ࡱ>     c qbjbj 4؎U\؎U\qd d |l;@P :):):):)*/ 1???????$ADf?2**22?:):)?3332:):)?32?33 :;:) u ڹK3::? @0;@:XF3XF ;;F;22322222??3222;@2222F222222222d > : MHCP Provider Manual Latest Manual Revisions Revised: 04-20-2017 Updates cited below do not include minor grammatical or formatting changes that otherwise do not have bearing on the meaning of the policy contained herein. Refer to HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_010495"Provider Updates that may contain additional MHCP coverage policies or billing procedures. MHCP incorporates information from these updates into the HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_000094"Provider Manual on an ongoing basis. Sign up to get HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_143894"email notices of section changes. 04-20-2017 Addition(s)/RevisionsReproductive Health/OB-GYN HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_175388"Minnesota Family Planning Program (MFPP) Procedure Codes Codes  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_175388" \l "code87806" 87806 for Alere HIV testing and  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_175388" \l "code11983" 11983 for contraception were added to the MFPP Procedure Codes list. 04-17-2017 Addition(s)/RevisionsProvider Basics Programs and Services HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_151777"Program HH (HIV/AIDS) Covered Services Program HH now covers fixed partials ( HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_151777" \l "restorative" crowns and pontics).Provider Basics Provider Requirements HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_157632"Access Services Clarified under  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_157632" \l "covered" Covered expenses the local agency requirements to inform members about transportation and ancillary services. Clarified interpreter information that transportation providers reimbursement does not include HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_157632" \l "unit"interpreter service reimbursements, and to submit an authorization request for additional interpreter service units only after the allowed 8 units have been used.Transportation Services  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_141019" Local County or Tribal Agency Nonemergency Medical Transportation (NEMT) Services Information added to better identify transport  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_141019" \l "personal" mileage reimbursements for personal mileage and volunteer drivers. Beginning April 1, 2017, MNET will  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_141019" \l "overview" coordinate Local County or Tribal Agency Nonemergency Medical Transportation (NEMT) Services for Mille Lacs County. 04-14-2017 Addition(s)/Revisions HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008993" Equipment and Supplies Weighted Vests have been added to the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008993" \l "blankets" Weighted Blankets section. HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_146517"Positioning Equipment Positioning systems have been added to the third bullet point under HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_146517" \l "cushions"Positioning Cushions, Pillows and Wedges section of the policy. 04-07-2017 Addition(s)/RevisionsHYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_056766"Elderly Waiver (EW) and Alternative Care (AC) Program Added Individual Community Living Support (ICLS) services and added a link to the Community Based Services Manual (CBSM) under  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_056766" \l "coveredser" Covered Services.  03-28-2017 Addition(s)/RevisionsHYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008927"Anesthesia Services Removed 2015 anesthesia rate information and added the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008927" \l "rates2017" 2017 anesthesia rates.HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_147317"Intermediate Care Facilities (ICF/DDs) Changed link for MNITS user manual from HCBS Waiver, Alternative Care (AC), Moving Home Minnesota and Group Residential (GRH) Supplemental Services claims to DT&H and ICF-DD Special Needs claims under  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_147317" \l "bill" Billing. 03-23-2017 Addition(s)/RevisionsHYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008949"Alcohol and Drug Abuse Services Updated  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008949" \l "DAANES" DAANES communication to advise providers of new MHCP DAANES contact. Removed outdated MinnesotaCare information from  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008949" \l "managed" Managed Care section. Updated  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008949" \l "billing" rate reform grid effective date from 3/1/2013 to 9/9/2016. Updated  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008949" \l "codes" Revenue and Procedure Code table to include High Intensity Committed/Complex codes. 03-17-2017 Addition(s)/RevisionsProvider Basics HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008923"Managed Care Organizations (MCOs) and Prepaid Health Plans (PPHPs) Added RSC-TCM carved out service for SNBC enrollees and made text clarifications throughout the section. 