Medicaid Minnesota policies, page 17

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
Intensive Residential Treatment Services (IRTS) — AuthorizationEffective May 15, 2026 · Medicaid · MN—Original policy ↗
Intensive Residential Treatment Services (IRTS) — BillingEffective May 15, 2026 · Medicaid · MN1Original policy ↗
Intensive Residential Treatment Services (IRTS) — Covered ServicesEffective May 15, 2026 · Medicaid · MN—Original policy ↗
Intensive Residential Treatment Services (IRTS) — Eligible MembersEffective May 15, 2026 · Medicaid · MN—Original policy ↗
Intensive Residential Treatment Services (IRTS) — Eligible ProvidersEffective May 15, 2026 · Medicaid · MN—Original policy ↗
Intensive Residential Treatment Services (IRTS) — Language Interpreter ServicesEffective May 15, 2026 · Medicaid · MN—Original policy ↗
Intensive Residential Treatment Services (IRTS) — OverviewEffective May 15, 2026 · Medicaid · MN—Original policy ↗
Intensive Residential Treatment Services (IRTS) — Provider RequirementsEffective May 15, 2026 · Medicaid · MN—Original policy ↗
Intensive Residential Treatment Services (IRTS) — Staffing standardsEffective May 15, 2026 · Medicaid · MN—Original policy ↗
Intensive Residential Treatment Services (IRTS) — Treatment standardsEffective May 15, 2026 · Medicaid · MN—Original policy ↗
Intermediate Care Facilities (ICF/DDs) — Authorization RequirementsEffective Mar 28, 2017 · Medicaid · MN—Original policy ↗
Intermediate Care Facilities (ICF/DDs) — BillingEffective Mar 28, 2017 · Medicaid · MN1Original policy ↗
Intermediate Care Facilities (ICF/DDs) — Covered ServicesEffective Mar 28, 2017 · Medicaid · MN—Original policy ↗
Intermediate Care Facilities (ICF/DDs) — DefinitionsEffective Mar 28, 2017 · Medicaid · MN—Original policy ↗
Intermediate Care Facilities (ICF/DDs) — Eligible MembersEffective Mar 28, 2017 · Medicaid · MN—Original policy ↗
Intermediate Care Facilities (ICF/DDs) — Eligible ProvidersEffective Mar 28, 2017 · Medicaid · MN—Original policy ↗
Intermediate Care Facilities (ICF/DDs) — Key PointsEffective Mar 28, 2017 · Medicaid · MN—Original policy ↗
Intermediate Care Facilities (ICF/DDs) — Member Service OptionsEffective Mar 28, 2017 · Medicaid · MN—Original policy ↗
Intermediate Care Facilities (ICF/DDs) — Noncovered ServicesEffective Mar 28, 2017 · Medicaid · MN—Original policy ↗
Intermediate Care Facilities (ICF/DDs) — OverviewEffective Mar 28, 2017 · Medicaid · MN—Original policy ↗
Laboratory and Pathology Services — BillingEffective Aug 26, 2026 · Medicaid · MN11Original policy ↗
Laboratory and Pathology Services — Covered ServicesEffective Aug 26, 2026 · Medicaid · MN—Original policy ↗
Laboratory and Pathology Services — DefinitionsEffective Aug 26, 2026 · Medicaid · MN—Original policy ↗
Laboratory and Pathology Services — Eligible MembersEffective Aug 26, 2026 · Medicaid · MN—Original policy ↗
Laboratory and Pathology Services — Eligible ProvidersEffective Aug 26, 2026 · Medicaid · MN—Original policy ↗
Level of Care Assessment and Necessity of Care Recommendation or Referral — Clinical Justification for ExceptionsEffective Aug 4, 2026 · Medicaid · MN—Original policy ↗
Level of Care Assessment and Necessity of Care Recommendation or Referral — Eligible ProvidersEffective Aug 4, 2026 · Medicaid · MN—Original policy ↗
Level of Care Assessment and Necessity of Care Recommendation or Referral — Level of Care Assessments and Necessity of Care Recommendation or ReferralEffective Aug 4, 2026 · Medicaid · MN—Original policy ↗
