Provider Manual Chapters
- Introduction (pdf)
- Rights and Responsibilities of Physicians and Providers (pdf)
- Provider Network Resources (pdf)
- Provider Billing (pdf)
- Credentialing and Organizational Assessment (pdf)
- Service Authorizations & Notification Standards (pdf)
- Clinical Practice Guidelines (pdf)
- Fraud and Abuse (pdf)
- Clinic Complaint Reporting Process (pdf)
- Model of Care (pdf)
- Sample Member ID Cards (pdf)
- Member Enrollment (pdf)
- Member Grievances and Appeals Process for Dual-Eligible Special Needs Programs (pdf)
- Member Grievances and Appeals Process for Minnesota HealthCare (Medicaid) Programs (pdf)
- Restricted Recipient Program (pdf)
- Wellness Programs (pdf)
- Child and Teen Checkups (C&TC) Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program (pdf)
- Durable Medical Equipment and Supplies (pdf)
- Chiropractic and Acupuncture Services (pdf)
- Dental Services (pdf)
- Pharmacy Services (pdf)
- Mental Health & Substance Use Disorders Services (pdf)
- Personal Care Assistant (PCA) Services (pdf)
- Home Health Care/Hospice Services (pdf)
- Optical Services (pdf)
- Interpreter Services (pdf)
- Transportation Services (pdf)
- Critical Access Hospital (CAH) (pdf)
- Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) (pdf)
- Long-Term Care (LTC) (pdf)
- Immunizations and Vaccinations (pdf)
- Home and Community Based Services - Elderly Waiver (pdf)
- Telehealth (pdf)
- Housing Stabilization Services (pdf)
- School-based Community Services (pdf)
- Early Intensive Developmental and Behavioral Intervention (EIDBI) Services
- Minnesota Provider Screening and Enrollment
- Physician and Professional Services