Medicaid Minnesota policies

Search Medicaid Minnesota's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

1,406 public policies Substrate tracks for Medicaid Minnesota, by title.

Medicaid Minnesota policies
PolicyDetailsCodesSource
340B Drug Pricing Program — Additional ResourcesEffective Feb 27, 2025 · Medicaid · MN—Original policy ↗
340B Drug Pricing Program — BillingEffective Feb 27, 2025 · Medicaid · MN—Original policy ↗
340B Drug Pricing Program — DefinitionsEffective Feb 27, 2025 · Medicaid · MN—Original policy ↗
340B Drug Pricing Program — Eligible ProvidersEffective Feb 27, 2025 · Medicaid · MN—Original policy ↗
340B Drug Pricing Program — Legal ResourcesEffective Feb 27, 2025 · Medicaid · MN—Original policy ↗
340B Drug Pricing Program — OverviewEffective Feb 27, 2025 · Medicaid · MN—Original policy ↗
9505.0010 APPLICABILITY.9505.0010 · Effective Jan 14, 2010 · Medicaid · MN—Original policy ↗
9505.0011 ADMINISTRATION.9505.0011 · Effective Jan 14, 2010 · Medicaid · MN—Original policy ↗
9505.0015 DEFINITIONS.9505.0015 · Medicaid · MN—Original policy ↗
9505.0030 RESIDENCY REQUIREMENTS.9505.0030 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0045 RESIDENTS OF INSTITUTIONS FOR TREATMENT OF MENTAL DISEASES.9505.0045 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0050 PERSONS DETAINED BY LAW.9505.0050 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0055 EFFECT OF PUBLIC ASSISTANCE STATUS ON MEDICAL ASSISTANCE ELIGIBILITY.9505.0055 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0065 INCOME.9505.0065 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0070 THIRD-PARTY LIABILITY.9505.0070 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0071 ASSIGNMENT OF RIGHTS.9505.0071 · Effective Oct 16, 2013 · Medicaid · MN—Original policy ↗
9505.0080 COOPERATION WITH QUALITY CONTROL REVIEW.9505.0080 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0085 RIGHT TO APPLY; MAKING APPLICATION.9505.0085 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0090 LOCAL AGENCY ACTION ON APPLICATION.9505.0090 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0095 VERIFICATION OF ELIGIBILITY INFORMATION.9505.0095 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0100 NOTICE OF AGENCY DECISION ON ELIGIBILITY.9505.0100 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0105 APPLICATION FOR STATE HOSPITAL RESIDENTS.9505.0105 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0110 PERIODS OF ELIGIBILITY.9505.0110 · Effective Oct 16, 2013 · Medicaid · MN—Original policy ↗
9505.0115 REDETERMINATION OF ELIGIBILITY.9505.0115 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0125 NOTICE OF DENIAL OR TERMINATION.9505.0125 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0130 RIGHT TO APPEAL; APPEAL PROCESS.9505.0130 · Effective Aug 13, 2013 · Medicaid · MN—Original policy ↗
9505.0131 WRONGFULLY OBTAINED ASSISTANCE.9505.0131 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0135 ADMINISTRATIVE FUNCTIONS OF LOCAL AGENCY.9505.0135 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0140 PAYMENT FOR ACCESS TO MEDICALLY NECESSARY SERVICES.9505.0140 · Effective Aug 1, 2013 · Medicaid · MN—Original policy ↗
9505.0170 APPLICABILITY.9505.0170 · Effective Aug 22, 2011 · Medicaid · MN—Original policy ↗
9505.0175 DEFINITIONS.9505.0175 · Medicaid · MN—Original policy ↗
9505.0180 SURVEILLANCE AND UTILIZATION CONTROL PROGRAM.9505.0180 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0190 RECIPIENT CHOICE OF PROVIDER.9505.0190 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0195 PROVIDER PARTICIPATION.9505.0195 · Medicaid · MN—Original policy ↗
9505.0200 COMPETITIVE BIDDING.9505.0200 · Effective Aug 13, 2013 · Medicaid · MN—Original policy ↗
9505.0205 PROVIDER RECORDS.9505.0205 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0210 COVERED SERVICES; GENERAL REQUIREMENTS.9505.0210 · Effective Aug 13, 2013 · Medicaid · MN—Original policy ↗
9505.0215 COVERED SERVICES; OUT-OF-STATE PROVIDERS.9505.0215 · Effective Aug 22, 2011 · Medicaid · MN—Original policy ↗
9505.0220 HEALTH SERVICES NOT COVERED BY MEDICAL ASSISTANCE.9505.0220 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0221 PAYMENT LIMITATION; PARTIES AFFILIATED WITH A PROVIDER.9505.0221 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0225 REQUEST TO RECIPIENT TO PAY.9505.0225 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0240 AMBULATORY SURGICAL CENTERS.9505.0240 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0245 CHIROPRACTIC SERVICES.9505.0245 · Effective Jan 14, 2010 · Medicaid · MN—Original policy ↗
9505.0255 COMMUNITY HEALTH CLINIC SERVICES.9505.0255 · Effective Oct 7, 2021 · Medicaid · MN—Original policy ↗
9505.0260 COMMUNITY MENTAL HEALTH CENTER SERVICES.9505.0260 · Effective Jan 3, 2018 · Medicaid · MN—Original policy ↗
9505.0270 DENTAL SERVICES.9505.0270 · Medicaid · MN—Original policy ↗
9505.0277 EYEGLASS SERVICES.9505.0277 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0280 FAMILY PLANNING SERVICES.9505.0280 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0285 HEALTH CARE PREPAYMENT PLANS OR PREPAID HEALTH PLANS.9505.0285 · Effective Aug 12, 2008 · Medicaid · MN—Original policy ↗
9505.0287 HEARING AID SERVICES.9505.0287 · Medicaid · MN—Original policy ↗

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Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.