Welcome to your comprehensive guide to navigating the Minnesota Health Care Programs (MHCP) Provider Directory. As a crucial resource for both healthcare providers and individuals seeking care within Minnesota, understanding how to effectively utilize this directory is essential. This page serves as your central point for accessing the most up-to-date information on MHCP coverage policies, provider details, and essential billing procedures.
For healthcare professionals enrolled in MHCP, this online manual is your primary source for staying informed about the ever-evolving landscape of Minnesota’s healthcare programs. Regularly checking for updates, changes, and additions is not just recommended – it’s your responsibility as an enrolled provider. To simplify this process, we encourage you to sign up for email notifications to receive timely alerts about revisions specific to the services you offer. This proactive approach ensures you remain compliant and can deliver the best possible care to your patients.
Navigating the MHCP Provider Manual: Key Resources and Updates
The MHCP Provider Manual is designed to be a user-friendly and readily accessible online resource. To help you make the most of it, we’ve compiled a list of quick links to essential sections and tools:
- County and Tribal Nation Offices: Need to connect with local resources? This link directs you to the contact information for County and Tribal Nation offices throughout Minnesota, offering crucial access points for public assistance benefits.
- Latest Revisions to This Manual: Stay ahead of the curve by bookmarking this link. It provides immediate access to the most recent updates and changes made to the MHCP Provider Manual, ensuring you’re always working with the latest guidelines.
- MN–ITS: The Minnesota Information Transfer System (MN–ITS) is a vital tool for providers. Access the home page here, ideally using the Chrome browser for optimal compatibility.
- MN–ITS User Manual: New to MN–ITS or need a refresher? This user manual, best viewed in Chrome, offers step-by-step guidance on utilizing the system effectively.
- MPSE User Manual: Learn about the Minnesota Provider Screening and Enrollment (MPSE) system with this dedicated user manual.
- Payment and Claim Cut-off Calendars: Never miss a payment cycle. This link provides access to the crucial payment and claim cut-off calendars, essential for timely billing and reimbursement.
- Provider Directory: The heart of our focus – access the MHCP Provider Directory directly here. This directory lists all enrolled MHCP providers, allowing you to find the right healthcare professionals for your needs or for referrals.
- Provider Training: Enhance your expertise and stay compliant with MHCP guidelines through available provider training resources. Find information on training sessions and materials for fee-for-service providers.
Alt text: Official logo for the Minnesota Department of Human Services, representing the state agency responsible for health care programs.
Your Feedback Matters to MHCP
The Minnesota Health Care Programs is committed to continuous improvement and values the input of its enrolled providers. You are invited to participate in the MHCP Provider Survey to share your experiences and insights. Your feedback is crucial in helping MHCP understand what’s working effectively, identify areas for improvement, and ensure collaborative progress towards shared healthcare goals within Minnesota.
MHCP Provider Manual Table of Contents: A Detailed Guide
To provide a comprehensive overview of the MHCP Provider Manual, below is a detailed table of contents with direct links to each section. This allows you to quickly navigate to the specific information you require.
| Topic Category | Subcategories and Specific Links |
|---|---|
| General Information & Updates | Member Evidence of Coverage (EOC) | Latest revisions to this Manual | Coronavirus (COVID-19) |
| Provider Enrollment & Basics | Enrollment with MHCP | Provider Basics |
| Provider Requirements & Regulations | Provider Requirements | Access Services | Billing Organizations/Responsibilities | Excluded Provider Lists | Provider Participation Requirements – Rule 101 | Provider Screening Requirements | Risk Levels and Enrollment Verification Requirements |
| Health Care Programs & Services Overview | Health Care Programs and Services | Emergency Medical Assistance (EMA) | MHCP Benefits at-a-glance |
| Managed Care | Managed Care Organizations (MCOs) |
| Billing Policies & Procedures | Billing Policy Overview | Billing the Member (Recipient) | Medicare and Other Insurance | Out-of-State Providers | Payment Methodology – Hospital | Payment Methodology – Non-Hospital | Supplemental Payments – Non-Hospital and Hospital |
| Authorizations & Referrals | Authorization | Drug Authorizations | MHCP Pharmacy Quick Reference |
| Specific Healthcare Services (A-D) | Acupuncture Services | Ambulatory Surgical Centers | Anesthesia Services | Behavioral Health Home Services | Certified Community Behavioral Health Clinic (CCBHC) | Child and Teen Checkups (C&TC) | Chiropractic Services | Clinic Services | Community Emergency Medical Technician (CEMT) Services | Community Health Worker (CWH) | Community Paramedic Services | Day Training & Habilitation (DT&H) Day Services | Dental Services |
| Specific Healthcare Services (E-H) | Early Intensive Developmental and Behavioral Intervention (EIDBI) Benefit | Elderly Waiver and Alternative Care Program (EW and AC) | Equipment and Supplies | Essential Community Supports (ECS) | HCBS Waiver Services | Hearing Aid Services | Home Care Services | Hospice Services | Hospital Services | Housing Stabilization Services |
| Specific Healthcare Services (I-M) | Immunizations and Vaccinations | Individualized Education Program (IEP) Services | Intermediate Care Facilities (ICF/DDs) | Laboratory and Pathology Services | Medication Management Therapy Services | Mental Health Services |
| Specific Healthcare Services (M-O) | Moving Home Minnesota | Nursing Facilities | Officer-Involved Community-Based Care Coordination Services | Optical Services |
| Specific Healthcare Services (P-R) | PCA Services | Pharmacy Services | Physician and Professional Services | Program HH (HIV/AIDS) Services | Radiology/Diagnostic Services | RehabilitationServices | Renal Dialysis Overview | Reproductive Health/OB-GYN |
| Specific Healthcare Services (S-T) | School-Based Community Services (SBCS) | Screening, Brief Intervention, and Referral to Treatment (SBIRT) | Substance Use Disorder Services (SUD) | Targeted Case Management | Transportation Services | Tribal and Federal Indian Health Services |
This comprehensive table of contents is your roadmap to understanding the full scope of the MHCP Provider Manual. We encourage you to explore the sections relevant to your practice or healthcare needs.
Disclaimer: This manual is for informational purposes and should not be considered legal advice. Always refer to the official Minnesota Department of Human Services for the most accurate and up-to-date information.
