Minnesota Health Care Programs

Minnesota Health Care Programs (MHCP)Minnesota Department of Human Services

Requirements and Billing Changes for Long Term Care Providers

E3 2009 E-TransactionsE3 2009 E-Transactions

Minnesota Health Care Programs

Administrative Uniformity Administrative Uniformity Committee Committee (AUC)(AUC)

Administrative Uniformity Administrative Uniformity Committee Committee (AUC)(AUC)

Worked to streamline billing activities across Minnesota for over 15 years

2007 state law mandates AUC to: Create one set of uniform, electronic health

billing standards

Simplify billing processes and reduce administrative costs

Known as Minnesota’s E3 initiative

Minnesota Health Care Programs

Electronic Requirements (“E3”)Electronic Requirements (“E3”)NewNew Requirements for Transactions in MNRequirements for Transactions in MN

Electronic Requirements (“E3”)Electronic Requirements (“E3”)NewNew Requirements for Transactions in MNRequirements for Transactions in MN

Minnesota regulations

Eligibility requests: January 15, 2009

Claims: July 15, 2009

Remittance Advice: December 15, 2009

Minnesota Health Care Programs

Provider WebsiteProvider Websitewww.dhs.state.mn.us/providerwww.dhs.state.mn.us/provider

Provider WebsiteProvider Websitewww.dhs.state.mn.us/providerwww.dhs.state.mn.us/provider

Minnesota Health Care Programs

MHCPMHCP Enrolled Providers Enrolled Providers - - E3E3 2009 E-Transactions Requirements2009 E-Transactions Requirements

MHCPMHCP Enrolled Providers Enrolled Providers - - E3E3 2009 E-Transactions Requirements2009 E-Transactions Requirements

Minnesota Health Care Programs

MHCP Enrolled ProvidersMHCP Enrolled Providers – – E3E3 2009 E-Transactions Requirements2009 E-Transactions Requirements

MHCP Enrolled ProvidersMHCP Enrolled Providers – – E3E3 2009 E-Transactions Requirements2009 E-Transactions Requirements

Minnesota Health Care Programs

Changes forfor ProvidersGeneral and Institutional 837I

Changes forfor ProvidersGeneral and Institutional 837I

Minnesota Health Care Programs

Changes to 837I ClaimsLong Term Care Providers

Changes to 837I ClaimsLong Term Care Providers

Minnesota Health Care Programs

AUC CompanionCompanion GuidesAUC CompanionCompanion Guides

Minnesota Health Care Programs

AUC CompanionCompanion GuidesAUC CompanionCompanion Guides

Minnesota Health Care Programs

“How do I keepkeep up with all the changes as they develop?”

“How do I keepkeep up with all the changes as they develop?”

Review online Provider Updates

Read Bi-weekly Remittance Advice Messages

Check “Hot Topics” on Nursing Facility Homepage

Or, Simply…..

Sign up for the Provider E-Mail Lists!

Minnesota Health Care Programs

Provider E-Mail ListsProvider E-Mail Lists

Minnesota Health Care Programs

MN Health CareCare ProgramsMailing List

MN Health CareCare ProgramsMailing List

Minnesota Health Care Programs

MN Health CareCare ProgramsMailing List

MN Health CareCare ProgramsMailing List

Minnesota Health Care Programs

MHCP ProviderProvider Call Center(651) 431-2700 or 1-800-366-5411MHCP ProviderProvider Call Center(651) 431-2700 or 1-800-366-5411

Option 1 - Provider Help Desk Option 5 - Provider Enrollment Option 6 - MN–ITS Administrators only Option 7 - Telephone EVS Option 9 – MHCP & General Information