Medicaid Minnesota policies, page 23

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
Payment Methodology – Non-Hospital — Child & Teen Checkups (C&TC) (Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Program) ServicesEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Payment Methodology – Non-Hospital — DentalEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Payment Methodology – Non-Hospital — Equipment and SuppliesEffective Jun 8, 2026 · Medicaid · MN4Original policy ↗
Payment Methodology – Non-Hospital — Family PlanningEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Payment Methodology – Non-Hospital — Home Health AgencyEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Payment Methodology – Non-Hospital — HospiceEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Payment Methodology – Non-Hospital — Laboratory ServicesEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Payment Methodology – Non-Hospital — Mental Health ServicesEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Payment Methodology – Non-Hospital — Miscellaneous RatesEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Payment Methodology – Non-Hospital — Nursing Facility and ICF/DDEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Payment Methodology – Non-Hospital — Nursing ServicesEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Payment Methodology – Non-Hospital — Personal Care AssistanceEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Payment Methodology – Non-Hospital — PhysicianEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Payment Methodology – Non-Hospital — Rate Variations and Legislative ChangesEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Payment Methodology – Non-Hospital — Renal Dialysis ServicesEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Payment Methodology – Non-Hospital — Rural Health Clinic and Federally Qualified Health Center ServicesEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Payment Methodology – Non-Hospital — Transportation ServicesEffective Jun 8, 2026 · Medicaid · MN2Original policy ↗
Payment Methodology – Non-Hospital — Tribal and Indian Health Service FacilityEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Payment Methodology – Non-Hospital — VaccinesEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Payment Methodology – Non-Hospital — Waivered ServicesEffective Jun 8, 2026 · Medicaid · MN—Original policy ↗
Personal Care Assistance (PCA) Services — Authorization RequirementsEffective May 11, 2026 · Medicaid · MN—Original policy ↗
Personal Care Assistance (PCA) Services — BillingEffective May 11, 2026 · Medicaid · MN1Original policy ↗
Personal Care Assistance (PCA) Services — Covered ServicesEffective May 11, 2026 · Medicaid · MN—Original policy ↗
Personal Care Assistance (PCA) Services — Eligible MembersEffective May 11, 2026 · Medicaid · MN—Original policy ↗
Personal Care Assistance (PCA) Services — Eligible ProvidersEffective May 11, 2026 · Medicaid · MN—Original policy ↗
Personal Care Assistance (PCA) Services — Managed Care MembersEffective May 11, 2026 · Medicaid · MN—Original policy ↗
Personal Care Assistance (PCA) Services — Noncovered ServicesEffective May 11, 2026 · Medicaid · MN—Original policy ↗
Personal Care Assistance (PCA) Services — OverviewEffective May 11, 2026 · Medicaid · MN—Original policy ↗
Pharmacy Early-Refill Overrides — Pharmacy Cash Payment for Controlled SubstanceEffective Nov 16, 2021 · Medicaid · MN—Original policy ↗
Pharmacy Early-Refill Overrides — Pharmacy OverridesEffective Nov 16, 2021 · Medicaid · MN—Original policy ↗
Pharmacy Services — Authorization and Limitation RequirementsEffective Aug 3, 2026 · Medicaid · MN—Original policy ↗
Pharmacy Services — BillingEffective Aug 3, 2026 · Medicaid · MN1Original policy ↗
Pharmacy Services — Covered ServicesEffective Aug 3, 2026 · Medicaid · MN—Original policy ↗
Pharmacy Services — DefinitionsEffective Aug 3, 2026 · Medicaid · MN—Original policy ↗
Pharmacy Services — Dispensing ProvidersEffective Aug 3, 2026 · Medicaid · MN—Original policy ↗
Pharmacy Services — Eligible MembersEffective Aug 3, 2026 · Medicaid · MN—Original policy ↗
Pharmacy Services — Noncovered ServicesEffective Aug 3, 2026 · Medicaid · MN—Original policy ↗
Pharmacy Services — OverviewEffective Aug 3, 2026 · Medicaid · MN—Original policy ↗
Physician and Professional Services — Advanced Practice Registered Nurse ServicesEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Physician and Professional Services — Allergy Immunotherapy–Allergy TestingEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Physician and Professional Services — Authorization PolicyEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Physician and Professional Services — Botulinum ToxinEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Physician and Professional Services — Care Plan OversightEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Physician and Professional Services — Casting Provided in a Physician OfficeEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Physician and Professional Services — ConsultationsEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Physician and Professional Services — Critical CareEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Physician and Professional Services — Diabetic Self-Management Training (DSMT) ServicesEffective Jul 30, 2026 · Medicaid · MN2Original policy ↗
Physician and Professional Services — Education and CounselingEffective Jul 30, 2026 · Medicaid · MN21Original policy ↗
Physician and Professional Services — EKG InterpretationsEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Physician and Professional Services — Enhanced Asthma Care ServicesEffective Jul 30, 2026 · Medicaid · MN1Original 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.

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