MHCP Benefits at-a-glance
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 | |||||||||
MA, NM, RM | IM | AC | EH | LL | KK | BB, FF | XX | OO | |
Service | |||||||||
May be enrolled in MCO | X | X |
| X | X | ||||
X | X | X | X | X | X | ||||
X | X | X | X | X | X | ||||
X | X | X | X | X | X | ||||
X | X |
| X | X | |||||
X | X | X | X | X | X | ||||
X | X | X | X | X | X | ||||
X | X | X | X | X | X | X | |||
X | X | X | X | X | |||||
X | X | X | X | X | X | ||||
X | X | X | X | X | X | X | |||
X | X | ||||||||
X | X | ||||||||
X | X | X | |||||||
X | |||||||||
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 | ||
X | X | ||||||||
X | X | X | X | X | X | ||||
X | X | X | X | X | X | ||||
X | X | X | X | X | X | ||||
X | X |
| X | X | X | X | |||
X | |||||||||
X | X | X | X | X | X | ||||
X | X | X | X | X | X | ||||
X | X | X | X | X | |||||
X | X | X (emergency only) | X | X | X | X | |||
X | X | X | X | X | |||||
X | |||||||||
X | X | ||||||||
X | X | X | X | X | X | ||||
X | |||||||||
X | X | X | X | X | X | X | X | ||
X | X |
| X | X | X | X | |||
X | X | X | X | X | X | ||||
X | X | X | X | X | X | ||||
X | X | ||||||||
X | X | X | X | X | |||||
X | X | X | X | X | X | ||||
X | X | X | X | X | X | ||||
X | X | X | X | X | X | ||||
X (21 years old and older) | X | X | |||||||
X | X | X | X | X | X | ||||
X | X | X | X | X | X | ||||
X | X | X | X | X | X | ||||
X | X | ||||||||
X | X | X | X | X | X | X | |||
Transportation – Nonemergency Medical Transportation (NEMT) (not ambulance) | X | X | X | X | X | ||||
X | X | X (emergency only) | X | X | X | X | |||
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:
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