Medicaid Minnesota policies, page 6

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
Augmentative Communication Devices — Eligible MembersEffective Aug 10, 2023 · Medicaid · MN—Original policy ↗
Augmentative Communication Devices — Eligible ProvidersEffective Aug 10, 2023 · Medicaid · MN—Original policy ↗
Augmentative Communication Devices — Noncovered ServicesEffective Aug 10, 2023 · Medicaid · MN—Original policy ↗
Augmentative Communication Devices — OverviewEffective Aug 10, 2023 · Medicaid · MN—Original policy ↗
Augmentative Communication Devices — ReferencesEffective Aug 10, 2023 · Medicaid · MN—Original policy ↗
Authorization Criteria: Cardiac Magnetic Resonance Imaging of the Coronary ArteriesEffective Mar 4, 2011 · Medicaid · MN—Original policy ↗
Authorization — AppealsEffective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Authorization — Authorization of Services for Continuity of CareEffective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Authorization — Authorization Requests and Medicare or Third-Party Liability (TPL) CoverageEffective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Authorization — Documentation RequirementsEffective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Authorization — Early Intensive Developmental and Behavioral Intervention (EIDBI) Authorization RequestsEffective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Authorization — Emergency Medical Assistance (EMA) Care Plan Certification (CPC) RequestsEffective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Authorization — Expedited Authorization RequestsEffective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Authorization — General Authorization CriteriaEffective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Authorization — Home Care Authorization RequestsEffective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Authorization — MHCP Authorization FormsEffective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Authorization — MN–ITS Authorization Requests if unable to use Atrezzo provider portalEffective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Authorization — Notice of Action TakenEffective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Authorization — Out-of-State ServicesEffective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Authorization — Psychiatric Residential Treatment Facilities (PRTF)Effective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Authorization — Services Related to Investigational DrugsEffective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Authorization — Standard Authorization RequestsEffective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Authorization — State Fair HearingsEffective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Authorization — Substance Use Disorder Request for Nonresidential (outpatient) Group and Individual TreatmentEffective Jul 31, 2026 · Medicaid · MN—Original policy ↗
Behavioral Health Home Services — BillingEffective Sep 13, 2024 · Medicaid · MN2Original policy ↗
Behavioral Health Home Services — Certification Process and Variance RequestsEffective Sep 13, 2024 · Medicaid · MN—Original policy ↗
Behavioral Health Home Services — Covered ServicesEffective Sep 13, 2024 · Medicaid · MN—Original policy ↗
Behavioral Health Home Services — Eligible MembersEffective Sep 13, 2024 · Medicaid · MN—Original policy ↗
Behavioral Health Home Services — Eligible ProvidersEffective Sep 13, 2024 · Medicaid · MN—Original policy ↗
Behavioral Health Home Services — Goals of BHH ServicesEffective Sep 13, 2024 · Medicaid · MN—Original policy ↗
Behavioral Health Home Services — Initial Engagement and AssessmentEffective Sep 13, 2024 · Medicaid · MN—Original policy ↗
Behavioral Health Home Services — Managed CareEffective Sep 13, 2024 · Medicaid · MN—Original policy ↗
Behavioral Health Home Services — Noncovered ServicesEffective Sep 13, 2024 · Medicaid · MN—Original policy ↗
Behavioral Health Home Services — OverviewEffective Sep 13, 2024 · Medicaid · MN—Original policy ↗
Behavioral Health Home Services — Service Delivery RequirementsEffective Sep 13, 2024 · Medicaid · MN—Original policy ↗
Behavioral Health Home Services — TelehealthEffective Sep 13, 2024 · Medicaid · MN—Original policy ↗
Billing for Waiver and Alternative Care (AC) Program — BillingEffective Feb 10, 2022 · Medicaid · MN—Original policy ↗
Billing Organizations/ResponsibilitiesEffective Mar 6, 2024 · Medicaid · MN—Original policy ↗
Billing Policy Overview — Additional ResourcesEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Billing Policy Overview — Billing as a Consolidated ProviderEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Billing Policy Overview — Coordination of ServicesEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Billing Policy Overview — Credit BalanceEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Billing Policy Overview — Enhanced Pre-payment Review (also known as pre-payment review)Effective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Billing Policy Overview — Free-care PolicyEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Billing Policy Overview — General Billing RequirementsEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Billing Policy Overview — MHCP Reimbursement is Payment in FullEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Billing Policy Overview — MN–ITS and Electronic BillingEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Billing Policy Overview — Overlapping MHCP and managed care organization (MCO) coverageEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Billing Policy Overview — Prompt PaymentEffective Jul 30, 2026 · Medicaid · MN—Original policy ↗
Billing Policy Overview — Remittance Advice (RA)Effective Jul 30, 2026 · 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.

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