Minnesota Minnesota

Community-Based Services Manual (CBSM)

Community-Based Services Manual (CBSM)


MA Billing Principles and Requirements

Effective Date: 10/01/03

Review Date: 12/22/09

Billing Requirements

The MHCP Provider Manual is the primary source of information on MHCP coverage, rates and billing procedures. For specific information, see the following chapters:

  • · General Billing Requirements
  • · HCBS Waiver Services (Chapter 26)
  • · Home Care Services (Chapter 24A)
  • Guarantee of Payment

    An approved Service Agreement (SA) is not a guarantee of payment. While the SA allows the provider to bill DHS for providing home care or waiver services, DHS will deny the claim if the:

  • · Person is not eligible for Medical Assistance at the time of service
  • · Provider did not adhere to all MHCP billing requirements
  • See MHCP Provider Manual - Eligibility Requests and Responses.

    Related Policies

    MHCP Eligibility Verification

    Additional Resources

    MHCP Basics: Training for Health Care Providers

    MHCP Enrolled Providers – Contact Information

    MHCP Provider Manual – Billing Policy Overview

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