MHCP Enrolled Providers

MHCP Provider Updates

MHCP places links to new Provider Updates in MN–ITS Mailbox LINKS folder of the provider types to whom the information pertains. Sign up to get email notices of new Provider Updates and other information.

Recently-Added Updates





2014 Updates

Chemical and Mental Health Services (CMHS)

MHS-14-01

Chemical and Mental Health Services ICD-10 Transition Guidance (3/20/14) Revised 4/23/14

Emergency Medical Assistance (EMA)

EMA-14-01

Emergency Medical Assistance (EMA) Home and Community-Based Services (3/20/14)

Individual Education Plan (IEP)

IEP-14-01

IEP Mental Health Spring 2014 Training (2/20/14)

Legislative Changes

LEG-14-01

Rate increase of 1% for Continuing Care Providers (3/7/14)

Medical Supply (MES)

MES-14-01

Electronic Tablets as Augmentative Communication Devices (2/19/14)

Pharmacy Program (PRX)

PRX-14-01

New Managed Care Pharmacy Identification (3/26/14)

Waiver Services (WAV)

WAV-14-01

HCBS Waiver and AC Billing Code Changes (2/3/14)

WAV-14-02

Home and Community-Based Services (HCBS) Waiver Provider Requirements (2/3/14)


2013 Updates

Dental (DEN)

DEN-13-02

2013 Dental Legislative Changes (8/13/13) Revised 2/3/14

DEN-13-01

Critical Access Dental Provider Program (CADPP) (8/14/13)

Child and Teen Checkups (CTC)

CTC-13-01

Revisions to the Child and Teen Checkups (C&TC) Periodicity Schedule (6/28/13)

Legislative Changes

LEG-13-01

June 2013 Payment Delay (4/4/13) Revised 4/25/13, 5/21/13

LEG-13-02

2013 Legislative Changes (6/28/13) Revised 7/17/13

Medical Supply (MES)

MES-13-01

Changes to Coverage of Incontinence Products (2/14/13)

Minnesota Health Care Programs (MHP)

MHP-13-01

Payment for Certain Primary Care Providers and Vaccines for Children (VFC) Program (1/11/13) Revised 3/13/13

MHP-13-02

MHCP Announces New Medical Review Agent (3/12/13)

MHP-13-03

Provider Resources Available for New MN–ITS Screens (3/12/13)

MHP-13-04

MHCP Announces HMS as Recovery Audit Contractor (RAC) (5/7/13)

MHP-13-05

Ordering and Referring Requirements for Rehabilitative Therapy Services (5/8/13)

MHP-13-06

Excluded Providers List (7/1/13)

MHP-13-07

Hospital In-reach Service Coordination (IRSC) (7/12/13)

MHP-13-08

New MN–ITS DDE Screens Available and MN–ITS Downtime (8/9/13)

MHP-13-09

MNsure Eligibility Verification Assistance (12/20/13)

Personal Care Assistant (PCA)

PCA-13-01

Individual PCA Provider Mandatory Training (3/19/13)

PCA-13-02

Service Delivery Review - PCA Agencies (5/8/13)

PCA-13-03

Relative Caregiver Changes (7/3/13)

Pharmacy Program (PRX)

PRX-13-01

Prior Authorization Required for Gabapentin Tablets (2/15/13)

PRX-13-02

Changes to Prior Authorization Requirements for Enbrel®, Humira®, Actemra®, Cimzia®, Kineret®, Orencia®, Remicade®, Simponi® and Stelera® (3/29/13)

PRX-13-03

340B Drug Pricing Program (5/16/13)

PRX-13-04

Billing MHCP for Provider-Administered Drugs (6/6/13) Revised 7/2/13, 7/18/13, 10/16/13

PRX-13-05

Adult Vaccine Coverage through MDH Ends (10/17/13)

PRX-13-06

Pharmacy Claims with Third Party Liability (10/31/13)

PRX-13-07

Point of Sale Diabetic Testing Supply Program (11/18/13)

PRX-13-08

340B Drug Pricing Program 2014 Legislative Changes (12/4/13)

Waiver Services (WAV)

WAV-13-01

Waiver Foster Care - 2012 1099-MISC Tax Forms (1/31/13)

