Minnesota Minnesota

Provider Manual

Provider Manual


Individualized Education Program (IEP) Services

Revised: March 5, 2026

Overview

Minnesota Health Care Programs (MHCP) pays the federal share of MHCP covered IEP health-related services for eligible students under 22 years old or those who have not graduated from the 12th grade.

This online manual replaces the IEP Technical Guide and is the primary information resource for the Minnesota Department of Human Services policies, covered services, rates and billing requirements for IEP health-related services.

  • · Basics for all IEP services is general information about the IEP program and pertains to all IEP providers.
  • · IEP health-related services lists services alphabetically. Bulleted items under each service are specific to that service.
  • As an enrolled provider, you are responsible to frequently check the MHCP Provider Manual for changes, updates and additions.

    Other resources
    Visit the IEP resources webpage for links to MHCP Provider news and updates, sign up for our free provider email updates, get access to the Minnesota Department of Education Third Party Billing SharePoint site and more.

    Basics for all IEP services

  • · Billing and Authorization Requirements
  • · Individualized Education Program (IEP) and Individualized Family Service Plan (IFSP) Health-Related Services Procedure Codes
  • · Covered and Noncovered IEP Health-Related Services
  • · Definitions and Acronyms
  • · IEP Providers
  • · Interpreter Services
  • · MHCP Eligible Children
  • · Rates and Payments
  • · Record Keeping and Documentation
  • IEP health-related services

  • · Assistive Technology (AT) Devices
  • · Children’s Therapeutic Services and Supports IEP Services Provided in School (previously referred to as mental health services)
  • · Mental Health Services in Special Education (MH-SPED) (School Social Work Services)
  • · Nursing Services
  • · Occupational Therapy Services
  • · Personal Care Assistance Services
  • · Physical Therapy Services
  • · Speech and Language Pathology and Audiology Services
  • · Special Transportation Services
  • Legal References

    Minnesota Statutes,125A.21 (Third Party Payment)
    Minnesota Statutes, 125A.74 (Medical Assistance Payment to School Districts)
    Minnesota Statutes, 125A.744 (Statewide Data Management System to Maximize Medical Assistance Reimbursement
    Minnesota Statutes, 256B.0625, subdivision 26 (Covered Services – Special Education) and additional parts of 256.0625
    Minnesota Statutes, Chapter 13 (Government Data Practices)
    Minnesota Statutes, 245.487 to Minnesota Statutes, 245.4889 (Minnesota Comprehensive Children’s Mental Health Act)
    Minnesota Statutes, 245I.10 (Mental Health Uniform Services Standards Act)
    Code of Federal Regulations, Title 34 Education, Part 300 (Assistance to States for the Education of Children with Disabilities)

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