Member eligibility renewals are happening. Members - find out what to do to keep your insurance.
Hennepin Health has made several changes to its drug formulary that impacts members of all plans. Read about which medications were changed.
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
Pfizer U.S. Medical Affairs is hosting "Medical Updates" for its pediatric COVID-19 vaccine. Topics include FDA indication and authorization, CDC/ACIP recommendations, packaging/presentation, storage and handling, and a Q&A session.
Dr. Veronica Gillispie-Bell discusses how to move from knowledge to action in addressing health inequities in our work and clinical practices.
Wednesday October 13
Noon - 1 p.m.
The Disparities in Childhood Health webinar looks at disparities in childhood health such as immunizations and well child care. Clinicians and public health entities have a role in finding solutions to improving these gaps in care. Drs Maxwell and Singh will share what works for them with their patients and some strategies they have used to try to bridge this gap. They will discuss what they have learned from their patients, how we can work together as a health care community and with BIPOC families to better serve the children in our care, and how to have these discussions with families.
The intended audience for this webinar is health care providers, nurses, public health, health educators, social workers, Community Health Workers and anyone who interacts with families with young children.
Wednesday, July 28
Noon - 1:00 pm
Free webinar from the American Cancer Society and Mayo Clinic:
Colorectal screening before age 50
Tuesday, July 13
12:15 - 1:00 pm
Mark your calendars on Wednesday, April 7 at Noon for this free webinar: Racism’s Roots in Medicine & How Implicit Bias Impacts Care. Presented by Dr. Nathan Chomilo, the webinar addresses implicit bias in clinical care.
The webinar is free but space is limited so register today.
The MCO Diabetes Performance Improvement Collaborative has launched a new project aimed to improve the comprehensive diabetes care and services for seniors and SNBC members. This is the first of a series of trainings to be offered over the course of this project that will focus on helping care coordinators and case managers gain a better understanding of diabetes and how to support members to best manage their condition.
Meeting the Challenges of Diabetes: Core Basics
Tuesday, March 2
10 am – Noon
Hennepin Health has made several changes to its drug formulary that impacts members of all plans. Read about which medications were added or removed.
An upcoming important educational webinar that may be of interest:
Meeting the Opioid Challenge: More Tools and Information for Care Coordinators
Tuesday, November 10, Noon - 1 pm
Hennepin Health has made several changes to its drug formulary that impacts members of all plans. An updated formulary has been posted online.
Read about which medications were added or removed.
Hennepin Health received a national award in the health category from the National Association of Counties (NACo). The award was for the program, Addressing Readmissions in County Health Plan Population Experiencing Homelessness. The award recognized work to integrate health care and social services by expanding access to housing navigation, and to reduce the readmission rate for Hennepin Health members who use Hennepin Healthcare’s flagship hospital, HCMC, for hospital services.
Housing Stabilization Services is a new state Medicaid benefit for people with disabilities and seniors launching July 2020. Hennepin Health will accept approved services from any MHCP-enrolled housing stabilization provider. Housing stabilization providers should get set up in the Hennepin Health claims system to coordinate reimbursement for services provided.
Some local pharmacies in Minneapolis are currently closed. Please direct member prescriptions to open contracted pharmacies.
Hennepin Health announces plan information associated with COVID-19. This applies to all members. Requirements and codes provided.
Hennepin Health’s Quality Management Committee formally adopted five medical, three behavioral health and two substance use clinical practice guidelines from nationally or locally recognized sources.
The MN Department of Human Services (DHS) has compiled a list of frequently asked questions for providers regarding the Uniform Preferred Drug List.
Beginning January 1, 2019, all personal care assistance (PCA) and home care nursing (HCN) services for people under age 65 will be covered under fee-for-service (FFS), and will be paid by the Department of Human Services (DHS).
Effective 1/04/2019, Hennepin Health will attempt to correct errors found in the subscriber name fields of incoming 837 claim transactions.
Hennepin Health’s prior authorization document is ready and available for review.
Hennepin Health will transition from the Rule 25 chemical dependency system to a direct access system, also referred to by its Minnesota Statute reference number Chapter 245G. This transition is taking place in a parallel process as Rule 25 and direct access treatment services are both covered until July 1, 2020 when Rule 25 will end.
HennepIn Health has completed its annual 2018 HEDIS measure reporting.
Hennepin Health has been informed of three separate drug recalls. All three recalls were made voluntarily by the drug manufacturers.
As of August 1, 2018, Hennepin Health began testing incoming transactions for compliance under SNIP Levels 4 and 5 requirements. This new implementation will allow for faster processing of clean claims and improved data quality with fewer data cycle errors. Beginning September 1, 2018, claims will reject if they do not pass SNIP Levels 4 and 5 testing.
On July 12, 2018, Hennepin Health’s claims system was enhanced to include the use of Optum Claim Edit System™ (CES) software. The enhancement is applicable for all new and adjusted professional (837P) and institutional (837I) claims for Hennepin Health-PMAP, Hennepin Health-MNCare and Hennepin Health-SNBC members.
The Minnesota Department of Health (MDH) has made several updates clarifying the requirements for Child & Teen Checkup (C&TC) screenings. These updates went into effect June 1, 2018 and have been incorporated into the C&TC fact sheets available on MDH’s website.
Hennepin Health has made several changes to its drug formulary that are applicable to Hennepin Health-PMAP, Hennepin Health-MNCare and Hennepin Health-SNBC members.
Hennepin Health is implementing a new custom edit that will be applied to all incoming 837 professional claim transactions. This new edit will reject claims submitted with certain procedure codes when a rendering provider is required, but not included.
Hennepin County is currently experiencing an epidemic of opioid-related overdose deaths. To address this serious issue, Hennepin Health will be implementing two new limitations for opioid prescriptions effective August 1, 2018.
The surge in opioid use and misuse in the U.S. is well known and highly publicized.This webinar will introduce participants to two new resources to help address this issue in clinical practice.
Learn more about Hennepin Health's role in a performance improvement project (PIP) for reducing disparity in antidepressant medication adherence.
The referral requirements for accessing out-of-network providers differ between the ACO defined partnership network and in-network non-ACO partner providers. This FAQ provides tips and answers common questions.
Shannon Mayer, CEO of Hennepin Health since April 2014, is leaving Hennepin Health to take a new position with another Minnesota health plan. Her last day at Hennepin Health is Friday, April 20, 2018.
Hennepin Health is making several changes to its drug formulary in Q1 2018. These changes are applicable to Hennepin Health-PMAP, Hennepin Health-MNCare and Hennepin Health-SNBC members.