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Minnesota Health Care Programs (MHCP) providers can contact the managed care organizations (MCOs) using the phone and fax numbers listed for each MCO for Prepaid Medical Assistance Program (PMAP), MinnesotaCare, Minnesota Senior Health Options (MSHO) and Special Needs BasicCare (SNBC). Refer members to health plan member services phone numbers.
Blue Plus
Network Management
1800 Yankee Doddle Rd. Eagan, MN 55122
| MCO contact | Contact Information |
|---|---|
| Provider Service Center | 866-518-8448 MHCPProviders@bluecrossmn.com |
| Behavioral Health | 866-518-8448 |
| Chiropractic | 866-518-8448 |
| Claims | 866-518-8448
(Fax attachments to: 800-793-6928) |
| Clinical Services | 866-518-8448
Fax for PMAP, MSC+, MinnesotaCare and MSHO: Outpatient prior authorizations Fax: 651-662-6284 Inpatient prior authorizations Fax: 651-662-6283 Priority Faxes: 651-662-6285 Restricted Recipient Program Fax: 651-662-6286 |
| Dental | Minnesota Select Dental: 651-406-5907 or 800-774-9049 |
| Electronic Visit Verification | Provider Services at 651-662-9962 or 866-518-8448 |
| Federally Qualified Health Centers/Rural Health Clinics (FQHC/RHC) | Email address: government.programs.fqhc-rhc.services@bluecrossmn.com
Telephone: 866-518-8448 For any Delta Dental related FQHC/RHC claims inquiries, you can send details over to Encounter encountersupport@deltadentalmi.com and Trisha Skoog (tskoog@deltadentalmn.org) |
| Nonemergency Transportation | BlueRide: 651-662-8648 or 866-340-8648 |
| Nursing Facility | 866-518-8448 |
| Pharmacy | Prime Therapeutics Blue Advantage: 844-765-5940
SecureBlue (MSHO): 800-648-2778 Blue Advantage Families and Children Formulary: Blue Advantage Families and Children | Blue Cross MN Blue Plus Minnesota Senior Care Plus (MSC+) Formulary: Blue Plus Minnesota Senior Care Plus (MSC+) | Blue Cross MN MinnesotaCare Blue Plus Formulary: MinnesotaCare Blue Plus | Blue Cross MN SecureBlue (Minnesota Senior Health Options) Formulary: SecureBlue (Minnesota Senior Health Options) | Blue Cross MN |
| Substance Use Disorder (SUD) | 866-518-8448 |
HealthPartners
PO Box 1309
Minneapolis, MN 55440-1309
| MCO contact | Contact Information |
|---|---|
| Provider Services | Professional Relations and Network Management: 952-883-5589 |
| Behavioral Health | Prior Authorization: 952-883-7501 or 866-669-3856 |
| Chiropractic | Fulcrum Health, Inc.: 763-204-8570 |
| Claims | (Fax: 952-883-7666) |
| Clinical Services | Utilization Management: 952-883-6333 |
| Dental | HealthPartners Dental Plan and Contracting: 952-883-5168
|
| Electronic Visit Verification | 952-883-5691, Fax: 952-853-8848, or email: providerrelations@healthpartners.com |
| FQHC/RHC | Alicia Korbel
alicia.m.korbel@healthpartners.com or sten.d.wall@healthpartners.com 952-883-7699 or 888-663-6464 HealthPartners Dental Plan and Contracting: 952-883-5168 Claims: 651-265-1000 (Fax: 651-265-1001) |
| Nonemergency Transportation | Go to: Join the HealthPartners network, click on “Medical/Behavioral Health,” fill out form and submit. |
| Nursing Facility | Forms: 952-883-6333 or 888-467-0774 (Fax: 952-853-8712) |
| Pharmacy | Administration: 952-883-5813 or 800-492-7259
MHCP Drug List MSHO Drug List |
| Substance Use Disorder (SUD) | 952-883-7501 or 866-669-3856 |
Hennepin Health
300 South Sixth Street MC 604
Minneapolis, MN 55487-0604
| MCO contact | Contact Information |
|---|---|
| Provider Services | Provider Help Desk and Contracting: 612-596-1036, Option 2 |
| Behavioral Health | Crisis Line - Hennepin County Community Outreach for Psychiatric Emergencies (COPE): Adults 18 + 612-596-1223,
Children 612-248-2233 Behavioral Health Service authorizations: www.hennepinhealth.org/providers/prior authorization Fax: 612-677-6222 or 888-734-0008 |
| Chiropractic | Hennepin Health Provider Services: 612-596-1036, option 2 |
| Claims Adjustment Request | Claim adjustment requests, reconsiderations and associated documentation: 612-596-1036 or 800-647-0550
