MHCP Provider News

May 16, 2016


  • 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.
  • • See grants and requests for proposal (RFPs) for current grants available or RFPs you may be interested in.
  • 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 identified and reprocessed claims for dates of service between January 1 and March 15, 2016. The reprocessed claims were on your May 3, 2016, remittance advice. (Revised 5/24/16)

    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

    General dentist license
    Dentists with a limited general dentist license may enroll with MHCP. The applicant and the supervising provider must complete and sign the MHCP Individual Practitioner – Provider Enrollment Application (DHS-4016) (PDF), the Provider Agreement (DHS-4138) (PDF), and the Limited General Dentist Assurance Statement (DHS-3932) (PDF). Submit both forms with supporting documents to MHCP.

    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

    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.

    Individualized Education Program (IEP)

    MHCP will reprocess IEP claims that were denied in error for age requirements for ICD-10 code F94.9. You will see the reprocessed claims on your May 17, 2016, remittance advice.

    Mental Health

    Diagnostic assessment rate correction
    MHCP has updated its system to reflect a rate change effective January 1, 2016. We will replace claims with procedure code 90791 or 90792 and modifier TS or TG to pay at the correct reimbursement rate for dates of service starting January 1, 2016. The adjusted claims are on the May 17, 2016, remittance advice.

    We will update the system and adjust claims at a later date for procedure 90791 and 90792 with modifier 52. These adjusted claims will be on your May 31, 2016, remittance advice. Refer to the Diagnostic Assessment section of the MHCP Provider Manual for CPT codes and information. (Revised 5/24/16)

    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.

    Refer to the following for home and community-based services grants and RFPs:

  • Grants available to provide innovative home and community-based services (HCBS). Disability Services Division (DSD) seeks proposals from qualified responders to provide innovative home and community-based services to improve outcomes in community integration, competitive employment and integrated housing for people with disabilities 
  • RFP available 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).
  • RFP and RFI available for Crisis Respite Service Providers Announcement. 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.
  • 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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