Revised: December 26, 2018
MHCP accepts paper claims in limited circumstances from non-MHCP enrolled out-of-state providers. The provider must be currently enrolled with Medicare or another state Medicaid agency, and may only bill MHCP once prior to requiring screening and enrollment with MHCP. If MHCP screening and enrollment is required, the out-of-state provider must bill electronically through MN–ITS using either MN–ITS direct data entry User Guides or following x12 and Minnesota’s Uniform Companion Guides.
Refer to the following additional resources:
All paper claims must be typed or computer printed. Use the following guidelines to complete paper claim forms:
Review MHCP Attachment Criteria to determine if you need to submit an attachment with the claim. MHCP will deny claims with attachments that are unnecessary.
Mail paper claims, including attachment, as appropriate, to:
Minnesota Department of Human Services
MHCP Claims Processing
PO Box 64993
St Paul, MN 55164-0993