Medicaid Minnesota policies, page 25

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
Pro-DUR Conflict CodesEffective Aug 10, 2010 · Medicaid · MN—Original policy ↗
Program HH (HIV/AIDS) Dental Authorization Requirement ChartEffective May 2, 2024 · Medicaid · MN44Original policy ↗
Program HH (HIV/AIDS) Services — Additional ResourcesEffective May 23, 2024 · Medicaid · MN—Original policy ↗
Program HH (HIV/AIDS) Services — Dental BenefitEffective May 23, 2024 · Medicaid · MN28Original policy ↗
Program HH (HIV/AIDS) Services — Drug BenefitEffective May 23, 2024 · Medicaid · MN13Original policy ↗
Program HH (HIV/AIDS) Services — Eligible MembersEffective May 23, 2024 · Medicaid · MN—Original policy ↗
Program HH (HIV/AIDS) Services — Medication Therapy Management Services (MTMS)Effective May 23, 2024 · Medicaid · MN3Original policy ↗
Program HH (HIV/AIDS) Services — Mental Health BenefitEffective May 23, 2024 · Medicaid · MN3Original policy ↗
Program HH (HIV/AIDS) Services — Nutrition BenefitEffective May 23, 2024 · Medicaid · MN—Original policy ↗
Program HH (HIV/AIDS) Services — OverviewEffective May 23, 2024 · Medicaid · MN—Original policy ↗
Protected Transportation Services — BillingEffective Apr 18, 2025 · Medicaid · MN2Original policy ↗
Protected Transportation Services — Covered ServicesEffective Apr 18, 2025 · Medicaid · MN—Original policy ↗
Protected Transportation Services — Eligible MembersEffective Apr 18, 2025 · Medicaid · MN—Original policy ↗
Protected Transportation Services — Eligible ProvidersEffective Apr 18, 2025 · Medicaid · MN—Original policy ↗
Protected Transportation Services — OverviewEffective Apr 18, 2025 · Medicaid · MN—Original policy ↗
Provider Participation Requirements – Rule 101 — MHCP Caseload LimitsRule 101 · Effective Mar 17, 2023 · Medicaid · MN—Original policy ↗
Provider Requirements — Additional ResourcesEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — Advance DirectivesEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — Crimes Related to MHCPEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — DHS Review and Notice to ProviderEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — Duration of MHCP ParticipationEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — Enrollment with Minnesota Health Care ProgramsEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — Federal and State Exclusions ListsEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — Health Service RecordsEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — Investigative ProcessEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — Limits on Recipient ServicesEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — Mandatory ReportingEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — Monetary Recovery and SanctioningEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — Nondiscrimination NoticeEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — Payment Reversals for Terminated ProvidersEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — Payment to Provider or Billing AgentEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — Program Integrity Oversight Division (PIOD)Effective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — Sale or Transfer of a Provider EntityEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — Use of Billing AgentsEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Requirements — Violating Provider AgreementEffective Jul 16, 2024 · Medicaid · MN—Original policy ↗
Provider Screening Requirements — Application FeesEffective Feb 8, 2026 · Medicaid · MN—Original policy ↗
Provider Screening Requirements — RevalidationEffective Feb 8, 2026 · Medicaid · MN—Original policy ↗
Provider Screening Requirements — Risk LevelsEffective Feb 8, 2026 · Medicaid · MN—Original policy ↗
Provider Screening Requirements — Site VisitsEffective Feb 8, 2026 · Medicaid · MN—Original policy ↗
Psychiatric Consultations to Primary Care Providers — BillingMedicaid · MN1Original policy ↗
Psychiatric Consultations to Primary Care Providers — Covered ServicesMedicaid · MN—Original policy ↗
Psychiatric Consultations to Primary Care Providers — Eligible ProvidersMedicaid · MN—Original policy ↗
Psychiatric Consultations to Primary Care Providers — Eligible RecipientsMedicaid · MN—Original policy ↗
Psychiatric Residential Treatment Facility (PRTF) — BillingEffective Jul 9, 2024 · Medicaid · MN—Original policy ↗
Psychiatric Residential Treatment Facility (PRTF) — Covered ServicesEffective Jul 9, 2024 · Medicaid · MN—Original policy ↗
Psychiatric Residential Treatment Facility (PRTF) — Eligibility, Initial, and Continued Stay RequirementsEffective Jul 9, 2024 · Medicaid · MN—Original policy ↗
Psychiatric Residential Treatment Facility (PRTF) — Eligible MembersEffective Jul 9, 2024 · Medicaid · MN—Original policy ↗
Psychiatric Residential Treatment Facility (PRTF) — Eligible ProvidersEffective Jul 9, 2024 · Medicaid · MN—Original policy ↗
Psychiatric Residential Treatment Facility (PRTF) — Emergency Medical Assistance (EMA)Effective Jul 9, 2024 · Medicaid · MN—Original policy ↗
Psychiatric Residential Treatment Facility (PRTF) — Leave DaysEffective Jul 9, 2024 · Medicaid · MN—Original policy ↗

Back to Medicaid Minnesota

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.