• Revalidation schedule: MHCP is delaying revalidation requests for providers who are eligible to enroll with Medicare. If you already received a request, you must comply and submit all requested information. Refer to the Provider Screening Requirements section of the MHCP Provider Manual for more information about this delay.
• Web page user surveys: MHCP is in the early stages of a process to improve the navigation structure and content of our web pages for Partners and Providers and for Counties and Tribes. If you and your colleagues go to those pages to do your jobs, we would like to hear from you. We plan to conduct occasional online surveys. Each will take approximately 15 minutes. Please join a user feedback panel by taking the first survey. For more information about the project, contact Jon Wittman, DHS online content manager, at 651-431-5880 or email@example.com.
• 2015 Quality Improvement Tool is Available: DHS notified home and community-based services (HCBS) providers (PCA and Waiver) and intermediate care facilities for persons with developmental disabilities (ICF-DD) through their MN–ITS PRVLTR folder that the 2015 Quality Improvement Tool launched on July 1, 2015. Providers may now submit a quality improvement project plan in the updated 2015 tool through Dec. 31, 2015. For more information, visit the long-term services and supports quality improvement web page.
• Waiver Employment Services
Note new date: Changes to Waiver Employment Services – This webinar was originally scheduled for Monday, Aug. 17, 2015. It is rescheduled for Aug. 31, 2015, from 10 – 11 a.m.
• 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.
Watch the 5010/D.0 web page for messages about MN–ITS availability.
Some waiver claims denied incorrectly – resubmit
Minnesota Health Care Programs (MHCP) identified an issue for some waiver claims submitted on July 9, 2015, and July 10, 2015. If you submitted a claim via batch or MN–ITS DDE, and the claim was denied incorrectly, resubmit the claim. The issue has been resolved.
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.
Countdown to ICD-10 – implementation less than six weeks away
All MHCP health care transactions for dates of service on or after Oct. 1, 2015, must include ICD-10 diagnosis codes for reporting a diagnosis. MHCP will deny claims reported with ICD-9 codes for dates of service or inpatient dates of discharge on or after Oct. 1, 2015. Refer to the MHCP ICD-10 web page for more information and resources.
We posted an updated MHCP Hospice Transaction Form (DHS-2868-ENG) (dated 08-15). We will continue to accept previous versions of this form for clients who have elected hospice before Jan. 1, 2016. After Jan. 1, 2016, you will need to use only the updated form for newly enrolled hospice clients and updates to clients' hospice election.
Hospitals – Outpatient
Effective for dates of service on or after July 1, 2015, the rate for Direct Observation will follow the CMS pricing guidelines using the Outpatient Ambulatory Payment Classification payment rate. Once our system work is completed, claims will be reprocessed back to July 1, 2015.
Laboratory, Pathology, Radiology and Diagnostic Services
Effective Aug. 1, 2015, the authorization system for receiving an immediate response for certain imaging services will no longer be available. All authorization requests for imaging services will need to be submitted to the medical review agent (KEPRO). For additional information, refer to the MHCP Fee Schedule for the current authorization requirements for specific imaging services, and to the Laboratory/Pathology Services section of the MHCP Provider Manual.
Moving Home Minnesota
DHS is now accepting applications for the Housing and Urban Development (HUD) Section 811 project-based rental assistance program from Moving Home Minnesota (MHM) transition coordinators and Projects to Assist with Transitions from Homelessness (PATH) outreach workers. Refer to the HUD Section 811 Project Based Rental Assistance Program (PDF) for more information and use the Section 811 Project Rent Assistance Application (DHS-7102) (PDF) to apply for the program. To subscribe for future program updates, including information about additional properties participating in the program, complete the Section 811 subscribe form.
Personal Care Assistance (PCA)
Requests for resubmission
Effective Aug. 17, 2015, MHCP will begin putting the Request for Resubmission (DHS-5678) into the agency’s MN–ITS mailbox instead of faxing them back when we are not able to complete processing applications for individual personal care assistants (PCA).
MnDOT must certify all nonemergency medical transportation (NEMT) providers for special transportation services (STS). STS providers enrolled with Minnesota Health Care Programs (MHCP) must complete the MnDOT certification process. Access transportation service (ATS) providers providing transport by working with the local county or tribal agency must either complete the MnDOT special transportation services certification process or complete the STS Variance Request (DHS-3896) and submit it to DHS Provider Enrollment. Volunteer drivers, publicly operated transit systems, and not-for-hire vehicles are not subject to this requirement.
Waiver and AC Program Providers
Public comment period for federal waiver plan amendments
Please review and submit comments on proposed changes to the Brain Injury (BI), Community Alternative Care (CAC), Community Alternatives for Disabled Individuals (CADI) and Developmental Disabilities (DD) waiver plans. Comment period begins 8 a.m. Monday, Aug. 24, 2015, and ends 4 p.m. Wednesday, Sept. 23, 2015. See more information on the Public comment period for federal waiver plan amendments announcement page.
Rate exception process survey
DHS and the Improve Group are working together to study the rate-exception process. The goal is to estimate the number of exceptions that lead agencies and DHS will grant when banding protections end in 2019. The study will look at the fiscal impact of future exceptions on home and community-based services in disability waiver programs. MHCP will randomly select providers to participate in the survey. We will place a letter in your MN–ITS PRVLTR mailbox. We will use the results to calculate the estimated cost of rate exceptions when banding protections end in 2019 and will publish findings from this research in a 2016 report to the legislature. For more information on the study, see the Disability Waiver Rate System exceptions research page.
Effective Aug. 1, 2015, 245D-licensed providers must notify DHS in writing when they issue a notice of temporary service suspension or service termination from residential services. Providers who issue temporary service suspension or service termination notices dated Aug, 1, 2015, or later must fax the notices to 651-431-7406. For more information, see New requirement for 245D licensed residential providers.
Visit our Provider website for more comprehensive information, including these pages: