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Department of Human Services Department of Human Services Thursday, February 9, 2012
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MHCP Enrolled Providers – Pharmacies

Hot Topics
• Minnesota Medicaid Version D.0 NCPDP Payer Sheet is now available
• To request a drug prior authorization:
• Beginning January 1, 2011, contact the new MHCP Prescription Drug PA Agent – 1-866-205-2818 (Phone) or 1-866-648-4574 (Fax)
• Sign up to get e-mail notices of new Provider Updates, RA messages, etc.

Latest News

Provider Updates

Pharmacy and Medical Supply Related Lists

PA Criteria and Regimen Review Sheets

Prior Authorization Forms

State Managed Pharmacy Related Programs

Patient Drug Assistance Programs

Resource Documents/Forms

Billing Information

Provider Manual

Committees and Meeting Notices

MN–ITS View/Access


Telephone Numbers and Contacts
Provider Call Center (651) 431-2700 or 1-800-366-5411

• OPTION 1: MHCP Provider Call Center
• OPTION 5: MHCP Provider Enrollment
• OPTION 6: MN-ITS Registration or PA Password resets
• Verify recipient eligibility online via MN–ITS for up to 50 recipients at one time

To verify drug coverage for a specific National Drug Code (NDC) use the new NDC Search available under Related Pages of the MHCP Enrolled Providers Homepage

Senior Linkage Line 1-800-333-2433


Contact Information
• Sara Drake, RPh, MPH, MBA, Pharmacy Program Manager: sara.j.drake@state.mn.us
• Jarvis Jackson, R.Ph., Drug Rebate Coordinator: jarvis.jackson@state.mn.us
• Mary Beth Reinke, Pharm.D., MSA, Drug Utilization Review Coordinator: mary.beth.reinke@state.mn.us
• Elizabeth Matty, R.Ph, Pharmacy Consultant: Elizabeth.a.matty@state.mn.us
• Adam Pavek, Pharm.D., Clinical Pharmacist: Adam.a.pavek@state.mn.us
Quick Links
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