03-16-2017 Addition(s)/RevisionsHYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_150092"Child and Teen Checkups (C&TC) Clarified information for nonenrolled public health nurses in the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_150092" \l "ep" Eligible Providers section.Laboratory/Pathology, Radiology & Diagnostic Services  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_144353" Laboratory and Pathology Services Clarified  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_144353" \l "dx" genetic testing for breast cancer. MHCP allows payment for one of the following tests: Oncotype Dx bill this test using HCPC S3854 or EndoPredict bill this test using HCPC S3854 beginning Jan. 1, 2017. 03-15-2017 Addition(s)/RevisionsIndividualized Education Program (IEP) Services HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_185204"Interpreter Services Clarified under  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_185204" \l "overview" Overview when Medical Assistance will reimburse for interpreter services and under Sign Language Interpreter Services that inclusion on the Minnesota Department of Health roster is not evidence that the person is certified as an interpreter. 03-13-2017 Addition(s)/Revisions HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_195658" Early Intensive Developmental and Behavioral Intervention (EIDBI) Benefit Updated EIDBI policy manual links and edited Service Agreement and Billing content. Added links to 60 day temporary increase form and Technical Change form. 03-10-2017 Addition(s)/RevisionsHYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_150092"Child and Teen Checkups (C&TC) In the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_150092" \l "ncci" Maternal Depression Screening subsection we added language regarding a NCCI bundling edit when using code 96161. In the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_150092" \l "vision" Vision Screening subsection we revised language regarding an NCCI bundling edit when using code 99173. 03-08-2017 Addition(s)/Revisions HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008953" Dental Services (Overview) Added a section " HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008953" \l "locum" Locum Tenens Dentist" with information about allowing a dentist to retain a substitute dentist for reasons such as illness, vacation, education and medical leave.  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008993" Equipment and Supplies Updated miscellaneous product section to include information for  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008993" \l "blankets" weighted blankets. 03-07-2017 Addition(s)/RevisionsEquipment and Supplies  HYPERLINK "http://www.dhs.state.mn.us/dhs16_145320" Nutritional Products and Related Supplies Minor revisions due to 2017 HCPCS changes. Changed code for feeding pumps from B9000 to B9002. Added information for repairs to pumps originally dispensed at B9000 in the HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_145320" \l "billing"Billing subsection. 03-03-2017 Addition(s)/RevisionsMental Health Services  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153" Adult Rehabilitative Mental Health Services (ARMHS) Error on billing table. Changing  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153" \l "h0031" H0031 UD TS from mental health assessment, by physician, follow-up service (review or update) to mental health assessment, by non-physician, follow-up service (review or update).  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_162403" Dialectical Behavior Therapy Intensive Outpatient Program (DBT IOP) The recommended duration for DBT IOP skills group training has been changed to a minimum of two hours weekly with an option to last up to two and a half hours. Updated team member requirements and discharge criteria. 03-02-2017 Addition(s)/Revisions HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS-290481" Behavioral Health Home Services The BHH services section of the MHCP Provider Manual has been updated with the following: Clarify that there is not a particular order in which providers must assess eligibility for BHH services; simply that they must ensure that all criteria have been met Clarify that provider type is required if BHH services provider is billing using a billing entity Clarify that BHH providers must submit claims that correspond with the BHH services certification approval letterEarly Intensive Developmental and Behavioral Intervention (EIDBI) HYPERLINK "http://www.dhs.state.mn.us/main/groups/manuals/documents/pub/dhs16_195657.pdf" \t "_blank"Early Intensive Developmental and Behavioral Intervention (EIDBI) Benefit Grid Updated provider limits and service limits on the EIDBI billing grid. 02-24-2017 Addition(s)/RevisionsEquipment and Supplies HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_147301"Oxygen Equipment Clarified  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_147301" \l "bill" billing policy for dually eligible recipients in long-term care facilities. Added that MHCP  