MHCP Provider News

April 17, 2017


  • Opioid state targeted response (STR) request for proposals: Proposals are due by 4 p.m. April 28, 2017, for the opioid state targeted response grant. A statewide request for proposal (RFP) for the grant was released on March 20, 2017. Up to 4.29 million dollars will be distributed through the RFP through federal fiscal year 2018. This is an expedited timeline to meet the grant requirements from the Substance Abuse and Mental Health Services Administration (SAMHSA). See more specific information in E-memo #17-16.
  • Proposed rule amendment about retroactive billing: The Department of Human Services (DHS) is considering a possible amendment to its Medical Assistance (MA) rules governing retroactive billing for MA providers and reimbursement of MA recipients. Read more information and view the official Notice of Request for Comments and draft amendment on the rulemaking docket web page. Submit comments on the possible amendment to the rules until 4:30 p.m. on May 15, 2017, by emailing vanessa.vogl@state.mn.us, by mailing to Vanessa Vogl, Rulemaking Attorney at the Minnesota Department of Human Services, PO Box 64254, Saint Paul, MN 55164-0254, by posting on the Office of Administrative Hearings website, or by calling 651-431-3168. TTY users may call DHS at 800-627-3529.
  • • See grants and requests for proposal (RFPs) for current grants available or RFPs in which you may be interested.
  • 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

    Scheduled system maintenance: On Wednesday, May 3, 2017, from 5:00 a.m. to 7 a.m., MN–ITS users may experience intermittent downtime due to system maintenance. Any batch files submitted via Secure FTP during this time will be processed when the system is available. Real-time 270/271 and phone eligibility verifications may be intermittently unavailable during this time. Pharmacy point of sale (POS) is not affected and will remain available.

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

    Early Intensive Developmental and Behavioral Intervention (EIDBI)

    Claims adjustment for EIDBI claims: Services provided by level II and III EIDBI providers were being incorrectly reimbursed at 100 percent. MHCP will do a mass adjustment of these claims. The reimbursement for services delivered by a level II provider is at 80 percent of the allowed amount and for a level III provider it is 50 percent of the allowed amount. The system has been corrected and claims submitted on or after March 24, 2017, will pay correctly. This adjustment was on your April 7, 2017, remittance advice (RA).

    Equipment and Supplies

    Enteral nutrition claims reprocessing: MHCP has updated the Enteral Nutrition Auto Pricing List B4149-B4155 (PDF) to include the 2017 rates. The web page Enteral nutrition claims has complete updated instructions about reprocessing enteral nutrition claims for HCPCS code B4149 through B4155.

    Hospitals

    Outpatient Hospitals

    Observation and extended assessment and management (E&M) composite: An issue occurred on claims for Ambulatory Payment Classification (APC) observation performed with E&M services that were reprocessed on your March 22, 2017, remittance advice (RA).

    MHCP corrected the issue and is reprocessing claims over several RA’s. The first RA was April 18, 2017; the remaining claims will be reprocessed on the next two subsequent RA’s. After reviewing your RA for the corrected claims, if you find additional claims that need to be replaced, notify the MHCP Provider Call Center with the claims payer claim control number. (Added 4/24/17)

    Inpatient Hospitals

    Claims reprocessing: We are nearing the completion of reprocessing all claims paid at an interim rate due to the rebasing of the inpatient rates. Some of the reprocessed claims denied for billing or coding errors. Refer to Inpatient Hospital Rebasing – Claims Reprocessing Summary (PDF) for complete information about resubmitting these claims. You may correct and resubmit claims that denied during the reprocessing until May 31, 2017.

    Mental Health

    Intensive Treatment in Foster Care Training Sessions: Are you interested in providing intensive treatment in foster care? If you are, you need to be certified and attend one of the “Intensive Treatment in Foster Care (ITFC) Applicant Provider Information Sessions.” You can read more in the bulletin Children’s Mental Health Announces New Service: Intensive Treatment in Foster Care.

    Sign up for the training through TrainLink. Session dates are May 16, August 22 and November 14, 2017, from 9:00 a.m.–12:00 p.m.

    Waiver and Alternative Care Programs

    HCBS attestation for adult day and customized living providers is due April 30, 2017. For information about the provider attestation, review the Transition plan for home and community-based settings web page. (Added 4/25/17)

    Public comment period for amendments to the waiver plans: DHS is requesting comments about the clarification of payment rates for new services proposed in waiver amendments. The comment period begins Monday, April 3, 2017, at 8:00 a.m. and ends Wednesday, May 3, 2017, at 4:00 p.m. For more information about the 30-day public comment period, see the DSD eList — Public comment period for amendments to the disability waiver plans.

    Attestation for HCBS Rule Settings: All MHCP enrolled providers who currently provide the following home and community-based waiver services must complete an attestation online form for each setting in which they deliver services: adult day services, day training & habilitation (DT&H), structured day, prevocational, customized living, adult and child foster care, and supported living services (provided in a licensed setting). You will receive notice to complete the form through your MN–ITS mailbox and US postal mail during March and April 2017.

    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.

    Grants and RFPs

    See the Grants and requests for proposals web page for more information.

    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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