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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