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_147301" \l "ncs" does not cover the following: Stands, racks, and wheeled carts for oxygen equipment Replacement accessories for portable concentratorsProvider Basics Billing Policy  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_146905" Payment Methodology Hospital General clarifications throughout the section, including the following: Revised and updated this section to reflect the Legislation that passed in 2013 directing DHS to develop new payment methodologies for fee-for-services (FFS) inpatient hospital services provided by diagnosis related group (DRG) hospitals, critical access hospitals, and rehabilitation hospitals Deleted outdated information about programs or services that have ended Updated the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_146905" \l "cah" Critical Access Hospital subsection to reflect the new MHCP cost-based inpatient payment methodology according to the 2013 legislative directive Deleted the outdated process of appeal for case mix procedure Updated the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_146905" \l "ihs" Inpatient Hospital Services subsection to show the new payment methodologies for fee-for-services (FFS) inpatient hospital services provided by diagnosis related group (DRG) hospitals, as directed in the 2013 legislation Updated and clarified some of the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_146905" \l "def" definitions 02-22-2017 Addition(s)/RevisionsPharmacy Services HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS-288835"340B Drug Pricing Program Under  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS-288835" \l "purchase" 340B-covered entities, changed "children's hospitals" to "free-standing cancer hospitals." Deleted the Managed Care Organizations (MCOs) subsection and  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS-288835" \l "contract" clarified information for 340B Contract Pharmacies. 02-21-2017 Addition(s)/RevisionsHYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_150092"Child and Teen Checkups (C&TC) In the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_150092" \l "add" Maternal Depression Screening subsection we added that a modifier is needed when using code 96161. HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008954" Eyeglass and Vision Care Services Added  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008954" \l "contact" contact information for new vendor, Classic Optical Laboratories, Inc. Clarified coverage criteria for  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008954" \l "lenses" specialty eyeglass lenses and changed quantity limits for contract to comply with federal Correct Coding Initiative (CCI) editing requirements.  02-15-2017 Addition(s)/RevisionsEquipment and Supplies HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_144501"Diabetic Equipment & Supplies Removed obsolete information about providers who may provide diabetic equipment and supplies. Under  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_144501" \l "monitors" Blood Glucose Monitors: Code E0607 is no longer an eligible covered code Deleted statement that authorization is required only for excess quantities. Authorization is always required for specialty blood glucose monitors E2100 and E2101. Deleted Authorization information from the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_144501" \l "strips" Blood Glucose Test Strips subsectionMental Health Services  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153" Adult Rehabilitative Mental Health Services (ARMHS) Corrected 02/06/2017 changes to ARMHS  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153" \l "chart" billing table. 02-10-2017 Addition(s)/RevisionsPharmacy Services HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_181541"Point of Sale Diabetic Testing Supply Program Updated  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_181541" \l "monitors" Preferred Blood Glucose Monitors and  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_181541" \l "testing" Preferred Blood Glucose Testing Strips product and NDC tables.Mental Health Services  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153" Adult Rehabilitative Mental Health Services (ARMHS) The billing table has been changed to add updates to ARMHS coding for transition to community living. Modifier UD has been updated to U3 and now reads as follows:  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153" \l "h2017" H2017 U3 - Basic living and social skills, transitioning to community living (TCL) H2017 U3 HM - Basic skills, transitioning to community living (TCL) by a mental health rehabilitation workerProvider Basics Provider Requirements HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_157632"Access Services Added process for authorization of HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_157632" \l "unit"interpreter units after the allowed 8 units for a single date of service. 