Minnesota Minnesota

MMIS Long-Term Services and Supports Manual

MMIS Long-Term Services and Supports Manual

Claims corrections

Page posted: 8/3/26

Providers are responsible to verify their rate and the number of units against their service authorization before they bill. The person’s case manager must prior authorize any additional services, units or total amounts by making changes to the service agreement. For more information, refer to MMIS LTSS Manual – Change an existing service agreement and MMIS LTSS Manual Close a service agreement.

Sometimes, a claim needs an adjustment to replace a previously submitted claim with changes or corrections or to void a claim paid in error.

In general, providers are responsible to submit claims adjustments. MHCP Provider Manual – Billing policy overview includes information for providers about replacing or voiding claims.

This page includes instructions for when the county/Tribal Nation needs to adjust a claim.

County/Tribal Nation requests for claims adjustment

A county/Tribal Nation can request that a claim be voided (i.e., “take back”) for the purposes of adjusting a service agreement. Follow these steps to request a claim adjustment:

1. Contact the provider and ask them to do their own void.

2. Wait seven days. If the provider does not void the claim(s), you can request it on behalf of the provider.

3. Complete Credit Claim Void (Take-Back) Request, DHS-6207 (PDF) and submit it to Minnesota Health Care Programs (MHCP) using the instructions on the form.

MHCP staff will:

  • · Void county/Tribal Nation-initiated claims within 48 hours of receipt.
  • · Report claim void transactions in the reversal section of the provider’s remittance advice.
  • After MHCP staff voids the claim, the county/Tribal Nation must check the service agreement to make sure MMIS added the line items paid units and/or dollar amounts back to the line item before making changes to the line item (if necessary).

    Contact the MHCP Provider Resource Center for assistance.

    Additional resources

    Credit Claim Void (Take-Back) Request, DHS-6207 (PDF)
    MHCP Provider Manual – Billing policy overview
    MHCP Provider Resource Center
    MMIS LTSS Manual – Change an existing service agreement
    MMIS LTSS Manual Close a service agreement

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