Minnesota Minnesota

Provider Manual

Provider Manual


MHCP Benefits at-a-glance

Revised: March 3, 2026

The information below is an “at-a-glance” overview of MHCP-covered services for fee-for-service (FFS) members (X denotes coverage). Review the linked service-specific sections for details about coverage criteria, limitations and requirements. For members enrolled in a managed care organization (MCO), contact the appropriate health plan for coverage and copay information.

Some services have copays. Review Billing the Member (Recipient) for member cost-sharing information.

Minnesota Health Care Programs (MHCP) Benefits at-a-glance

Major Program Code

MA, NM, RM

IM

AC

EH

LL
(Through the end of the month a person turns 19)

KK
(Through the end of the month a person turns 19)

BB, FF

XX

OO

Service

May be enrolled in MCO

X

X

 

 

X

 

X

  

Acupuncture

X

X

  

X

X

X

X

 

Ambulatory Surgical Services

X

X

  

X

X

X

X

 

Anesthesia Services

X

X

  

X

X

X

X

 

Child and Teen Checkups

X

X

 

 

X

X

   

Chiropractic

X

X

  

X

X

X

X

 

Clinic Services

X

X

  

X

X

X

X

 

Community Emergency Medical Technician (CEMT) Services

X

X

X

 

X

X

X

X

 

Community First Services and Supports (CFSS)

X

 

X

X

X

X

   

Community Health Worker

X

X

  

X

X

X

X

 

Community Paramedic Services

X

X

X

 

X

X

X

X

 

Consumer Directed Community Supports (CDCS)

X

 

X

      

Consumer Support Grant (CSG)

X

  

X

     

CW-TCM

X

   

X

X

   

Day Training & Habilitation

X

        

Dental Benefits

X

X

  

X

X

X

X

 

Early Intensive Developmental and Behavioral Intervention (EIDBI)

X

   

X

X

   

Emergency Room

X

X

 

X (emergency only)

X

X

X

X

 

EW and AC

X
(EW only)

 

X
(AC only)

      

Equipment and Supplies

X

X

  

X

X

X

X

 

Eye Exams

X

X

  

X

X

X

X

 

Eyeglasses and Vision Care Services

X

X

  

X

X

X

X

 

Family Planning

X

X

 

 

X

X

X

X

 

HCBS Waiver Services

X

        

Hearing Aid Services

X

X

  

X

X

X

X

 

Home Care Services*

X

 

X

X

X

X

X

  

Hospice Services

X

   

X

X

X

X

 

Hospital Services

X

X

 

X (emergency only)

X

X

X

X

 

Hospital In-reach Service Coordination (IRSC)

X

   

X

X

X

X

 

Housing Stabilization Services

X

        

ICF/DD

X

X

       

Immunizations & Vaccinations

X

X

  

X

X

X

X

 

Individual Education Plan (IEP) Services

X

        

Interpreters (sign, spoken)

X

X

X

X

X

X

X

X

 

Lab and Pathology Services

X

X

 


X

X

X

X

 

Medication Management Therapy Services (MTMS)

X

X

  

X

X

X

X

 

Mental Health Services

X

X

  

X

X

X

X

 

Nursing Facilities

X

   

X

    

PCA Services

X

 

X

X

X

X

   

Pharmacy Services

X

X

  

X

X

X

X

 

Physician and Professional Services

X

X

  

X

X

X

X

 

Radiology and Diagnostic Services

X

X

  

X

X

X

X

 

Recuperative Care

X

(21 years old and older)

     

X

X

 

Rehab Services (PT, OT, SLP, audiology)

X

X

  

X

X

X

X

 

Renal Dialysis

X

X

  

X

X

X

X

 

Reproductive Health and OB-GYN

X

X

  

X

X

X

X

 

RSC-TCM

X

X

       

Substance Use Disorder Services

X

X

  

X

X

X

X

X

Transportation – Nonemergency Medical Transportation (NEMT) (not ambulance)

X

X

 

X

X

X

   

Transportation - Ambulance (air, ground, water)

X

X

 

X (emergency only)

X

X

X

X

 

Tribal and Federal IHS

X

X

  

X

X

X

X

 

*Coverage for Home Care Services varies based on the major program. Review the specific service section in the MHCP Provider Manual for coverage details.

Programs with limited benefit sets

Refer to the following MHCP Provider Manual sections for more information about services covered by these programs:

  • · FP – Minnesota Family Planning Program (MFPP)
  • · HH – HIV/AIDS
  • · UN (with Eligibility Type EC) – Essential Community Supports (ECS)
  • · UN (with Eligibility Type GR) – Group Residential Housing (GRH) Supplemental Services
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