In response to the Change Healthcare cybersecurity issue impacting Hennepin Health's ability to receive claims, Hennepin Health has partnered with Availity for clearinghouse services and is able to accept claims submitted through Availity. Any claims files previously submitted on or after Feb. 21 to Hennepin Health will need to be submitted via Availity.
Hennepin Health offers members a variety of rewards and incentives for staying up-to-date with their health care.
Hennepin Health prior authorization requirements for 2024.
Hennepin Health has made several changes to its drug formulary that impacts members of all plans. Read about which medications were changed.
In 2024, doulas will no longer be required to bill under a supervising provider.
There is a new phone number for our pharmacy vendor, Navitus Health Solutions (Navitus), beginning Jan. 1, 2024.
Hennepin Health’s provider data registration portal, called eApply, which providers currently use to request to contract or register as a non-contracted provider, is being discontinued starting January 1, 2024. This is not the same as the provider portal with Change Healthcare’s ConnectCenter and will not impact provider portal access.
Hennepin Health now requiring providers treating outpatient end-stage renal disease (ESRD) to bill monthly.
U.S. Department of Health and Human Services (HHS) issues resources for health care providers about telehealth privacy and security risks.
Substance Use Disorder (SUD) residential treatment programs must enroll as 1115 demonstration project providers obtaining 245G licensure by Jan. 1, 2024, or claims will be ineligible for payment.
Attend a provider Meet & Greet event on October 10 with Hennepin Health and the Minnesota Department of Human Services (DHS) to learn about Substance Use Disorder (SUD) topics.
Changes to Hennepin Health prior authorization list starting Sept. 1, 2023.
Hennepin Health’s 2022 Annual Report is now posted online. The report covers Hennepin Health organization information including member demographics, a financial summary for fiscal year 2022 and other 2022 highlights.
Update to bulletin first posted on May 2.
Effective May 12, 2023, TCM providers choosing to use interactive video for Medical Assistance reimbursement for TCM services must attest to the safety and effectiveness of interactive video for the person served. Each provider is required to have a completed Targeted Case Management Provider Interactive Video Assurance Statement (DHS-8398) (PDF) on file with DHS to receive Medical Assistance reimbursement for TCM through interactive video beginning May 12, 2023. Some exceptions exist.
Housing Stabilization Services providers will need to follow Department of Human Services (DHS) requirement to submit newest version of Professional Statement of Need (DHS-7122) beginning July 17, 2023.
Minnesota Health Care Programs (MHCP) offers free information sessions for providers to learn about how to help Medical Assistance and MinnesotaCare members with the member eligibility renewal process. Register online at Provider role in member renewals information sessions / Minnesota Department of Human Services (mn.gov).
Effective for dates of service beginning August 1, 2023, services covered by Medicare must be provided by a Medicare-enrolled provider and billed to Medicare first.
Providers can attend a free webinar discussing screening and brief interventions for alcohol use during pregnancy on Tuesday, June 27. Register online.
The Minnesota Department of Human Services (DHS) is hosting training sessions for the MPSE portal. The training sessions are designed for contracted MCO providers and those who wish to contract with MCOs starting July 17.
Hennepin Health recently updated 2023 prior authorization requirements with a June 2023 posting. There are four main updates to the 2023 prior authorization list.
Hennepin Health has launched a new provider portal which allows providers to check member eligibility and claim status in real time.
From March 20 to April 28, Hennepin Health experienced an issue where claims submitted by providers with UMPI numbers were rejected back to providers with an error message. Providers with UMPI numbers who submitted claims to Hennepin Health during this timeframe and received a rejection message should resubmit claims.
The Minnesota Department of Human Services EIDBI team is hosting a meet and greet with representatives from Hennepin Health on Wednesday, June 14, 2023, from 2-3 pm
Effective May 12, 2023, certain TCM providers choosing to use interactive video for Medical Assistance reimbursement for TCM must attest to the safety and effectiveness of interactive video for the person served
Each provider is required to have a completed Targeted Case Management Provider Interactive Video Assurance Statement (DHS-8398) (PDF) on file with DHS to receive Medical Assistance reimbursement for TCM through interactive video beginning May 12, 2023.
We have made several changes to our drug formulary that impacts members of all plans. Read about which medications were changed.
Mandatory Reporting for Pregnant People – Legal Implications of Perinatal Substance Use