MinnesotaCare coverage was extended to some uninsured Minnesotans who were not previously eligible for Minnesota Health Care Programs (MHCP) beginning Jan. 1, 2017. Members who receive coverage under this program are eligible for one of the following two MinnesotaCare major programs:
Verify eligibility for these members through MN–ITS or the eligibility verification system (EVS). Provide any services that are covered by the MinnesotaCare program. Refer to the Summary of Coverage, Cost Sharing and Limits (DHS-3860) (PDF) for more information about MinnesotaCare covered services.
Authorization is required for any service or prescription that requires authorization for coverage under MinnesotaCare.
Submit requests for authorization of services through the authorization review agent.
Use our NDC Search website to determine whether a drug is covered, is excluded or requires prior authorization. Provide any prescriptions that are covered (and do not require prior authorization) by the MinnesotaCare program.
Coverage for members enrolled in MinnesotaCare KK or XX is provided through fee-for-service. These members are not enrolled in a managed care organization.
Submit claims for members enrolled in MinnesotaCare KK or XX through your usual billing process.
Call the MHCP Provider Call Center at 651-431-2700 or 800-366-5411 if you have questions.