Level of Care Assessment and Necessity of Care Recommendation or Referral — OverviewEffective Aug 4, 2026 · Medicaid · MN—Original policy ↗
Level of Care Assessment and Necessity of Care Recommendation or Referral — Time Frames for a Level of Care Assessment to be “Current”Effective Aug 4, 2026 · Medicaid · MN—Original policy ↗
Level of Care Assessment and Necessity of Care Recommendation or Referral — Time Frames for a Necessity of Care Recommendation or Referral to be “Current”Effective Aug 4, 2026 · Medicaid · MN—Original policy ↗
Local County or Tribal Agency Nonemergency Medical Transportation (NEMT) Services — Additional ResourcesEffective Jul 7, 2025 · Medicaid · MN—Original policy ↗
Local County or Tribal Agency Nonemergency Medical Transportation (NEMT) Services — Authorization RequirementsEffective Jul 7, 2025 · Medicaid · MN—Original policy ↗
Local County or Tribal Agency Nonemergency Medical Transportation (NEMT) Services — BillingEffective Jul 7, 2025 · Medicaid · MN—Original policy ↗
Local County or Tribal Agency Nonemergency Medical Transportation (NEMT) Services — Covered ServicesEffective Jul 7, 2025 · Medicaid · MN—Original policy ↗
Local County or Tribal Agency Nonemergency Medical Transportation (NEMT) Services — DocumentationEffective Jul 7, 2025 · Medicaid · MN—Original policy ↗
Local County or Tribal Agency Nonemergency Medical Transportation (NEMT) Services — Eligible MembersEffective Jul 7, 2025 · Medicaid · MN—Original policy ↗
Local County or Tribal Agency Nonemergency Medical Transportation (NEMT) Services — Eligible ProvidersEffective Jul 7, 2025 · Medicaid · MN—Original policy ↗
Local County or Tribal Agency Nonemergency Medical Transportation (NEMT) Services — EnrollmentEffective Jul 7, 2025 · Medicaid · MN—Original policy ↗
Local County or Tribal Agency Nonemergency Medical Transportation (NEMT) Services — Noncovered ServicesEffective Jul 7, 2025 · Medicaid · MN—Original policy ↗
Local County or Tribal Agency Nonemergency Medical Transportation (NEMT) Services — OverviewEffective Jul 7, 2025 · Medicaid · MN—Original policy ↗
Long Term Care (LTC) — Long Term Care (LTC) FacilitiesEffective May 5, 2010 · Medicaid · MN—Original policy ↗
Managed Care Organizations (MCOs) — Carve-out ServicesEffective Apr 30, 2025 · Medicaid · MN—Original policy ↗
Managed Care Organizations (MCOs) — Eligible MembersEffective Apr 30, 2025 · Medicaid · MN—Original policy ↗
Managed Care Organizations (MCOs) — Eligible ProvidersEffective Apr 30, 2025 · Medicaid · MN—Original policy ↗
Managed Care Organizations (MCOs) — Grievance, Appeal and Advocacy ProceduresEffective Apr 30, 2025 · Medicaid · MN—Original policy ↗
Managed Care Organizations (MCOs) — MCO Covered ServicesEffective Apr 30, 2025 · Medicaid · MN—Original policy ↗
Managed Care Organizations (MCOs) — OverviewEffective Apr 30, 2025 · Medicaid · MN—Original policy ↗
Medical Transportation Management - Minnesota Nonemergency Transportation (MTM-MNET), Smart L ink and Local County or Tribal Agency Nonemergency Medical Transportation (NEMT) Services Claim, Service and Rate Information — Claim InformationEffective Oct 1, 2026 · Medicaid · MN1Original policy ↗
Medical Transportation Management - Minnesota Nonemergency Transportation (MTM-MNET), Smart L ink and Local County or Tribal Agency Nonemergency Medical Transportation (NEMT) Services Claim, Service and Rate Information — MTM-MNET, Smart L ink and Local County or Tribal Agency-Administered Transportation Personal Mileage Codes, Modifiers and Payment RatesEffective Oct 1, 2026 · Medicaid · MN8Original 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.