MHCP Provider News

June 29, 2015 News


  • • ICD-10 Testing: ​Beginning July 6, 2015, MHCP is opening the MN–ITS test environment for all enrolled providers to submit ICD-10 testing claims. Refer to the MHCP ICD-10 page for more informaiton about implementation and testing with us. On July 6, we will post instructions for connecting with the test environment.
  • • Claims Clinic Survey: Minnesota Health Care Programs (MHCP) invites you to take a short survey to help us decide whether we should offer in-person billing clinics to providers. Beyond offering a face-to-face overview of our billing procedure, in-person billing clinics would allow you to bring your own claims and go over them with an instructor at the end of the session. Please take this 2015 Claims Clinic Survey as soon as you can.
  • • Emergency Medical Assistance (EMA) claims for Home and Community-Based Services (HCBS): We updated the EMA Home and Community-Based Services Provider Update, originally posted on March 20, 2014, to add that DHS cannot authorize services past June 15, 2015. Claims must be submitted correctly by June 25, 2015, to receive payment by June 30, 2015. Review the Provider Update if you receive authorizations for HCBS services for EMA recipients. See HCBS Funding Available to Emergency Medical Assistance (EMA) Recipients Ending June 30, 2015 (PDF) (Bulletin 15-25-08) for more information.

  • Review recent Provider Updates:


    Payment Error Rate Measurement (PERM)

    The Centers for Medicare & Medicaid Services (CMS) will host four PERM provider education sessions during fiscal year 2015. Watch for more information or refer to the CMS PERM website. The PERM overview video, PERM: Responding to Medical Records/Documentation Requests, is available on the CMS YouTube channel. If you have PERM questions, call or email Laurie Grussing, Manager, 651-431-3959, laurie.grussing@state.mn.us or Eileen Dejdar, RN, 651-431-3944, eileen.dejdar@state.mn.us.

    Training and VideoPresence Opportunities

    Refer to the session for registration and session details:

  • • Adult Rehabilitative Mental Health Services (ARMHS) Information Seminar
  • Providers interested in becoming an ARMHS provider are required to attend an ARMHS Information Seminar. Qualified clinical supervisors or clinical consultants, as well as the administrative representative of the potential ARMHS provider must register for the seminar. DHS provides these seminars quarterly. Seminars will be July 17, 2015, Oct. 16, 2015, Jan. 15, 2016, and April 15, 2016. All seminars will be on Fridays from 8:30 a.m. to 12:30 p.m. Information to enroll in the seminar, as well as additional information about the clinical supervisors’ prerequisite online training is on the AMHD Training Website

  • • Feedback session announcement for changes to waiver employment services 
  • DHS is changing its home and community-based employment services. This will include changes to prevocational and supported employment services, as well as the development of new services. View Feedback session announcement (PDF) for the various dates and sites.

  • • Mental Health sections of the MHCP Provider Manual Resource Review and MN–ITS Billing
  • Webinar session on July 8, 2015, on a resource review of the mental health sections of the MHCP Provider Manual and MN–ITS Billing. We will review the MHCP Provider Manual resources and basic MN–ITS 837P claim entry and guides. Register on the training registration page. Watch for additional training dates to follow.


    MN–ITS

    Acknowledgment responses
    For batch files submitted June 15, 2015, verify that you received a response and that the response includes the requested information. If you received a miscellaneous file that shows as zero bytes, call the Provider Call Center to have a ticket created.

  • • PDF Remittance Advices (RAs)
    Some PDF RAs are also showing as zero bytes and do not open when selected. We have replaced these RAs with the corrected files. You do not need to call the Provider Call Center about these. The corrected RA in your mailbox will have the date of June 16, 2015, and the name of the file will end with an underscore (_.pdf).
  • • Electronic Remittance Advices (835 X12)
    Due to a system delay, we have not yet sent 835 X12 files to most providers. We are working to correct the issue and send these files as quickly as possible.

  • MN–ITS account – Register your account to receive revalidation requests timely
    Register your MN–ITS account to receive important communication electronically. MHCP places information into the PRVLTR folder of your MN–ITS mailbox so you can get it immediately and have more time to review and respond to time sensitive requests. If you received your revalidation request letter through the U.S. Postal Service, you need to register your MN–ITS account.

    The Welcome Letter you received when you first enrolled has instructions to register your account. If you do not have a copy of your Welcome Letter, call the MHCP Provider Call Center to ask for a copy. When you register your account, you can choose who you want to be in charge of the account as the administrator. This person will be able to give others access, if needed, and check the mailbox regularly for communication from MHCP.

    MN–ITS announcements and availability
    Refer to the 5010/D.0 Announcements page for information about MN–ITS functionality, technical information, scheduled downtimes and other notifications.

    Industry Initiatives

    This Industry Initiatives section gives you quick, easy access to current federal and state industry initiatives that potentially impact your business. Please review these pages on a regular basis.

    5010/D.0

    Watch the 5010/D.0 page for announcements about both direct data entry (DDE) and batch transactions. We also add messages about MN–ITS availability on this page.

