Medicaid Minnesota policies, page 13

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
Excluded Provider Lists — ReportingEffective Mar 31, 2025 · Medicaid · MN—Original policy ↗
Explanation of Findings — AuthorizationEffective Oct 17, 2022 · Medicaid · MN—Original policy ↗
Explanation of Findings — BillingEffective Oct 17, 2022 · Medicaid · MN1Original policy ↗
Explanation of Findings — Covered ServicesEffective Oct 17, 2022 · Medicaid · MN—Original policy ↗
Explanation of Findings — Eligible MembersEffective Oct 17, 2022 · Medicaid · MN—Original policy ↗
Explanation of Findings — Eligible ProvidersEffective Oct 17, 2022 · Medicaid · MN—Original policy ↗
Explanation of Findings — Noncovered ServicesEffective Oct 17, 2022 · Medicaid · MN—Original policy ↗
Explanation of Findings — OverviewEffective Oct 17, 2022 · Medicaid · MN—Original policy ↗
Family Planning — BillingEffective Jan 8, 2026 · Medicaid · MN1Original policy ↗
Family Planning — ConfidentialityEffective Jan 8, 2026 · Medicaid · MN—Original policy ↗
Family Planning — Covered ServicesEffective Jan 8, 2026 · Medicaid · MN—Original policy ↗
Family Planning — DefinitionsEffective Jan 8, 2026 · Medicaid · MN—Original policy ↗
Family Planning — Eligible MembersEffective Jan 8, 2026 · Medicaid · MN—Original policy ↗
Family Planning — Eligible ProvidersEffective Jan 8, 2026 · Medicaid · MN—Original policy ↗
Family Planning — Noncovered ServicesEffective Jan 8, 2026 · Medicaid · MN—Original policy ↗
Family Planning — OverviewEffective Jan 8, 2026 · Medicaid · MN—Original policy ↗
Family Planning — Telehealth ServicesEffective Jan 8, 2026 · Medicaid · MN—Original policy ↗
Federally Qualified Health Center and Rural Health Clinics — BillingEffective Aug 13, 2026 · Medicaid · MN9Original policy ↗
Federally Qualified Health Center and Rural Health Clinics — Covered ServicesEffective Aug 13, 2026 · Medicaid · MN—Original policy ↗
Federally Qualified Health Center and Rural Health Clinics — DefinitionsEffective Aug 13, 2026 · Medicaid · MN—Original policy ↗
Federally Qualified Health Center and Rural Health Clinics — Eligible ProvidersEffective Aug 13, 2026 · Medicaid · MN—Original policy ↗
Federally Qualified Health Center and Rural Health Clinics — Establishing Payment RatesEffective Aug 13, 2026 · Medicaid · MN—Original policy ↗
Federally Qualified Health Center and Rural Health Clinics — Noncovered ServicesEffective Aug 13, 2026 · Medicaid · MN—Original policy ↗
Federally Qualified Health Center and Rural Health Clinics — OverviewEffective Aug 13, 2026 · Medicaid · MN—Original policy ↗
FQHC and RHC Global Encounters for MCO Enrollees – ExamplesMedicaid · MN3Original policy ↗
Free-Standing Birth Center Services — BillingEffective Jun 15, 2026 · Medicaid · MN4Original policy ↗
Free-Standing Birth Center Services — Covered ServicesEffective Jun 15, 2026 · Medicaid · MN—Original policy ↗
Free-Standing Birth Center Services — Eligible MembersEffective Jun 15, 2026 · Medicaid · MN—Original policy ↗
Free-Standing Birth Center Services — Eligible ProvidersEffective Jun 15, 2026 · Medicaid · MN—Original policy ↗
Free-Standing Birth Center Services — Noncovered ServicesEffective Jun 15, 2026 · Medicaid · MN—Original policy ↗
Free-Standing Birth Center Services — OverviewEffective Jun 15, 2026 · Medicaid · MN—Original policy ↗
Free-Standing Birth Center Services — Telehealth ServicesEffective Jun 15, 2026 · Medicaid · MN—Original policy ↗
Functional Assessments — Functional Assessment (FA) DefinitionsEffective Dec 20, 2023 · Medicaid · MN—Original policy ↗
Functional Assessments — Instructions for completing a Functional Assessment (FA)Effective Dec 20, 2023 · Medicaid · MN—Original policy ↗
Functional Assessments — TrainingEffective Dec 20, 2023 · Medicaid · MN—Original policy ↗
Gender-Affirming Surgery — Authorization RequirementsEffective Sep 8, 2023 · Medicaid · MN—Original policy ↗
Gender-Affirming Surgery — BillingEffective Sep 8, 2023 · Medicaid · MN—Original policy ↗
Gender-Affirming Surgery — Covered ServicesEffective Sep 8, 2023 · Medicaid · MN—Original policy ↗
Gender-Affirming Surgery — Eligible MembersEffective Sep 8, 2023 · Medicaid · MN—Original policy ↗
Gender-Affirming Surgery — Eligible ProvidersEffective Sep 8, 2023 · Medicaid · MN—Original policy ↗
Gender-Affirming Surgery — Noncovered ServicesEffective Sep 8, 2023 · Medicaid · MN—Original policy ↗
Gender-Affirming Surgery — OverviewEffective Sep 8, 2023 · Medicaid · MN—Original policy ↗
General MHCP Non-Enrollable Mental Health Provider Requirements — Clinical TraineesEffective Oct 27, 2022 · Medicaid · MN—Original policy ↗
General MHCP Non-Enrollable Mental Health Provider Requirements — Mental Health PractitionersEffective Oct 27, 2022 · Medicaid · MN—Original policy ↗
General MHCP Non-Enrollable Mental Health Provider Requirements — Non-Enrollable Providers Training and Continuing Education RequirementsEffective Oct 27, 2022 · Medicaid · MN—Original policy ↗
HCBS Waiver and AC Training Requirements — HCBS Waiver and AC Provider Training 101Effective Jul 13, 2026 · Medicaid · MN—Original policy ↗
HCBS Waiver and AC Training Requirements — Waiver and AC Resources and MN–ITS TrainingEffective Jul 13, 2026 · Medicaid · MN—Original policy ↗
HCBS Waiver Services — BillingEffective Feb 16, 2024 · Medicaid · MN—Original policy ↗
HCBS Waiver Services — Covered and Noncovered ServicesEffective Feb 16, 2024 · Medicaid · MN—Original policy ↗
HCBS Waiver Services — Eligible MembersEffective Feb 16, 2024 · 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.