Medica policy
Home Birth Services – Minnesota Medical Assistance Members CP5212
Home Birth Services – Minnesota Medical Assistance Members CP5212 is a public Medica policy (policy CP5212, effective Apr 1, 2026). It lists 35 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Payer
- Medica
- Policy number
- CP5212
- Effective
- Apr 1, 2026
- Line of business
- Medicaid
- Source
- partner.medica.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Medica policies |
|---|---|
| 36415 | Policies naming 36415 |
| 59400 | Policies naming 59400 |
| 59409 | Policies naming 59409 |
| 59410 | Policies naming 59410 |
| 59412 | Policies naming 59412 |
| 59414 | Policies naming 59414 |
| 59426 | Policies naming 59426 |
| 59430 | Policies naming 59430 |
| 59610 | Policies naming 59610 |
| 59612 | Policies naming 59612 |
| 59614 | Policies naming 59614 |
| 94761 | Policies naming 94761 |
| 96360 | Policies naming 96360 |
| 96361 | Policies naming 96361 |
| 99341 | Policies naming 99341 |
| 99342 | Policies naming 99342 |
| 99344 | Policies naming 99344 |
| 99345 | Policies naming 99345 |
| 99347 | Policies naming 99347 |
| 99348 | Policies naming 99348 |
| 99349 | Policies naming 99349 |
| 99350 | Policies naming 99350 |
| 99391 | Policies naming 99391 |
| 99401 | Policies naming 99401 |
| 99402 | Policies naming 99402 |
| 99403 | Policies naming 99403 |
| 99404 | Policies naming 99404 |
| 99411 | Policies naming 99411 |
| 99412 | Policies naming 99412 |
| 99464 | Policies naming 99464 |
| 99500 | Policies naming 99500 |
| 99501 | Policies naming 99501 |
| 99502 | Policies naming 99502 |
| S9442 | Policies naming S9442 |
| S9443 | Policies naming S9443 |