WAV-13-02

Waiver/AC Provider Webinar Training - Provider Record Review (2/22/13)

WAV-13-03

Corporate Foster Care - Voluntary Closures (2/28/13)

WAV-13-04

Behavioral Support Service Changes (3/28/13)

WAV-13-05

New HCBS Waiver and Alternative Care Programs Provider Training 101 (4/15/13)

WAV-13-06

Background Study Planned Enhancements Webinar (5/21/13)

WAV-13-07

Waiver/AC Provider Record Review Deadline Extension (6/3/13)

WAV-13-08

245D License (6/28/13)

WAV-13-09

New Required Behavioral Intervention Reporting Form (7/5/13)

WAV-13-10

HCBS Performance-Based Incentive Payment Program (HCBS PIPP) (11/22/13)


2012 Updates

Dental (DEN)

DEN-12-01

Children's Dental Radiographs (7/20/12)

Home Care Services (HOM)

HOM-12-01

Home Care and PCA Legislative and Other Changes (6/4/12) Revised 6/8/12

Legislative Changes

LEG-12-01

2012 Legislative Changes (7/9/12) Revised 7/18/12

Long Term Care (LTC)

LTC-12-01

Long-Term Care Billing Changes (6/4/12) Revised 6/8/12

Mental Health Services (MHS)

MHS-12-01

Mental Health Information System (MHIS) (6/29/12) Revised 7/18/12, Revised 8/14/12

MHS-12-02

Psychiatric Consultations to Primary Care Providers (11/30/12) Revised 12/24/12

MHS-12-03

2013 Changes to Mental Health CPT Codes (12/26/12)

Minnesota Health Care Programs (MHP)

MHP-12-01

MHCP 2012 Billing Changes (1/4/12) Revised 1/12/12, Revised 2/22/12, Revised 5/18/12

MHP-12-02

Minnesota Extended Treatment Options (METO) Settlement (2/28/12) Revised 5/4/12

MHP-12-03

Rehabilitation and Mental Health Authorization Changes (4/16/12)

MHP-12-04

EMA Care Plan Certification (4/24/12)

MHP-12-05

Ordering and Referring Provider Requirements (4/27/12) Revised 5/18/12, 8/13/12, 2/13/13

MHP-12-06

Certified Presumptive Eligibility MFPP Application Available (4/27/12)

MHP-12-07

New Spenddown Designated Provider Process (6/4/12)

MHP-12-08

Medicare B Crossover Payments (7/26/12) Revised 9/12/12, 9/21/12, 10/5/12, 10/11/12, 11/16/12

MHP-12-09

Provider Affiliations (8/1/12)

MHP-12-10

MN–ITS Direct Data Entry (DDE) – Changes (11/14/12) Revised 11/19/12, 1/25/13

MHP-12-11

MHCP Eligibility/Benefits and Claim Status Changes (12/31/12) Revised 1/15/13

Personal Care Assistant (PCA)

PCA-12-01

PCA Relative Care Escrow Option (3/1/12)

Pharmacy Program (PRX)

PRX-12-01

Preferred Drug: Marinol (2/2/12)

PRX-12-02

Preferred Drug: Differin 0.1 (Gel, Cream, Lotion) (2/29/12)

PRX-12-03

Preferred Growth Hormones: Norditropin®/Nutropin®/Nutropin AQ®/Saizen® (5/15/12)

PRX-12-04

Maximum Allowable Cost Pricing for Hemophilia Blood Factor Products and Other Specialty Drugs (5/25/12)

PRX-12-05

Reimbursement Enhancement Available for Independent Rural Pharmacies (8/14/12)

PRX-12-06

Psychiatric Consultation Services for Prescribing Second Generation Antipsychotics (SGA) for Children (8/31/12) Revised 12/12/12, 5/13/13

PRX-12-07

Lidoderm® Prior Authorization (12/21/12)

Physician (PHY)

PHY-12-01

Changes to Vaccine Coverage for Adults (2/17/12)

PHY-12-02

Strong Start for Mothers and Newborns (3/9/12)

PHY-12-03

Strong Start for Mothers and Newborns: Application Development and Request for Information (4/12/12)

Waiver Services (WAV)

WAV-12-01

Provider Record Review – Waiver/AC Program Services (11/19/12)


Archived Provider Updates

  • 2011

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