Partial Hospitalization

A partial hospitalization program provides treatment to resolve or stabilize an acute episode of mental illness. Partial hospitalization is a time-limited, structured program of multiple and intensive psychotherapy and other therapeutic services provided by a multidisciplinary team, as defined by Medicare, and provided in an outpatient hospital setting, outpatient department facility or a Medicare-certified community mental health center (CMHC) that meets Medicare requirements to provide partial hospitalization programs services. Partial hospitalization provides person and family-centered treatment by a multidisciplinary team, under the direction of a physician.

What services are covered?

PHP Covered Services

Who is eligible to provide the service?

MHCP Enrolled Providers who are:

Medicare Certified
- Outpatient hospital facility
- Community Mental Health Centers

*Satellite locations must also be enrolled and licensed as Outpatient Hospital Facilities or Community Mental Health Centers

Who is eligible to receive this service?

PHP Eligible Providers

Process for new and existing providers

New program application steps
Step 1

The provider organization must email DHS Form 7890 with the following attachments:
- Section A: PHP Service Needs Assessment
- Section B: Community Resources
- Section C: Partial Hospitalization Manual
- Section D: Multidisciplinary Team Organization Chart
- Section E: Mock Client File
- Submit to dhs.php@state.mn.us
Step 2

The provider organization will be notified by e-mail that the application and attachments were received. Allow up to 90 days for a qualitative review of your PHP application documentation.

Step 3

DHS Behavioral Health Administration (BHA) will examine the submitted application and attached documentation. Reviewers will recommend factors that may need to be addressed before a decision is granted. BHA will make all recommendations available in writing to the provider. A phone conference will be available for the providers to clarify information and raise or answer questions about the application submission process.

Step 4

DHS will make a determination after all required documentation is reviewed and scheduled phone conference call has been completed.

DHS determination – Yes

A written Notification of Approval as a PHP Provider will be sent to the provider organization. MHCP Provider Eligibility and Compliance will be copied in this notification letter. MHCP requires all enrollment information to be complete prior to starting services.

Contact Minnesota Health Care Programs (MHCP) Provider Call Center at 651-431-2700 or 1-800-366-5411, to enroll as a new MHCP provider or to add PHP services to your organization’s current provider record, if applicable.

The notification letter is proof of approval as a PHP provider. It should be made available to Minnesota Managed Care Organizations, if requested, as part of their enrollment process.

Step 5

For newly approved and enrolled PHP providers, BHA will complete a review of the new location by requesting random member clinical files within 12 after opening the new location.

DHS determination – No

BHA will send a written notification to the Provider Organization Applicant with recommendations identifying the key factors to be addressed before they resubmit a new PHP Application.
Existing Partial Hospitalization Programs adding satellite locations
Step 1

The provider organization must email DHS Form 7890 with the following attachments:
- Section A: PHP Service Needs Assessment
- Section B: Community Resources
- Section C: Partial Hospitalization Manual
- Section D: Multidisciplinary Team Organization Chart
- Submit to dhs.php@state.mn.us
Step 2

The provider organization will be notified by email that the application and attachments were received. Allow up to 90 days for a qualitative review of your PHP application documentation.

If a potential PHP provider has questions, or is experiencing problems with the electronic submission of the application, notify BHA at dhs.php@state.mn.us

Step 3

A written Notification of Approval as a PHP Provider will be sent to the provider organization. MHCP Provider Eligibility and Compliance will be copied in this notification letter. MHCP requires all enrollment information to be complete prior to starting services.

Contact Minnesota Health Care Programs (MHCP) Provider Call Center at 651-431-2700 or 1-800-366-5411, to enroll as a new MHCP provider or to add PHP services to your organization’s current provider record, if applicable.

The notification letter is proof of approval as a PHP provider. It should be made available to Minnesota Managed Care Organizations, if requested, as part of their enrollment process.

Step 4

12 months after approving the satellite location the Behavioral Health Administration (BHA) will complete a review of the new location by requesting random member clinical files.

Periodic Reviews

In addition to the above review processes, BHA will conduct periodic reviews of Partial Hospitalization Program (PHP) client files to monitor compliance with Department of Human Services (DHS) requirements and PHP program standards. These reviews are intended to ensure that services are delivered in accordance with applicable regulations and that documentation appropriately supports eligibility, service delivery, and medical necessity.

Providers are expected to maintain accurate, complete, and timely documentation demonstrating compliance with all DHS and PHP requirements.
Resources
For questions on Partial Hospitalization

Contact the Partial Hospitalization Policy Team at: dhs.php@state.mn.us

Reimbursement

MHCP Codes & Rates

For questions on Partial Hospitalization

Partial Hospitalization Policy Team
651-431-2225
dhs.php@state.mn.us