Provider Manual Updates

Summary of Provider Manual Changes

This list provides a basic summary of updates to the provider manual. For further details check the chapter referenced.
DateChapterDetailsType of Update
09/13/202330Please see the added information re: how hospice days in a SNF for MSHO do not count toward the 180 day benefit and the count will resume if the member goes off hospice.Update
08/31/202333Legislative update extended audio-only telehealth from 7/1/2023 to 7/1/2025.Update
08/28/2023221.)ย  Changed "Intensive Treatment in Foster Care" to "Children's Intensive Behavioral Health Services (CIBHS).ย  This change is related to recent legislative changes that not only changes the name of this service but also now will include children living with their parents or other legal guardian.ย  ย Any changes that were made in this section were made to reflect the changes that DHS made in the MHCP provider manual.ย  There are no coding or authorization changes attached to this service.ย  Anywhere in chpt 22 that used to say "Intensive Treatment in Foster Care" will now either say "Children's Intensive Behavioral Health Services" or "CIBHS".

2.) Under the Mental Health Targeted Case Management section, information was added to address the use of Interactive Video for TCM providers.ย ย 

3.) Under psychotherapy section, the billing grid was updated to remove outdated prolonged services codes and to include information on how providers should bill for services greater than 90 minutes.ย 

4.) Under SUD - minor formatting changes.
Update
08/18/202319Removed language pertaining to out-of-network providers and authorization requirements.Update
08/10/202318Breast pumps - updated limits from 1 every 3 years to 1 per pregnancy to reflect same changes that are being configured. Also added information regarding billing A9999 for breast pump accessory kits.ย 

Cochlear Implants - updated/clarified verbiage.

Bone-anchored Hearing Aids - added section due to DHS adding section to their manual.ย 
Update
05/22/202327Clarification of NEMT services in SNF location.Update
05/15/202322Changes were made in the CTSS and Children's Day Treatment sections.Update
04/24/202330Various updates made.Update
04/24/202327Updates to Verification Requirements sectionUpdate
04/07/202320Various updates made.Update
04/06/202338Update to enhanced asthma billingUpdate
04/03/20235Requirement to enroll with DHS via MPSE language added to manual chapter.Update
03/29/202322Updates to CCBHC Services on MH-TCM, Partial Hospitalization Program, Psychoeducation ServicesUpdate
03/24/202322Authorization requirements have been updated.Update
03/24/20234Updates to Bill a MemberUpdate
03/03/20232Clarification of Contracted providers must be enrolled with MHCP.Update
02/13/20234Updated on Electronic Claims Appeal process.Update
02/09/202322Change made in the DBT IOP section of Chapter 22 Mental Health and Substance Use Disorders.Update
01/31/202322Change made in the DBT IOP section of Chapter 22 Mental Health and Substance Use Disorders.Update
11/01/2022-12/31/2022ALL2022 Annual Review of Provider Manual for Calendar Year 2023Update
2022/06/294COB claim submission data information and 100-day wait-and-see period for child support enforcement members updated.Update
2022/06/0633Added modifier 93 languageUpdate
2022/06/0631Added Covid-19 vaccine to Medicare Part B vaccine coverage and CMS Link for Covid-19 HPCPCS codesUpdate
2022/06/0621Minor language changes and addition of definition of Federal Drug Rebate ProgramUpdate
2022/05/1118Added section regarding Allergen reducing products for children, Updated continuous glucose monitor section and updated Asthma Care Services.Addition and Update
2022/05/0222Updates to Interactive Complexity, Clarification Rule 25 or Comprehensive Assessments, SUD Notifications Required for Admissions and Discharges,
Clarification on Psychotherapy
Update
2022/05/0233General updates and changed Non-Covered sectionUpdate
2022/04/2520Updated TMJ and Teledentistry sectionUpdate
2022/03/1037Added Chapter 37 Minnesota Provider Screening and EnrollmentAddition
2022/01/134There has been an update to Unsuccessful Third Party Liability BillingUpdate
2021/09/1035Clarification on BillingUpdate
2021/08/2627Language UpdatesUpdate
2021/08/2635Added School-based Community Services ChapterAddition
2021/08/2022Updated EIDBI section on TelehealthUpdate
2021/08/2033Changed Telemedicine terminology to TelehealthUpdate
2021/08/0534Clarification on BillingUpdate
2021/08/0533Update on Dental informationUpdate
2021/06/2934Provider Resource within Housing Stabilization Services Policy ManualUpdate
2021/06/1827Chapter 27 Transportation Language updates and additional clarification of Documentation RequiredUpdate
2021/5/1419Clarification on Brief History requirements and on Evaluation Billing requirementsUpdate
2021/05/0324February 2021 Updates from the MHCP Provider ManualUpdate
2021/03/1822PRTF Authorization Documentation ChangedUpdate
2021/02/2627Clarification on Billing No ShowsUpdate
2021/02/1619Clarification to Eligible Provider languageUpdate
2020/12/31-2020/11/01ALL2020 Annual Review of Provider Manual - updated chapters noted after nameUpdate
2020/06/0825Clarification Repairs/Replacement ProcessUpdate
2020/11/0334New Chapter added for Housing Stabilization ServicesAddition
2020/08/1022Updates to CMHRT to clarify process for how counties notify South Country of an admission. Updates to PRTF - change in the # of days a provider has to submit a member's plan of care after they are admitted to a PRTF & change to frequency of continued stay requests.Update
2020/07/1527Clarification on Payment of Unloaded Miles.Update
2020/06/3023Clarified definitions of DSD, EW, SNBC and Clarified authorization requirements for PCA services based on member product & waiver enrollmentUpdate
2020/06/1926Clarification Reimbursement and Billing InformationUpdate

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