www.hennepinhealth.org/providers/forms (Fax: 612-321-3786) |
| Clinical Services and Authorization | Medical or Behavioral Health Service authorizations are located on the Hennepin Health website at:
www.hennepinhealth.org/providers/prior authorization Call Customer Service with questions: 612-596-1036 or 800-647-0550 |
| Dental | Delta Dental Customer Service: 866-298-5549 |
| Electronic Visit Verification | Provider Help Desk and Contracting: 612-596-1036, Option 2 |
| FQHC/RHC | Hennepin Health Provider Services
hennepinhealth@hennepin.us 612-596-1036 Barbara Johnston (for claims related questions) Barbara.Johnston@hennepin.us 612-387-9181 For any Delta Dental related FQHC/RHC claims inquiries, you can send details over to Encounter encountersupport@deltadentalmi.com and Trisha Skoog (tskoog@deltadentalmn.org) |
| Nonemergency Transportation | Hennepin Health Member Services: 612-596-1036 |
| Nursing Facility | Nursing facility communication forms: Nursing Facility Communication Form (DHS-4461) (PDF)
612-596-1036 or 800-647-0550 Navitus toll free number: 855-673-6504, 855-673-6504 or 833-210-5966 (Note: this number is effective Jan. 1, 2024) |
| Pharmacy | Formulary – Prepaid Medical Assistance Program (PMAP) (scroll down to find the most current formulary)
Formulary – MinnesotaCare (scroll down to find the most current formulary) Formulary – Special Needs BasicCare (SNBC) (scroll down to find the most current formulary) |
| SUD | Comprehensive assessments, authorizations: Hennepin County Addiction and Recovery Services Unit: phone 612-879-3671, fax 612-466-9546
SUD claims questions: Hennepin Health Provider Services at 612-596-1036 |
Itasca Resource Center
1219 SE Second Ave.
Grand Rapids, MN 55744-3983
| MCO contact | Contact Information |
|---|---|
| Provider Services | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
| Behavioral Health | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
| Chiropractic | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
| Claims adjustment request | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
| Clinical Services | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
| Dental | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
| Electronic Visit Verification
|
Member Services: 800-843-9536, fax: 218-327-5545
IMCare Office IMCare.Office@CO.ITASCA.mn.us |
| FQHC/RHC | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
| Nonemergency Transportation | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
| Nursing Facility | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
| Pharmacy | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) Formulary |
| SUD | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
Mail Route CP320
PO Box 9310
Minneapolis, MN 55440-9310
| MCO contact | Contact Information |
|---|---|
| Provider Services and Contracting | 800-458-5512
(Fax: 952-992-8667) |
| Behavioral Health | Medica Behavioral Health Mental Health Crisis:
800-848-8327 (Fax: 855-454-8155) |
| Chiropractic | Optum Health Care Solutions, Physical Health: 800-873-4575 |
| Claims and Adjustment Request | Contact Provider Services and Contracting: 800-458-5512
PMAP, MinnesotaCare and Medica Government Programs address: PO Box 21342 Eagan, MN 55121-0342 Payer ID: MEDM1 (Fax: 952-992-3899 for appeals or adjustments) Care Coordinated Products address: PO Box 30990 Salt Lake City, UT 84130-0990 Payer ID: 94265 (Fax: 801-994-1076 for appeals or adjustments) Provider Services and Contracting: 800-458-5512 Authorizations Fax 952-992-3556 |
| Clinical Services | Provider Services and Contracting: 800-458-5512
(Fax: 952-992-3556 for authorizations) caremanagement@medica.com |
| Dental | Delta Dental: 800-459-8574 |
| Electronic Visit Verification
|
Provider Services 800-458-5512
Fax: 952-992-8667 |
| FQHC/RHC | 800-458-5512
(Fax: 952-992-8667) or email sppproduct@medica.com For any Delta Dental related FQHC/RHC claims inquiries, you can send details over to Encounter encountersupport@deltadentalmi.com and Trisha Skoog (tskoog@deltadentalmn.org) |