02-06-2017 Addition(s)/RevisionsIndividualized Education Program (IEP) Services  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_185196" IEP Providers IEP provider contact list updated with new DHS email address for sending in new or updated  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_185196" \l "contact" contact information.Mental Health Services  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153" Adult Rehabilitative Mental Health Services (ARMHS) The billing table has been changed to add updates to ARMHS coding for transition to community living. Modifier UD has been updated to U3 and now reads as follows:  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153" \l "h2017" H2017 U3 - Basic living and social skills, transitioning to community living (TCL) H2017 U3 HM - Basic skills, transitioning to community living (TCL) by a mental health rehabilitation workerProvider Basics Provider Requirements HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_157632"Access Services Added process for authorization of HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_157632" \l "unit"interpreter units after the allowed 8 units for a single date of service. 02-03-2017 Addition(s)/RevisionsReproductive Health/OB-GYN HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_175388"Minnesota Family Planning Program (MFPP) Procedure Codes Clarified which code to use when prescribing  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_175388" \l "s4993" hormonal or  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_175388" \l "j8499" nonhormonal contraceptives. 02-02-2017 Addition(s)/Revisions HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008926" Physician and Professional Services added link to Gender-Confirming Surgery in the Table of Contents.  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS-292552" Gender-Confirming Surgery Added a new section about MHCP coverage for gender confirming surgery. 01-27-2017 Addition(s)/RevisionsHospital Services HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_176452"Inpatient Hospital Services Added Emergency Medical Assistance coverage of kidney transplants in the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_176452" \l "coverage" Coverage Limitations subsection. 01-23-2017 Addition(s)/RevisionsHYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008995"HCBS Waiver Services Added  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008995" \l "night" night supervision services under Covered Services for CADI. 01-20-2017 Addition(s)/RevisionsEquipment and Supplies HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_140901"Mobility Devices Minor revisions to reflect changes to HCPCS codes that include the following: Added  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_140901" \l "manual" manual wheelchair accessory code K0077 Under  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_140901" \l "woa" Wheelchair Options and Accessories: Added E1012 to power leg elevation systems Added E1014 to manual, fully or semi-reclining backs.Laboratory/Pathology, Radiology & Diagnostic Services  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_144353" Laboratory and Pathology Services - Under  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_144353" \l "drug" Drug Testing we: Changed HCPC codes G0477- G0479 to CPT codes 80305-80307 or G0480 G0483 per encounter for dates of service on and after January 1, 2017. Clarified that effective November 1, 2016, codes 80300-80304 and 80320 80377 are no longer covered Added that effective January 1, 2017, codes G0477 G0479 will be deletedMental Health Services HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058158"Psychotherapy Clarified  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058158" \l "bill" billing for codes 90846-90849 that are used to report family psychotherapy. Family psychotherapy coding may be separately reported for each patient in the family group, however, it should not be reported for each family member.Reproductive Health/OB-GYN  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_137813" Minnesota Family Planning Program (MFPP) Added covered diagnosis code range to the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_137813" \l "cs" Covered Services section. 01-19-2017 Addition(s)/RevisionsPrograms and Services  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_157743" Emergency Medical Assistance (EMA) - Added that EMA covers nonemergency medical transportation only for services covered under EMA under the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_157743" \l "cs" Covered Services section. 01-17-2017 Addition(s)/RevisionsLaboratory/Pathology, Radiology & Diagnostic Services HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_144355"Radiology/Diagnostic Services Updates under Billing subsection for Medicare outpatient hospital changes effective 2016 and 2017 for  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_144355" \l "ct" computed tomography modifier CT, HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_144355" \l "xray"x-rays taken by film (requiring modifier FX) and stereotactic radiosurgery planning and delivery modifier CP. 01-13-2017 Addition(s)/Revisions HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008926" Physician and Professional Services Removed mental health telemedicine information from this section and linked to