respite Service Providers Announcement for more information.
  • Positive supports guidelines updated: DHS Disability Services Division has updated the Guidelines for Positive Supports in DHS-Licensed Settings: A resource manual for Minnesota's DHS-licensed providers (DHS-6810C) (PDF).
  • Review recent Provider Updates

    Training and VideoPresence Opportunities

    Refer to the Provider Training page for information about new and ongoing training or to the list below for details on additional training sessions on special topics.


    MN–ITS

    Announcements and availability
    Watch the 5010/D.0 Announcements page for information about MN–ITS functionality, technical information, scheduled downtimes and other notifications.

    Electronic Health Records

    Refer to the Minnesota Electronic Health Records Incentive Program (MEIP) web pages for complete information about this program.

    Anesthesia

    CMS has corrected the 2016 Minnesota conversion factor amount from $21.50 to $21.13. MHCP will identify and reprocess claims processed between January 1, and March 15, 2016. This message will be updated once the remittance date is known.

    Audiologists

    When billing dispensing fees for CROS systems from the MHCP volume purchase contract, use HCPCS code V5110. These CROS and BiCROS systems now include a hearing aid. Continue to use V5240 for BiCROS systems. When billing a dispensing fee for an FM system, use HCPCS code V5090.

    Child and Teen Checkups

    The updated Child and Teen Checkups (C&TC) Schedule of Age-Related Screening Standards (DHS-3379) (PDF) is now available to order on the DHS bulk order site.

    Dental providers

    House calls for removable prosthesis
    Effective July 1, 2016, MHCP will cover up to five house calls (D9410) each calendar year for fitting removable prosthesis. Bill both CPT codes D9410 and D5992; D9410 will pay at the current rate and D5992 will pay at zero.

    Group Residential Housing (GRH) Supplemental Services

    Group Residential Housing (GRH) Training
    GRH Supplemental Services webinar session on Tuesday, May 3, 2016, from 2:00 to 3:00 p.m.

    DHS is offering a webinar session for group residential housing (GRH) providers who did not attend the Jan. 27, 2016, webinar session or the in-person trainings offered during February 2016.

    Please visit the Provider Training Page  and select GRH Supplemental Services Training for information on how to register for this training.

    GRH Training and Billing Information
    We provided in-person training for Group Residential Housing Supplemental Services in February 2016. If you missed this training, email dhs.dhs.grh@state.mn.us for more information.

    Beginning January 1, 2017, you will bill GRH Supplemental Services through MHCP. This will split the payment you receive: housing payments will continue to be paid as they have been; supplemental services payments will be paid from MHCP. See the GRH Supplemental Services web page for more information.

    GRH Enrollment Application
    The Group Residential Housing (GRH) Supplemental Services Provider Enrollment Application (DHS-5924) (PDF) is now available in eDocs.

    Hearing Aid Providers

    When billing dispensing fees for CROS systems from the MHCP volume purchase contract, use HCPCS code V5110. These CROS and BiCROS systems now include a hearing aid. Continue to use V5240 for BiCROS systems. When billing a dispensing fee for an FM system, use HCPCS code V5090.

    Indian Health Services

    The 2016 IHS encounter rate increase was published in the Federal Register on March 3, 2016. The rate is now $368. MHCP will do a mass adjustment for all dates of service back to January 1, 2016. We will post an announcement when we know the date the adjustment will be on the remittance advice. If you have any questions, please call the MHCP Provider Call Center at 651-431-2700 or 800-366-5411.

    Mental Health

    Additional Dialectical Behavioral Therapy (DBT) Authorization Form
    MHCP revised the Additional Dialectical Behavioral Therapy (DBT) Authorization Form (DHS-6322A) (PDF). The revisions clarified information under Exclusionary Services, the Provider Statement and the Supporting Documentation for Additional Authorization Request sections. We will not accept previous versions of this form on or after May 1, 2016.

    Waiver and AC Program Providers

    Transition plan for home and community-based settings
    DHS updated the Transition plan for home and community-based settings page with more information on the status of the statewide transition plan. The statewide transition plan is a way that the state does the following:

  • • Determines the state compliance with the regulation requirements for home and community-based settings (42 CFR 441.301(c)(4)(5) and 441.710(a)(1)(2))
  • • Describes to CMS how we will comply with the new requirements

  • Minnesota submitted our proposed statewide transition plan to the Centers for Medicare & Medicaid Services (CMS) on January 8, 2015.

    Policy clarifies home setting
    The Disability Services, Aging and Adult Services, and Licensing divisions at DHS developed a policy that applies to the HCBS Waivers and Alternative Care programs to clarify:

  • • When a setting is considered a person's own home and does not require a residential program license
  • • When a setting is not considered a person’s own home and requires a residential program license

  • The 30-day comment period begins 8:00 a.m. Thursday, March 31, 2016, and ends 4 p.m. Monday, May 2, 2016. Review the New policy that clarifies requirements for a person’s own home for additional information and how to submit comments. We also sent this notice to the Disability Services Division email list on March 30, 2016.

    Training and VideoPresence Opportunities

    Information about most new and ongoing training is on the Provider Training page. Any information listed in this section is for additional training sessions on special topics.

    Related Links

    Visit our Provider website for more comprehensive information, including these pages:

  • Latest Manual Revisions
  • • Previously published Provider News items
  • Provider Updates (we also place newly published Provider Updates in your MN–ITS Mailbox, as appropriate)

  • This page includes news and resources for providers enrolled to serve Minnesota Health Care Programs (MHCP) recipients. Get notices of Provider News through our free Provider Email Lists.

    If you have questions about this information, call the MHCP Provider Call Center at 651-431-2700 or 800-366-5411.

    Sign up to receive Provider Updates and other MHCP notices in your email account.


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