| Nonemergency Transportation | MSHO, SNBC: 888-347-3630
PMAP, MinnesotaCare: 800-373-8335 MSC+, SNBC: 877-379-7540 |
| Nursing Facility | Utilization Management 800-458-5512
(Fax: 952-992-2299) Email: NFCommunications@Medica.com |
| Pharmacy | Express Scripts, Inc. (ESI): 800-922-1557
(Fax: 877-251-5896) Formulary |
| SUD | Medica Behavioral Health: 800-848-8327
(Fax: 855-454-8155) |
3905 Dakota St.
Alexandria, MN 56308
| MCO contact | Contact Information |
|---|---|
| Provider Services | 866-431-0802 or 320-335-5359 |
| Behavioral Health | https://primewest.org/forms/authorization
866-431-0802 (Fax: 866-431-0804) |
| Chiropractic | Provider Services: 866-431-0802 |
| Claims Adjustment Request | Provider Services: 866-431-0802
(Fax: 320-762-1805 for adjustment request) |
| Clinical Services | PrimeWest Health Utilization Management:
https://primewest.org/forms/authorization 866-431-0803 (Fax: 866-431-0804) |
| Dental | Provider Services Eligibility and Claims: 866-431-0802
(Fax: 866-431-0804 for service authorizations) Secure email: dental@primewest.org (preferred contact) |
| Electronic Visit Verification
|
Provider Contact Center 866-431-0802
|
| FQHC/RHC | 866-431-0802 or 320-335-5359 Health contact information: Providers | Providers Contact Center | PrimeWest Health |
| Nonemergency Transportation | PrimeWest Health Transportation Contact Center 888-814-6643 |
| Nursing Facility | Provider Services: 866-431-0802 |
| Pharmacy | MedImpact: 800-788-2949
Provider Help Desk Authorization requests: 877-391-9294 (Fax: 858-790-7100) Formularies |
| SUD | Provider Services: 866-431-0802 |
6380 West Frontage Road
Medford, MN 55049
| MCO contact | Contact Information |
|---|---|
| Provider Services
|
Provider Helpdesk: 888-633-4055
Provider Contracting: 507-444-7770 or 866-633-4055 |
| Behavioral Health | South Country Utilization Management: 888-633-4051
(Fax 888-633-4052) 24-hour Nurse Line for Members: 866-538-1226 |
| Claims | Provider Helpdesk: 888-633-4055 |
| Claims Adjustment Request | Provider Helpdesk: 888-633-4056
(Fax: 888-633-4052) |
| Clinical Services | South Country Utilization Management: 888-633-4051
(Fax: 888-633-4052) |
| Dental | Delta Dental of MN: 866-398-9419 |
| Electronic Visit Verification
|
Provider Contact Center 888-633-4055 info email box providerinfo@mnscha.org
|
| FQHC/RHC | Provider Helpdesk: 888-633-4055
For any Delta Dental related FQHC/RHC claims inquiries, you can send details over to Encounter encountersupport@deltadentalmi.com and Trisha Skoog (tskoog@deltadentalmn.org) |
| Nonemergency Transportation | Provider Helpdesk: 888-633-4055
Assistance with scheduled rides: 866-567-7242 |
| Nursing Facility | South Country Utilization Management: 888-633-4052
Fax notifications and nursing home communications requests to: 507-431-6329 |
| Pharmacy | PerformRX Medicare Help Desk: 866-935-6681
Medical Assistance Help Desk: 866-935-8874 Formulary |
| SUD | Provider Helpdesk: 888-633-4055 |
Provider Assistance Center
PO Box 52
Minneapolis, MN 55440-0052
| MCO contact | Contact Information |
|---|---|
| Provider Services | Provider Assistance Center: 612-676-3300 or 888-531-1493 |
| Behavioral Health | Behavioral Health: 612-676-6705 (option 2, option 2, option 2)
(Fax: 612-884-2033) |