the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008926" \l "Telemedicine" Telemedicine Delivery of Mental Health Services section for this information. Added services to the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008926" \l "coverage" Coverage Limitations section that are not covered under telemedicine. Added  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008926" \l "off" off-campus provider-based billing changes for modifiers PO and PN. Added a section for  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008926" \l "off" Off-Campus Provider-Based Hospital Department ServicesTransportation Services  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS-287241" Access Services Ancillary to Transportation Added Emergency Medical Assistance (EMA) and Minnesota Family Planning Program (MFPP) to the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS-287241" \l "er" Eligible Recipients section. HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_141022"Ambulance Transportation Services Removed reference to ICD-9 codes.  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_141019" Local County or Tribal Agency Nonemergency Medical Transportation (NEMT) Services Added Emergency Medical Assistance (EMA) to the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_141019" \l "er" Eligible Recipient section. Added to the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_141019" \l "ncs" Noncovered Services section that transport is not covered for EMA recipients for obtaining routine or preventative care or services. HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008991"Nonemergency Medical Transportation (NEMT) Services (Overview) Added Emergency Medical Assistance (EMA) to the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008991" \l "er" Eligible Recipient section and added to the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008991" \l "ncs" Noncovered Services section that transport of an EMA recipient for routine or preventative care is not covered.  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS-288176" Protected Transportation Services Clarification of major program eligibility information for  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS-288176" \l "er" Eligible Recipients. HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_141021"State-Administered NEMT Added Minnesota Family Planning Program (MFPP) and Emergency Medical Assistance (EMA) to  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_141021" \l "er" Eligible Recipients. 01-12-2017 Addition(s)/RevisionsHospital Services HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008947"Inpatient Hospital Authorization Added EMA kidney transplant to the list of  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008947" \l "admreq" Admissions Requiring Inpatient Hospital Authorization. 01-11-2017 Addition(s)/RevisionsEarly Intensive Developmental and Behavioral Intervention (EIDBI)  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_195656" Early Intensive Developmental and Behavioral Intervention (EIDBI) Provider Enrollment Revised the Assurance Statement titles by removing the reference to DBI and ABA for providers  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_195656" \l "level" Levels I,II,III.Equipment and Supplies HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_168690"Electrical Stimulation Devices Minor changes to reflect 2017 HCPCS code description change under  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_168690" \l "cs" Covered Services.Provider Basics Billing Policy  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_146878" Billing the Recipient Added information for the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_146878" \l "copays" 2017 copays and family deductible. 01-09-2017 Addition(s)/RevisionsEquipment and Supplies HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_151424"Patient Lifts and Seat Lift Mechanisms Coding update for 2017 HCPCS codes. 01-06-2017 Addition(s)/RevisionsMental Health Services HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS-292119"Mental Health Certified Family Peer Specialist The new Mental Health Family Peer Specialist page has been added. 01-05-2017 Addition(s)/Revisions HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_136660" Immunizations & Vaccinations Changed age restrictions for CPT code  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_136660" \l "flu" 90686 and 90688 from 3 years to 6 months and older.Rehabilitation Services  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_151127" Audiology Services Procedure Codes Updated page title, removed "authorization required" for  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_151127" \l "unlisted" code 92700 and replaced with "description required". 