HIV/AIDS programs

People living with HIV/AIDS may find help through the Minnesota HIV/AIDS Program. To learn more about how this program can help click on any of the areas that interest you:

Dental Program

Pays for routine diagnostic, preventive and corrective dental procedures furnished under the supervision of an approved dentist. Procedures covered include:

Program HH now contracts with a medical review agent to process FFS and Program HH requests for authorization. For recipients enrolled in a managed care organization (MCO), contact the MCO for authorization requirements.

When submitting an electronic authorization request:

• Use the MN–ITS Interactive Authorization Request (278) transaction

• Refer to the MN–ITS User Guide Submit an Authorization Request for dental services or Consolidated Providers for step-by-step instructions

• Print the response page with the 11-digit number assigned (keep one for your records and attach one to the required documentation)

• Write the11-digit number assigned on each page of your supporting documentation
Supporting documentation must include:

• Tooth number(s) and/or oral cavity designation involved

• X-rays of the recipient’s current dental condition (do not copy or fax x-rays)

• Periodontal charting of the recipient’s current dental condition

• Any other pertinent or required information specific to the case review type

• Consolidated providers only: use the appropriate practice location

Refer to the Authorization Requirement Tables for Children and Pregnant Women or Authorization Requirement Tables for Non-Pregnant Adults for criteria and documentation requirements. For Program HH only recipients, refer to Program HH Dental Authorization Requirements Chart as services may be reimbursed differently. Do not submit authorization requests for services that do not require authorization or are not covered; they incur unnecessary costs and will not be approved.

Contact Program HH Customer Care at (651) 431-2398 with specific questions about procedures or prior authorization.

Drug Reimbursement Program

Pays most of a person's portion of the cost of many major drugs and generic type multiple vitamins used to treat or prevent HIV-related conditions. Drugs may be purchased at any outpatient pharmacy that is a Minnesota Health Care Programs provider.

Also as of July 1, 2004, persons are responsible for a small copay of $1 for generic and $3 for brand-name prescriptions. 

HIV/AIDS Drug Formulary by:

Insurance Program

Pays medical insurance premiums, including, but not limited to:

  • • Conversion or individually purchased policies
  • • Medicare supplement policies
  • • Policies carried through a COBRA extension
  • • Insurance through the Minnesota Comprehensive Health Association

    • Mental Health Program

    Pays for limited outpatient counseling with any state-registered mental health professional who accepts Medical Assistance. When a person does not have mental health insurance coverage or has exhausted their mental health benefits, they may apply for mental health services.

    The mental health program does not cover the cost of medications, although there are a limited number of mental health medications available to clients enrolled in the Drug Reimbursement Program.

    Once enrolled in the mental health program, a person is eligible for a one-hour assessment by a mental health provider of their choice. After the assessment, the mental health provider must contact Program HH to prior authorize any needed services. Mental health providers will be notified of authorization and instructed as to the number of sessions that have been approved within three working days of receipt of the completed prior authorization form.

    Contact your case manager, benefits specialist or the recipient help desk at (651) 431-2670 or toll free at (800) 657-3739 for more information.

    HIV/AIDS Mental Health Program Prior Authorization form

    List of Mental Health Codes Covered by Program HH

    Nutrition Program

    Pays up to $100 each month for enteral/nutritional supplements when ordered by a physician. These products may be purchased at any outpatient pharmacy that is Minnesota Health Care Programs (MHCP) provider.

    These products are typically canned liquid drinks, which add calories and certain nutrients to the diet. The program does not cover food, vitamins or herbal nutritional supplements.

    Contact your case manager, benefits specialist or the recipient help desk at (651) 431-2670 or toll free at (800) 657-3739 for more information.

    Program Application

    To be eligible for any of these programs, you must:

  • • Be HIV positive
  • • Have an annual income under 300 percent of Federal Poverty Guidelines
  • • Have less than $25,000 in cash assets
  • • Reside in Minnesota

    • If you would like to apply or reapply, click here for the HIV/AIDS Application and/or Reapplication. Send the form to the address provided.

    Applications are also available at many community and clinic-based sites.

    Contact us with questions or feedback:

    HIV/AIDS Programs
    Department of Human Services
    PO Box 64972
    St. Paul, MN 55164-0972

    Twin Cities Metro area: (651) 431-2414 (voice) or (651) 431-7414 (fax)
    Statewide: 1 (800) 657-3761 (voice) or 1 (800) 627-3529 (TTY)


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