| Chiropractic | Fulcrum Health (previously known as Chiropractic Care of Minnesota, Inc.): 877-886-4941 |
| Claim Adjustment Request | Provider Assistance Center: 612-676-3300 or 888-531-1493
(Fax: 612-884-2186) |
| Clinical Services | Clinical Services, authorizations, intake: 612-676-6705 or 877-447-4384 |
| Dental | DentaQuest: 888-227-3310
DentaQuest Dual Plans: 855-209-3155 TTY number 800-466-7566 |
| Electronic Visit Verification
|
Provider Assistance Center: 612-676-3300 or 888-531-1493
|
| FQHC/RHC | Provider Assistance Center: 612-676-3300 or 888-531-1493
Email: pac@ucare.org and CC: UCare Medicaid Government Relations: Francesa Red Feather fredfeather1@ucare.org Email: medicaidgrteam@ucare.org DentaQuest: 888-227-3310 DentaQuest Dual Plans: 855-209-3155 TTY number 800-466-7566 |
| Nonemergency Transportation | For claims Issues or billing questions – Provider Assistance Center:
612-676-3300 For scheduling or ride questions, contact HealthRide Team: 612-676-6878 or 833-276-1183 For contract related questions: transprov@ucare.org |
| Nursing Facility | Provider Assistance Center: 612-676-3300 or 888-531-1493 |
| Pharmacy | Navitus: All Lines of Business 833-837-4300 (pharmacy benefit prior authorizations) Medicaid: Fax: 855-668-8553
Medicaid: Fax: 855-668-8553 MSHO and Connect + Medicare Fax: 855-668-8552 Formulary - Prepaid Medical Assistance Program (PMAP), MinnesotaCare, Connect (SNBC) and Minnesota Senior Care Plus (MSC+) Formulary - MSHO Formulary - UCare Connect (SNBC) + Medicare |
| SUD | Mental health and substance use disorder (MHSUD) crisis calls, authorizations and notifications, and MHSUD case management:
612-676-6533 or 833-276-1185 (Fax: 612-884-2033 or 855-260-9710) |
Network Management and Provider Relations
9700 Health Care Lane
Mail Stop: MN017-E600
Minnetonka, MN 55343
| MCO contact | Contact Information |
|---|---|
| Provider Services
|
Provider Call Center: 877-440-9946 |
| Behavioral Health | Behavioral Health Benefit Questions and Prior Authorization: 877-440-9946 |
| Chiropractic | OptumHealth Care Solutions, Physical Health: 800-873-4575 |
| Claims Adjustment Request | Claims RMO: PO Box 5270, Kingston, NY 12402-5270
For claims, billing and payment questions, go to UHCprovider.com. We no longer use fax numbers. |
| Clinical Services | Cardiology Prior Authorization (eviCore): 866-889-8054
Radiology Prior Authorization (eviCore): 866-889-8054 |
| Dental | Dental contact line for providers: 866-547-0809 |
| Electronic Visit Verification
|
Provider Call Center: 877-440-9946 |
| FQHC/RHC | Provider Call Center: 877-440-9946 mn-csproviderrelations@uhc.com |
| Nonemergency Transportation | Nonemergency Transportation (MTM): 888-444-1519 |
| Nursing Facility | Provider Call Center: 877-440-9946 |
| Pharmacy | Pharmacy Helpdesk
Pharmacy Prior Authorization 844-495-8038 800-310-6826 Specialty Medication Prior Authorization phone number: 800-310-6826 Prior Authorization Contact Information Phone: 877-440-9946 weekdays, 8 a.m. – 6 p.m. CST; available 24 hours 7 days a week for emergencies Formulary – PMAP, MSC+, SNBC Formulary – MSHO (UHC Dual Complete MN-Y002) Formulary – SNBC (UHC Dual Complete MN-Y001) |
| SUD | Behavioral Health Provider
Express and Provider Services: 877-440-9946 and providerexpress.com |