01-04-2017 Addition(s)/RevisionsMental Health Services HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058152"Adult Day Treatment Added an  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058152" \l "overview" Overview section defining what constitutes a day treatment service and the MN statutes that explain what facilities can provide the service. HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153"Adult Rehabilitative Mental Health Services (ARMHS) Updated adult rehabilitative mental health services (ARMHS) definition to reflect MN Statute 256B.0623, Subd. 2. Updated modifiers for HCPS codes H0031 and H0032 on  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153" \l "H0031" billing grid. The following changes were applied to the  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153" \l "bill" billing table: H0031 Brief Description changed from Functional Assessment to Mental Health assessment by non-physician and the UD modifier was added. Modifier UD was added to the TS modifier for H0031 Functional Assessment Update/Review. The UD modifier was added for procedure H0032 Individual Treatment Plan. Modifier UD was added to the TS modifier for H0032 Individual Treatment Plan Update/Review. Per 15 minutes was added to the unit section of the billing table for the services, Functional Assessment, Mental Health Assessment (H0031 UD/H0031 UD TS) and Functional Assessments (H0032 UD/H0032UD TS).Provider Basics Provider Requirements HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_160862"Provider Screening Requirements Updated text from old fee amount to  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_160862" \l "fees" new fee amount.  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_198372" Risk Levels and Enrollment Verification Requirements Changed HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_198372" \l "transport"provider type 72 from broker to coordinator to more closely fit the definition of enrolled provider type 72.Rehabilitative Services  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_151132" Rehabilitative Services Procedure Codes Added new 2017 OT/PT evaluation codes and updated some code descriptions. Previous Revisions  HYPERLINK "http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS-292293" 2016 Manual Revisions  HYPERLINK "javascript:link('DHS-283358','')" 2015 Manual Revisions  HYPERLINK "javascript:link('dhs16_192126','')" 2014 Manual Revisions  HYPERLINK "javascript:link('dhs16_181530','')" 2013 Manual Revisions  HYPERLINK "javascript:link('dhs16_173893','')" 2012 Manual Revisions  HYPERLINK "javascript:link('dhs16_166118','')" 2011 Manual Revisions  -6;w x y   g h i v w ƯƯyogb h 5hL]h 5hdh 5^J h(rch h 5B*CJaJph$h3h 0J h 0Jh@jhMUh-jUhMUh-j0JjhMUh-jUjhMUh-jU hMUh-jh`h-j0Jjh-jUjh-jUh hwh-j$-AB Qmd $Ifgd zkd$$Ifl*+  t 0644 lap ytu|k $Ifgdu|kgd-jgd-jgd-j \ ] ^ C D E J K f g   0OPSUV]^su-󮥮zokh0jh>h0U hjqh0 h05hdh05^J h(rch0h05B*CJaJph$h3h00J h00Jjh Uh h 0Jjh U h h  hL]h  h 0J5jLh Uh jh U$QRSt $Ifgd|Ogd-jqkd; $$Ifl*+ t0644 lap ytu|ktu<|s $Ifgd0 $Ifgd|Ozkd $$Ifl*+  t 0644 lap 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$http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_141019yX;H,]ą'c overview$$If!vh#v+:V l t065+p yt|O$$If!vh#v+:V l  t 065+p ytDyK yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008993yX;H,]ą'cDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008993yX;H,]ą'c blanketsDyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_146517yX;H,]ą'cDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_146517yX;H,]ą'c cushions$$If!vh#v+:V l t065+p yt$$If!vh#v+:V l  t 065+p yt.DyK yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_056766yX;H,]ą'cDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_056766yX;H,]ą'c coveredser$$If!vh#v+:V l t065+p yt.$$If!vh#v+:V l  t 065+p yt?( DyK yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008927yX;H,]ą'cDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008927yX;H,]ą'c rates2017$$If!vh#v+:V l t065+p yt?( DyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_147317yX;H,]ą'cDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_147317yX;H,]ą'cbill$$If!vh#v+:V l t065+p yt?( $$If!vh#v+:V l  t 065+p ytlDyK yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008949yX;H,]ą'cDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008949yX;H,]ą'cDAANESDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008949yX;H,]ą'cmanagedDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008949yX;H,]ą'cbillingDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008949yX;H,]ą'ccodes$$If!vh#v+:V l t065+p ytl$$If!vh#v+:V l  t 065+p yt] TDyK yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008923yX;H,]ą'c$$If!vh#v+:V l t065+p yt] T$$If!vh#v+:V l  t 065+p ytvDyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_150092yX;H,]ą'cDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_150092yX;H,]ą'cep$$If!vh#v+:V l t065+p ytvDyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_144353yX;H,]ą'cDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_144353yX;H,]ą'cdx$$If!vh#v+:V l t065+p ytv$$If!vh#v+:V l  t 065+p ytSVDyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_185204yX;H,]ą'cDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_185204yX;H,]ą'c overview$$If!vh#v+:V l t065+p ytSV$$If!vh#v+:V l  t 065+p ytQDyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_195658yX;H,]ą'c$$If!vh#v+:V l t065+p ytQ$$If!vh#v+:V l  t 065+p ytDyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_150092yX;H,]ą'cDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_150092yX;H,]ą'cncciDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_150092yX;H,]ą'cvision$$If!vh#v+:V