PrimeWest Health policies, page 2

Search PrimeWest Health'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.

141 public policies Substrate tracks for PrimeWest Health, by title.

PrimeWest Health policies
Policy	Details	Codes	Source
Medical, Dental & Pharmacy > Medical > HCBS > Covered Services	Medicaid · MN	31	Original policy ↗
Medical, Dental & Pharmacy > Medical > HCBS > Moving Home Minnesota (MHM)	PW_11-19_544 · Effective Aug 26, 2025 · Medicaid · MN	2	Original policy ↗
Medical, Dental & Pharmacy > Medical > Hearing Services	Medicaid · MN	30	Original policy ↗
Medical, Dental & Pharmacy > Medical > Home Care Services	Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Home Care Services > Billing	PW_11-19_553 · Effective Dec 24, 2025 · Medicaid · MN	11	Original policy ↗
Medical, Dental & Pharmacy > Medical > Home Care Services > Forms	Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Home Care Services > Home Care Nursing (HCN) Services	Effective Jan 1, 2019 · Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Home Care Services > Home Health Aid (HHA) Services	PW_11-19_549 · Effective May 15, 2025 · Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Home Care Services > Non-Covered Services	PW_11-19_552 · Effective Dec 23, 2025 · Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Home Care Services > Rehabilitation Therapies	PW_11-19_550 · Effective Nov 30, 2023 · Medicaid · MN	4	Original policy ↗
Medical, Dental & Pharmacy > Medical > Home Care Services > Skilled Nurse Visits (SNVs)	Medicaid · MN	3	Original policy ↗
Medical, Dental & Pharmacy > Medical > Hospice Services	Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Hospice Services > Billing	PW_11-19_555 · Effective Jun 12, 2026 · Medicaid · MN	2	Original policy ↗
Medical, Dental & Pharmacy > Medical > Hospice Services > Covered Services	PW_11-19_556 · Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Hospital Services	PW_11-18_492 · Effective Nov 9, 2018 · Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Hospital Services > Billing	Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Hospital Services > Hospital In-Reach Service Coordination (IRSC)	Medicaid · MN	1	Original policy ↗
Medical, Dental & Pharmacy > Medical > Hospital Services > Inpatient Services	PW_11-18_493 · Effective Dec 16, 2025 · Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Hospital Services > Non-Covered Services	PW_11-18_495 · Effective Nov 9, 2018 · Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Hospital Services > Notifications and Authorization	Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Hospital Services > Outpatient Hospital Services	Medicaid · MN	23	Original policy ↗
Medical, Dental & Pharmacy > Medical > Housing Stabilization Services	Effective Jul 15, 2020 · Medicaid · MN	3	Original policy ↗
Medical, Dental & Pharmacy > Medical > Immunizations and Vaccinations	Medicaid · MN	14	Original policy ↗
Medical, Dental & Pharmacy > Medical > Immunizations and Vaccinations > Billing	PW_11-19_558 · Effective Oct 11, 2023 · Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Immunizations and Vaccinations > Covered Services	PW_11-19_483 · Effective Feb 27, 2025 · Medicaid · MN	9	Original policy ↗
Medical, Dental & Pharmacy > Medical > Laboratory/Pathology, Radiology, and Diagnostic Services	PW_11-18_483 · Effective Nov 7, 2018 · Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Laboratory/Pathology, Radiology, and Diagnostic Services > Covered Services	Effective Jan 1, 2014 · Medicaid · MN	20	Original policy ↗
Medical, Dental & Pharmacy > Medical > Language Interpreter Services	Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Language Interpreter Services > Billing	PW_11-18_466 · Effective Apr 2, 2025 · Medicaid · MN	1	Original policy ↗
Medical, Dental & Pharmacy > Medical > Long-Term Care	Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Long-Term Care > Billing	PW_11-19_564 · Effective Nov 7, 2022 · Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Long-Term Care > Covered Services	Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Long-Term Care > Eligible Members	Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Long-Term Care > Swing Bed Hospital Services	PW_11-19_563 · Effective Aug 15, 2022 · Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Medication Reconciliation	PW_11-19_565 · Effective Jul 18, 2024 · Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Medication Reconciliation > Billing	PW_11-19_566 · Effective Aug 5, 2024 · Medicaid · MN	1	Original policy ↗
Medical, Dental & Pharmacy > Medical > Medication Reconciliation > Medication Reconciliation FAQ	Effective Jun 9, 2020 · Medicaid · MN	1	Original policy ↗
Medical, Dental & Pharmacy > Medical > Mental Health Services	Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Mental Health Services > Covered Services	Medicaid · MN	84	Original policy ↗
Medical, Dental & Pharmacy > Medical > Mental Health Services > Non-Covered Services	PW_11-19_569 · Effective Mar 9, 2022 · Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Optical Services	PW_11-19_570 · Effective Nov 20, 2023 · Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Optical Services > Billing	PW_11-19_575 · Effective May 17, 2021 · Medicaid · MN	6	Original policy ↗
Medical, Dental & Pharmacy > Medical > Optical Services > Contact Lenses	PW_11-19_571 · Effective Jul 26, 2023 · Medicaid · MN	13	Original policy ↗
Medical, Dental & Pharmacy > Medical > Optical Services > Eyeglasses	Medicaid · MN	2	Original policy ↗
Medical, Dental & Pharmacy > Medical > Optical Services > Non-Covered Services	PW_11-19_574 · Effective Oct 11, 2023 · Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Optical Services > Vision Therapy	PW_11-19_573 · Effective Jun 14, 2022 · Medicaid · MN	2	Original policy ↗
Medical, Dental & Pharmacy > Medical > Personal Care Assistance (PCA) Services	Effective Oct 1, 2024 · Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Personal Care Assistance (PCA) Services > Billing	Medicaid · MN	1	Original policy ↗
Medical, Dental & Pharmacy > Medical > Personal Care Assistance (PCA) Services > Individual PCA Requirements	PW_11-19_577 · Effective Jul 25, 2023 · Medicaid · MN	—	Original policy ↗
Medical, Dental & Pharmacy > Medical > Personal Care Assistance (PCA) Services > Non-Covered Services	PW_11-19_580 · Effective Dec 23, 2025 · Medicaid · MN	—	Original policy ↗

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