    ICD-10

    DHS is conducting internal testing for system changes required for ICD-10 implementation. As internal testing nears completion, we will provide more information about external testing opportunities on our ICD-10 web page.

    Child and Teen Checkups

    Refer to the Latest Manual Revisions for a number of recent updates in the MHCP Provider Manual for Child and Teen Checkups (C&TC). We will be making additional updates soon, and will add another announcement in the Latest Manual Revisions when we do.

    Early Intensive Developmental and Beharioral Intervention (EIDBI)

    ​The Early Intensive Developmental and Behavioral Intervention (EIDBI) policy guide is now available. Refer to the EIDBI Policy Guide. We will continue to update information in the guide, so check back frequently. We will also provide more information about EIDBI when it is available.

    Enrollment
    (Added 7/2/15)

    Early Intensive Developmental and Behavioral Intervention (EIDBI) provider assurance statements are now available. Please refer to
    provider qualifications in the EIDBI Policy Guide and complete any of the relevant forms listed below to begin the EIDBI enrollment process:


    These EIDBI assurance statements are also available in DHS’ eDocs searchable document library.

    Hearing Aids

    MHCP added two new HCPCS codes, V5281 and V5282, to the current 2014 Hearing Aid Contract. Use these codes when billing whole frequency modulation (FM) or digital modulation (DM) personal systems. Individual system components, codes V5283 –V5289, cannot be billed together on the same claim due to NCCI edits.

    Hospice Services

    To receive payment for hospice services, the elected hospice provider must fax a completed copy of the MHCP Hospice Transaction Form (DHS-2868) (PDF) to MHCP at 651-431-7554, within two days of the recipient electing hospice care.

    When providing hospice services to a dual eligible (Medicare and Medical Assistance) recipient, the hospice provider must fax either the Medicare approved criteria, plus the required MHCP hospice documentation requirements, or the Hospice Transaction Form. Documentation must indicate Medicare Hospice Election. MHCP may deny clams if this information is missing for dual eligible clients.

    Please verify and submit the necessary hospice information for dual eligible clients. In certain situations it may be necessary to fax this form to other agencies or to case managers. Follow the instructions provided in the Hospice Services section of the MHCP Provider Manual.

    Laboratory Services

    The implementation date for changes to the billing policy on services performed by reference and outside laboratories has been changed to Oct. 1, 2015, for the following provider types:

  • • Outpatient hospitals
  • • Provider-based clinics
  • • Independent laboratories
  • This information has been revised on the Laboratory/Pathology Services Provider Manual section and the Provider Update MHCP Pays Reference and Outside Laboratory Providers Directly (MHP-14-08).

    Mental Health Services

    Diagnostic assessment rate change
    A rate change that was effective Jan. 1, 2015, resulted in a reduced reimbursement rate for brief diagnostic assessment. MHCP has now updated the system to reflect this rate change. We will reprocess claims with CPT codes 90791 or 90792 with modifier 52 for dates of service on or after Jan. 1, 2015, with the new rate. These claims adjustments will be on the June 16, 2015, remittance advice. Refer to the Diagnostic Services section of the MHCP Provider Manual for CPT codes and information.

    ICD-9 code ranges
    MHCP reviewed ICD-9 codes in preparation for ICD-10 implementation. We updated the MMIS system to consolidate ICD-9 code ranges used for definitions of emotional disturbance (ED) and mental illness (MI). The previous Minnesota Statute definition of ED and MI included ICD-9 code range of 290.0 to 302.9 or 306.0 to 316.0. Since the range indicated “to” rather than “through,” the range should have ended prior to codes 302.9 and 316.0. The updated ICD-9-CM code range is 290.0 through 302.89 or 306.0 through 315.9. Some providers may see denied claims if ICD-9 codes are outside of the updated range.

    Travel time
    Follow these requirements to bill MHCP for mental health provider travel time:

  • • Document start and stop time of travel times to the minute for each service in each progress note
  • • Bill for the most direct route
  • • Enter the exact number of minutes of travel time in the units field on the claim
  • • Use the appropriate place of service code on the claim
  • • Bill travel time to only one recipient if the services are being delivered in a group format
  • • Document unusual travel conditions that may cause a need to bill for additional time
  • • Do not bill for detours, for lunch breaks, nonrecipient service activities, or time for vehicle breakdowns

  • Recipients must have an individual treatment plan (ITP) specifying why the provider must travel to the recipient’s home, place of work, or other setting to provide services. Provider travel time covers only the time the provider is in transit to and from the recipient. Review the Mental Health Provider Travel Time section of the MHCP Provider Manual for more information.

    Moving Home Minnesota

    New Moving Home Minnesota billing lab sessions are posted for July 2015 through July 2016. Refer to the Moving Home Minnesota Billing page for more information.

    Waiver and AC Program Providers

    During the MMIS and COLA or rate increase process that ran June 9, 2015, a discrepancy appeared in the PCA rate for T1019 procedure codes on service agreement lines starting July 1, 2015, or later. The discrepancy only affects BI, CAC, CADI, DD, Elderly Waiver and Alternative Care service agreements. Other service agreement types, such as type B agreements, were not affected. You must wait for the lead agency to correct the SA.

    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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