Managed Care Organizations

Contract Information and Resources

Contract resources

  • Transparency and Accountability Report Format Summary
  • Children’s Therapeutic Services & Supports (CTSS) materials
  • Dialectical Behavior Therapy (DBT) information and DBT providers
  • Maps
  • Materials guide (revised July 2014)
  • Model contracts
  • Primary Care Network List (PCNL) Guidelines DHS-7401 (PDF) June 2016
  • Provider Directory Guidelines DHS-7402 (PDF) January 2017
  • Quality strategy (PDF)
  • Samples for Evidence of Coverage
  • Integrated Enrollment Policies and Procedures DHS-3953 (PDF)
  • Fraud and abuse requirements

  • Deficit Reduction Act Assurance Statement (PDF)
  • Medical Referral for MRRP Enrollee form (PDF)
  • Minnesota Restricted Recipient Program Enrollment Reporting Form (PDF)
  • Restricted Recipient Program brochure (PDF)
  • MCO systems workgroup information

  • Health plan systems workgroup information
  • Reporting Specifications

  • Healthcare Research and Quality (HRQ)
  • Third Party Liability (TPL)
  • Federally Qualified Health Centers (FQHC) and Rural Health Centers (RHC) data report specifications (PDF)
  • Monthly C&TC CATCH 3 data submission specifications (PDF) (revised June 2015)
  • Screening tools

  • Developmental and Social-Emotional Screenings
  • Enrollment figures

  • Minnesota Health Care Programs Managed Care Enrollment Figures
  • Forms and documents

  • Managed Care Organization MHCP Provider Enrollment forms
  • Other Health Insurance Reporting Form, DHS-6340 (PDF)
  • Third Party Administrator MCO Setup Form, DHS-5858 (PDF)
  • TPA Enrollment Application, DHS-5859 (PDF)
  • Community resources

  • Disparities resources
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