Summary of Provider Manual Changes
This list provides a basic summary of updates to the provider manual. For further details check the chapter referenced.| Date | Chapter | Details | Type of Update |
|---|---|---|---|
| 09/20/2024 | 22 | Updated Behavioral Health Homes (BHH) Services | Update |
| 07/15/2024 | 20 | Areas updated are on Periodontal & Root Planing, Dentures & Overdenture. | Update |
| 05/29/2024 | 18 | Seizure Detection Devices information added | Update |
| 04/26/2024 | 34 | Updated to include Moving Expenses that became a benefit. | Update |
| 04/02/2024 | 23 | Updated covered services section and added section regarding driving requirements. | Update |
| 04/02/2024 | 18 | Updated section on SAD lights and updated section on wigs under Orthotics. | Update |
| 04/02/2024 | 25 | Update made under covered services. | Update |
| 04/01/2024 | 22 | Changes made to the chapter were in the Certified Peer Specialist Services (CPSS) and MH Certified Family Peer Specialists (CFPS) sections. We have removed the threshold limit for H0038 and no longer require prior authorization to exceed that limit. | Update |
| 04/01/2024 | 4 | Added link for information on claim submission process. | Update |
| 04/01/2024 | 31 | Chapter updated to reflect recent changes made to MHCP provider manual. | Update |
| 04/01/2024 | 27 | Update to unloaded miles language and updated examples. | Update |
| 09/13/2023 | 30 | Please 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 |
| 08/31/2023 | 33 | Legislative update extended audio-only telehealth from 7/1/2023 to 7/1/2025. | Update |
| 08/28/2023 | 22 | 1.) Changed "Intensive Treatment in Foster Care" to "Children's Intensive Behavioral Health Services (CIBHS). 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. Any changes that were made in this section were made to reflect the changes that DHS made in the MHCP provider manual. There are no coding or authorization changes attached to this service. 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. 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. 4.) Under SUD - minor formatting changes. | Update |
| 08/18/2023 | 19 | Removed language pertaining to out-of-network providers and authorization requirements. | Update |
| 08/10/2023 | 18 | Breast 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. Cochlear Implants - updated/clarified verbiage. Bone-anchored Hearing Aids - added section due to DHS adding section to their manual. | Update |
| 05/22/2023 | 27 | Clarification of NEMT services in SNF location. | Update |
| 05/15/2023 | 22 | Changes were made in the CTSS and Children's Day Treatment sections. | Update |
| 04/24/2023 | 30 | Various updates made. | Update |
| 04/24/2023 | 27 | Updates to Verification Requirements section | Update |
| 04/07/2023 | 20 | Various updates made. | Update |
| 04/06/2023 | 38 | Update to enhanced asthma billing | Update |
| 04/03/2023 | 5 | Requirement to enroll with DHS via MPSE language added to manual chapter. | Update |
| 03/29/2023 | 22 | Updates to CCBHC Services on MH-TCM, Partial Hospitalization Program, Psychoeducation Services | Update |
| 03/24/2023 | 22 | Authorization requirements have been updated. | Update |
| 03/24/2023 | 4 | Updates to Bill a Member | Update |
| 03/03/2023 | 2 | Clarification of Contracted providers must be enrolled with MHCP. | Update |
| 02/13/2023 | 4 | Updated on Electronic Claims Appeal process. | Update |
| 02/09/2023 | 22 | Change made in the DBT IOP section of Chapter 22 Mental Health and Substance Use Disorders. | Update |
| 01/31/2023 | 22 | Change made in the DBT IOP section of Chapter 22 Mental Health and Substance Use Disorders. | Update |
| 11/01/2022-12/31/2022 | ALL | 2022 Annual Review of Provider Manual for Calendar Year 2023 | Update |
| 2022/06/29 | 4 | COB claim submission data information and 100-day wait-and-see period for child support enforcement members updated. | Update |
| 2022/06/06 | 33 | Added modifier 93 language | Update |
| 2022/06/06 | 31 | Added Covid-19 vaccine to Medicare Part B vaccine coverage and CMS Link for Covid-19 HPCPCS codes | Update |
| 2022/06/06 | 21 | Minor language changes and addition of definition of Federal Drug Rebate Program | Update |
| 2022/05/11 | 18 | Added section regarding Allergen reducing products for children, Updated continuous glucose monitor section and updated Asthma Care Services. | Addition and Update |
| 2022/05/02 | 22 | Updates to Interactive Complexity, Clarification Rule 25 or Comprehensive Assessments, SUD Notifications Required for Admissions and Discharges, Clarification on Psychotherapy | Update |
| 2022/05/02 | 33 | General updates and changed Non-Covered section | Update |
| 2022/04/25 | 20 | Updated TMJ and Teledentistry section | Update |
| 2022/03/10 | 37 | Added Chapter 37 Minnesota Provider Screening and Enrollment | Addition |
| 2022/01/13 | 4 | There has been an update to Unsuccessful Third Party Liability Billing | Update |
| 2021/09/10 | 35 | Clarification on Billing | Update |
| 2021/08/26 | 27 | Language Updates | Update |
| 2021/08/26 | 35 | Added School-based Community Services Chapter | Addition |
| 2021/08/20 | 22 | Updated EIDBI section on Telehealth | Update |
| 2021/08/20 | 33 | Changed Telemedicine terminology to Telehealth | Update |
| 2021/08/05 | 34 | Clarification on Billing | Update |
| 2021/08/05 | 33 | Update on Dental information | Update |
| 2021/06/29 | 34 | Provider Resource within Housing Stabilization Services Policy Manual | Update |
| 2021/06/18 | 27 | Chapter 27 Transportation Language updates and additional clarification of Documentation Required | Update |
| 2021/5/14 | 19 | Clarification on Brief History requirements and on Evaluation Billing requirements | Update |
| 2021/05/03 | 24 | February 2021 Updates from the MHCP Provider Manual | Update |
| 2021/03/18 | 22 | PRTF Authorization Documentation Changed | Update |
| 2021/02/26 | 27 | Clarification on Billing No Shows | Update |
| 2021/02/16 | 19 | Clarification to Eligible Provider language | Update |
| 2020/12/31-2020/11/01 | ALL | 2020 Annual Review of Provider Manual - updated chapters noted after name | Update |
| 2020/06/08 | 25 | Clarification Repairs/Replacement Process | Update |
| 2020/11/03 | 34 | New Chapter added for Housing Stabilization Services | Addition |
| 2020/08/10 | 22 | Updates 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 |
| 2020/07/15 | 27 | Clarification on Payment of Unloaded Miles. | Update |
| 2020/06/30 | 23 | Clarified definitions of DSD, EW, SNBC and Clarified authorization requirements for PCA services based on member product & waiver enrollment | Update |
| 2020/06/19 | 26 | Clarification Reimbursement and Billing Information | Update |