l t065+p yt$$If!vh#v+:V l  t 065+p ytL0DyK yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008953yX;H,]ą'cDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008953yX;H,]ą'clocum$$If!vh#v+:V l t065+p ytL0DyK yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008993yX;H,]ą'cDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008993yX;H,]ą'c blankets$$If!vh#v+:V l t065+p ytL0$$If!vh#v+:V l  t 065+p ytzDyK yK hhttp://www.dhs.state.mn.us/dhs16_145320yX;H,]ą'cDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_145320yX;H,]ą'cbilling$$If!vh#v+:V l t065+p ytz$$If!vh#v+:V l  t 065+p ytOcDyK yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153yX;H,]ą'cDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153yX;H,]ą'ch0031DyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_162403yX;H,]ą'c$$If!vh#v+:V l t065+p ytOc$$If!vh#v+:V l  t 065+p ytyDyK yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS-290481yX;H,]ą'c$$If!vh#v+:V l t065+p yty7DyK _blankyK http://www.dhs.state.mn.us/main/groups/manuals/documents/pub/dhs16_195657.pdfyX;H,]ą'c$$If!vh#v+:V l t065+p yty$$If!vh#v+:V l  t 065+p yt6DyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_147301yX;H,]ą'cDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_147301yX;H,]ą'cbillDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_147301yX;H,]ą'cncs$$If!vh#v+:V l t065+p yt6DyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_146905yX;H,]ą'cDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_146905yX;H,]ą'ccahDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_146905yX;H,]ą'cihsDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_146905yX;H,]ą'cdef$$If!vh#v+:V l t065+p yt6$$If!vh#v+:V l  t 065+p ytJDyK yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS-288835yX;H,]ą'cDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS-288835yX;H,]ą'c purchaseDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS-288835yX;H,]ą'c contract$$If!vh#v+:V l t065+p yt?$$If!vh#v+:V l  t 065+p ytJDyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_150092yX;H,]ą'cDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_150092yX;H,]ą'cadd$$If!vh#v+:V l t065+p ytZ3DyK yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008954yX;H,]ą'cDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008954yX;H,]ą'ccontactDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008954yX;H,]ą'clenses$$If!vh#v+:V l t065+p ytZ3$$If!vh#v+:V l  t 065+p ytJDyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_144501yX;H,]ą'cDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_144501yX;H,]ą'c monitorsDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS16_144501yX;H,]ą'cstrips$$If!vh#v+:V l t065+p ytuDyK yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153yX;H,]ą'cDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153yX;H,]ą'cchart$$If!vh#v+:V l t065+p ytu$$If!vh#v+:V l  t 065+p ytJDyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_181541yX;H,]ą'cDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_181541yX;H,]ą'c monitorsDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_181541yX;H,]ą'ctesting$$If!vh#v+:V l t065+p ytfDyK yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153yX;H,]ą'cDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153yX;H,]ą'ch2017$$If!vh#v+:V l t065+p ytfDyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_157632yX;H,]ą'cDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_157632yX;H,]ą'cunit$$If!vh#v+:V l t065+p ytf$$If!vh#v+:V l  t 065+p ytJDyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_185196yX;H,]ą'cDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_185196yX;H,]ą'ccontact$$If!vh#v+:V l t065+p ytDyK yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153yX;H,]ą'cDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058153yX;H,]ą'ch2017$$If!vh#v+:V l t065+p ytDyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_157632yX;H,]ą'cDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_157632yX;H,]ą'cunit$$If!vh#v+:V l t065+p yt$$If!vh#v+:V l  t 065+p ytJDyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_175388yX;H,]ą'cDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_175388yX;H,]ą'cs4993DyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_175388yX;H,]ą'cj8499$$If!vh#v+:V l t065+p ytY$$If!vh#v+:V l  t 065+p ytJDyK yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_008926yX;H,]ą'cDyK yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=DHS-292552yX;H,]ą'c$$If!vh#v+:V l t065+p ytE|$$If!vh#v+:V l  t 065h%p ytJDyK yK 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$http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_140901yX;H,]ą'cmanualDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_140901yX;H,]ą'cwoa$$If!vh#v+:V l t065+p yt9!DyK yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_144353yX;H,]ą'cDyK  yK $http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_144353yX;H,]ą'cdrug$$If!vh#v+:V l t065+p yt9!DyK yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058158yX;H,]ą'cDyK  yK http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058158yX;H,]ą'cbill$$If!vh#v+:V l t065+p yt9!DyK yK 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