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MHCP Provider Manual

Latest Manual Revisions

Revised: 01-19-2018

Updates cited below do not include minor grammatical or formatting changes that otherwise do not have bearing on the meaning of the policy contained herein. Refer to Provider Updates that may contain additional MHCP coverage policies or billing procedures. MHCP incorporates information from these updates into the Provider Manual on an ongoing basis. Sign up to get email notices of section changes.

January 2018


Community Health Worker (CHW) – Added registered nurse to the list of providers that can supervise a CHW and added language to allow CHWs to enroll using an NPI if they have one under Covered Services.

Early Intensive Developmental and Behavioral Intervention (EIDBI) Benefit

  • Early Intensive Developmental and Behavioral Intervention (EIDBI) Provider Enrollment – Added updates to Telemedicine section to include enrollment for the mental health practitioner to provide the service. Added section for the mental health professional supervisor to enroll in order to supervise a clinical trainee completing the CMDE. Clarified language related to enrollment for the provider agency.
  • Mental Health Services

  • Psychotherapy – Under the Billing section we added effective Jan. 1, 2018, psychotherapy add-on code 99354 will be allowed for billing with code 90847 family psychotherapy. Use prolonged service code 99354 with 90847 to report Family Psychotherapy face-to-face with recipient present of 80 minutes or longer. 99354 will count towards the cumulative calendar year threshold of 26 sessions. We also updated individual psychotherapy code description to match CPT 2017 description and with patient or family present was removed.
  • 01-12-2018

    Early Intensive Developmental and Behavioral Intervention (EIDBI) Benefit – We made the following changes to the section:

  • • Updated link to EIDBI state plan under Legal References.
  • • Added clarification on the authorization requirements for the initial ITP, CMDE and coordinated care conference under the Service Authorization section.
  • • Added language under Billing that DHS will not accept claims for services rendered by a clinical trainee at this time but enrollment applications will be accepted.
  • • Updated requirement for Level III providers to include their UMPI number for all services rendered on the claim under the Submitting Claims section.
  • • Added information about providers being required to have a MN-ITS username and password to log in to CMDE and ITP forms under the Submitting Claims section.
  • Equipment and Supplies

  • Oxygen Contract Regions and Price Schedule (PDF) – Updated pricing for the 2018 oxygen contract.
  • Immunizations & VaccinationsWe added effective for service dates on or after January 1, 2018, the base rate for vaccine administration is the lower of the provider's submitted charge or the Resource Base Relative Value Scale (RBRVS) rate under the Administering Vaccines – Billing and Payments section.


    Early Intensive Developmental and Behavioral Intervention (EIDBI) Benefit

  • Early Intensive Developmental and Behavioral Intervention (EIDBI) Benefit Grid – We added that all service limits apply to the recipient. Also, we revised language under ITP to be one initial ITP every three years without authorization.
  • 01-04-2018

    Moving Home Minnesota (MHM) – We updated the Disability Linkage name to Disability Hub MN under MHM Recipient Enrollment.


    Equipment and Supplies

  • Oxygen Equipment – Removed authorization requirements for oxygen equipment. Added new coverage policy for portable concentrators, home liquefier systems, home compressor systems, and portable equipment for recipients with stationary concentrators.
  • Previous Revisions

    2017 Manual Revisions

    2016 Manual Revisions

    2015 Manual Revisions

    2014 Manual Revisions

    2013 Manual Revisions

    2012 Manual Revisions

    2011 Manual Revisions

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