MHCP Provider News

August 22, 2016

  • Proposed rule repeal: The Department of Human Services (DHS) is proposing the repeal of a small part of its Surveillance and Integrity Review Section (SIRS) program rules about publishing notice in a general circulation newspaper. Read more information on the web page. Submit written or oral comments on possible repeal of this rule until 4:30 p.m. on October 21, 2016, by emailing, by mailing to Vanessa Vogl, Rulemaking Attorney at the Minnesota Department of Human Services, PO Box 64254, Saint Paul, MN 55164-0254, or by calling 651-431-3168. TTY users may call the Department of Human Services at 800-627-3529.
  • • See grants and requests for proposal (RFPs) for current grants available or RFPs in which you may be interested.
  • Review recent Provider Updates

    Training and VideoPresence Opportunities

    Refer to the Provider Training page for information about new and ongoing training or to the list below for details on additional training sessions on special topics.


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

    Electronic Health Records (EHR)

    Refer to the Minnesota Electronic Health Records Incentive Program (MEIP) web pages for complete information about EHR.

    Chemical Health

    High intensity treatment services rate increase: The 2015 Minnesota Legislature authorized a new rate of payment for high intensity treatment services effective for dates of service on and after October 1, 2015. The new high intensity residential treatment rate is $150 over the base rate. This enhanced rate will be added as a separate line on the service agreement. Contact the placing authority for any questions you have about service agreement adjustments. Effective immediately, bill the additional rate enhancement using procedure code H2036 and modifier HK on a separate line from lines billed with H2036 and any other modifier. Billing modifier HK on the treatment line with other rate enhancement modifiers will result in incorrect claim processing. Refer to e-Memo #15-51, Committed and Complex Level of Care, for coverage information.

    Clinic Services

    Colorectal cancer test: Cologuard will be a covered service beginning September 1, 2016. Use code 81528, gene analysis (colorectal cancer) when submitting claims for this test. Do not report 81528 in conjunction with 81275 (kras gene) or 82274 (assay test for blood, fecal). Patients must be 50 years old or older for the Cologuard test.

    County and Tribal Human Services

    DHS created a person-centered practices web page as a resource for person-centered, informed choice and transition planning. The new page offers the following:

  • • Policy guidance
  • • Answers to frequently asked questions
  • • Tools and instructions 
  • • Links to resources and training

  • We urge lead agencies to use the resources on this page as they build their person-centered practices.

    My Move Plan Summary: To help with the process of moving, DHS created the My Move Plan Summary (DHS-3936-ENG (PDF) to support people aged 65 or older and people with disabilities, including people with mental illness and people who use long-term supports and services. The summary is a written agreement that:

  • • Helps to clarify roles expectations before, during and after the move and
  • • Helps make the move successful by clearly communicating all key elements of the plan.

  • For more information view the Disability Services Division e-list announcement posted on July 14, 2016, Lead agencies should start using the My Move Plan Summary (DHS-3936).

    Group Residential Housing Supplemental Services

    MHCP enrollment: Most providers of group residential housing (GRH) need to enroll as an MHCP provider to receive supplemental services payments from MHCP. GRH supplemental service rate payments are any payments MHCP makes to GRH providers in excess of the maximum room and board rate of $891.

    If you are a GRH provider and you are not sure if this change applies to you, here is how you can tell: Add the amount that a resident pays you each month for room and board to the amount you receive from the state for GRH for that resident. If those two amounts together are $891 or less, then you are only receiving GRH base-rate room and board payments. If you are only receiving GRH base-rate room and board payments for all GRH residents in your setting, you are not receiving GRH supplemental service rate payments and do not need to enroll.

    If you determine that your total GRH payment is more than $891 per month for one or more of your residents, then you will need to enroll with MHCP to continue receiving supplemental service payments. Beginning January 1, 2017, you will bill GRH supplemental services through MHCP. Complete your enrollment as soon as possible. All parts of your enrollment must be completed no later than December 31, 2016.

    Before you enroll, you must watch the recorded webinar. A link to the webinar is on the GRH Supplemental Services training web page. After watching the recorded webinar, complete the Group Residential Housing (GRH) Supplemental Services – Provider Enrollment Application (DHS-5924) (PDF) and fax all required forms to MHCP Provider Enrollment. If you have any questions about GRH supplemental services, call the MHCP Provider Call Center at 651-431-2700 or 800-627-3529.

    Laboratory Services

    APC outpatient laboratory services: MHCP has completed programming for the ambulatory payment classification (APC) outpatient laboratory services with a status indicator Q4 on July 8, 2016. We will reprocess affected claims for dates of service on or after Jan. 1, 2016. Reprocessed claims will be on the August 23, 2016 remittance advice.

    Colorectal cancer test: Cologuard will be a covered service beginning September 1, 2016. Use code 81528, gene analysis (colorectal cancer) when submitting claims for this test. Do not report 81528 in conjunction with 81275 (kras gene) or 82274 (assay test for blood, fecal). Patients must be 50 years old or older for the Cologuard test.

    Mental Health

    Adult Rehabilitative Mental Health Services (ARMHS) functional assessment and individual treatment plan – master-level cutback: We are reprocessing claims for ARMHS functional assessment (H0031) and individual treatment plan (H0032) on which we incorrectly applied the master’s-level cutback. The adjustments cover dates of service on or after September 1, 2015, and claim adjudication dates of December 16, 2015, through June 9, 2016. Reprocessed claims are on your August 9, 2016, remittance advice.

    Functional assessment vocational domain: We revised the vocational domain of the functional assessment to reflect informed choice guidelines of the Minnesota Olmstead Plan. This update is in effect as of June 30, 2016, and is in the Functional Assessment section of the MHCP Provider Manual.

    Under “Vocational,” we added “Jobs, Careers.” This refers to the person’s participation in purposeful activity, which may include competitive, sustained employment or meaningful work. This work may be full-time or part-time employment or volunteer work on a regular or periodic basis. It may also be production of a product or provision of a service through engagement in a structured activity, which can be either externally directed by other(s) or self-directed. To create a person-centered planning approach, we also included a section, “Consider the following questions.”

    Moving Home Minnesota (MHM)

    Reprocessed claims for T1017 U6: MHCP identified and reprocessed Moving Home Minnesota (MHM) claims for T1017 U6. This does not affect providers, but reprocessing was necessary to meet requirements for reporting these claims to the Centers for Medicare & Medicaid Services (CMS). The reprocessed claims will be on your August 23, 2016, remittance advice (RA).

    Waiver and Alternative Care (AC) Programs

    Public comment on use of monitoring technology: DHS seeks public comments on a new policy for the use of monitoring technology with people who receive services through the Waiver and AC Programs. Review a draft of the proposed monitoring technology policy, and then email comments to The comment period ends at 4 p.m. Tuesday, August 23, 2016.

    Training and VideoPresence Opportunities

    Information about most new and ongoing training is on the Provider Training page. Any information listed in this section is for additional training sessions on special topics.

    Grants and RFPs

    See the Grants and requests for proposals web page for more information.

    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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