Provider Manual Chapters
- Introduction (pdf)(opens in new tab)
- Rights and Responsibilities of Physicians and Providers (pdf)(opens in new tab)
- Provider Network Resources (pdf)(opens in new tab)
- Provider Billing (pdf)(opens in new tab)
- Credentialing and Organizational Assessment (pdf)(opens in new tab)
- Service Authorizations & Notification Standards (pdf)(opens in new tab)
- Clinical Practice Guidelines (pdf)(opens in new tab)
- Fraud and Abuse (pdf)(opens in new tab)
- Clinic Complaint Reporting Process (pdf)(opens in new tab)
- Model of Care (pdf)(opens in new tab)
- Sample Member ID Cards (pdf)(opens in new tab)
- Member Enrollment (pdf)(opens in new tab)
- Member Grievances and Appeals Process for Dual-Eligible Special Needs Programs (pdf)(opens in new tab)
- Member Grievances and Appeals Process for Minnesota HealthCare (Medicaid) Programs (pdf)(opens in new tab)
- Restricted Recipient Program (pdf)(opens in new tab)
- Wellness Programs (pdf)(opens in new tab)
- Child and Teen Checkups (C&TC) Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program (pdf)(opens in new tab)
- Durable Medical Equipment and Supplies (pdf)(opens in new tab)
- Chiropractic and Acupuncture Services (pdf)(opens in new tab)
- Dental Services (pdf)(opens in new tab)
- Pharmacy Services (pdf)(opens in new tab)
- Mental Health & Substance Use Disorders Services (pdf)(opens in new tab)
- Personal Care Assistant (PCA) and CFSS Services (pdf)(opens in new tab)
- Home Health Care/Hospice Services (pdf)(opens in new tab)
- Optical Services (pdf)(opens in new tab)
- Interpreter Services (pdf)(opens in new tab)
- Transportation Services (pdf)(opens in new tab)
- Critical Access Hospital (CAH) (pdf)(opens in new tab)
- Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) (pdf)(opens in new tab)
- Long-Term Care (LTC) (pdf)(opens in new tab)
- Immunizations and Vaccinations (pdf)(opens in new tab)
- Home and Community Based Services - Elderly Waiver (pdf)(opens in new tab)
- Telehealth (pdf)
- Housing Stabilization Services (pdf)
- School-based Community Services (pdf)
- Early Intensive Developmental and Behavioral Intervention (EIDBI) Services
- Minnesota Provider Screening and Enrollment
- Physician and Professional Services
