The most recent PowerPoint Presentation describing the DHS review process including updated ANG screenshots has been uploaded to the Kepro-Acentra Training Page. You can select "Training" from the blue menu on the left, then Mental Health "+" then select Extended Psychiatric Inpatient Treatment Services Training PowerPoint.
DENTAL PROVIDERS:
UPDATE TO RETROACTIVE REVIEW POLICY FOR REMOVABLE DENTAL PROSTHESIS
Please note as of October 1st retroactive requests for removable prostheses will no longer be down coded to alternate services. If the recipient does not meet criteria for the code / service completed, the service will be denied.
If the service that was completed does not meet criteria, an alternate code will not be approved.
Reference MN statute 3100.6200 subpart D & I / 146A.08 subdivision 1 ( o ).
PROPER DOCUMENTATION REQUIREMENTS REMINDER:
Please ensure that all clinical documentation follows all record keeping rules in accordance with MHCP requirements, state, federal and MN BOD guidelines when submitting requests. (posted 9/28/23)
All future correspondences will be marked with the Acentra Logo, however; our current website (www.mhcp.kepro.com) as well as existing email addresses will be migrating in the coming months. Please watch for future announcements on how this may impact you.
For more information, please visit https://acentra.com/.
PROVIDERS: To make sure that your request gets routed to the right department, please only use reconsideration on previously denied cases.
If you are needing additional units, please make the request on the original case. Please do not create a new case.
Choose Reconsideration: only on existing cases in which a service or date span has previously been denied.
Please email MNProviderIssues@kepro.com for assistance.
Training available: https://mhcp.kepro.com/training.
Per DHS directive 07.13.2023, the discharge date is not required for an approved IP psychiatric admission review. The approved date of admission is displayed as a single line date of service in Atrezzo/ANG and will not display in the from/to field in MMIS for the IHA. The review status with admission date can be found in both Atrezzo/ANG notes section and with the DHS and Provider comment sections of the IHA in MMIS.
Providers do not need to submit clinical information to make any amendment or update to existing IHA’s.
Please contact Provider Help Desk at 651-431-2700 or email
dhs.healthcare-providers@state.mn.us for provider assistance with your claims/billing questions.
Archived Announcements by Year
On January 11, 2023 the Kepro Provider Portal will fully migrate to the new system and access to the old system will be turned off.
Training resources for the new system are located on the Training Page of the MHCP website, or by following this link: https://mhcp.kepro.com/training >Expand Atrezzo Provider Portal.
Please access the new system by following the link on the homepage of MHCP.Kepro.com or by clicking on this link: ANG Provider Portal Link.
Please contact the MN Customer Service team with any questions or issues related to signing in or accessing the new portal.
MN Customer Service: 866-433-3658 | MNproviderIssues@kepro.com
For each quadrant being requested, you must create a procedure line (IE: 4 quadrants will require 4 procedure entries). Then for each procedure line, you must choose the quadrant requested for that procedure line. Click here for detailed instructions.
MHCP Atrezzo Portal Administrator Training Video -- Administrators
MHCP Atrezzo Portal Login -- All users
MN Atrezzo Provider Portal System Training -- All users on full portal functionality.
These trainings can be found on the Training tab by expanding the Atrezzo Provider Portal Section.
On December 5th, 2022, the Atrezzo Provider Portal will be updated with a new and improved version.
Additional benefits include:
ASAM is providing a standardized version of the ASAM criteria to the public in the hopes of increasing the quality and consistency of patient assessments and individualized, patient centered care.
ASAM CRITERIA ASSESSMENT INTERVIEW GUIDE
Please see the July 26, 2022 e-memo from DHS for additional details:
7/26/22 Behavioral Health e-Memo.
-Posted 8/9/22
An updated DBT IOP Authorization Form, DHS 6322 has been released for immediate use.
This form can be found on the MN DHS website by following this link:
Please update your records and begin to submit all appropriate cases with this documentation.
Posted 6/24/22
** For additional information on authorization requirements refer to the below MHCP Provider Manual link**
https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=ID_008925
Posted March 8, 2022
ASAM is providing a standardized version of the ASAM criteria to the public in the hopes of increasing the quality and consistency of patient assessments and individualized, patient centered care.
ASAM CRITERIA ASSESSMENT INTERVIEW GUIDE
Please see the July 26, 2022 e-memo from DHS for additional details:
7/26/22 Behavioral Health e-Memo.
Providers, when creating a PA for DME and supplies, please use S=Supply as indicated below.
Kepro has added two new documents under the CMDE/EIDBI provider training tab.
These checklists have been created to assist providers with submitting EIDBI ITP and CMDE authorizations. Each case will be reviewed to ensure all necessary documentation has been provided and services requested meet medical necessity criteria outlined in EIDBI policy.
Effective Feb. 1, 2022, EIDBI providers are only required to complete a CMDE once every three years for people with autism spectrum disorder (ASD) or related conditions.
Families still may request a CMDE once per year, if they choose. Providers may complete CMDEs once per year without prior authorizations when clinically appropriate and within service limits listed on the EIDBI billing grid. For more information, visit the full announcement:
Change to EIDBI comprehensive multi-disciplinary evaluation (CMDE) policy.
Under Covered Services, we added In-line cartridge containing digestive enzymes (HCPCS code B4105) as a covered MHCP benefit beginning Oct. 1, 2021.
Click here for more detailed information in the DHS Manual.
Effective DATE 10/8/2021 - Please be advised Service Agreements will no longer be created for EIDBI requests for administrative reasons such as:
*Please note, this is not an all-inclusive list.
Reminder: All messages will be communicated through the Atrezzo Portal Message system. Please login to Atrezzo to check messages/notifications frequently. Please be advised when responding to requests for additional information, clinical rationale/medical necessity information must be captured within the physical record (written documentation) and not solely entered as a case note. Additionally, before submitting requests for EIDBI services, please check recipient eligibility to prevent delay in services. Kepro is the medical review agent for MN MA only.
The 0373T code with UB modifier for higher intensity intervention services has been added to the ITP form and effective as of Thursday 10/14/2021. This code and modifier are now available when creating Cases in the Kepro Atrezzo Portal.
A temporary peacetime emergency waiver allowing the recipient's verbal or electronic written approval of the ITP or change in the ITP for mental health services or assessments delivered through telehealth remains in effect beginning Sept. 1 2021, based on new legislation. You may document the recipient's verbal approval or electronic written approval of the treatment plan or change in the treatment plan instead of obtaining the recipient's signature.
This is effective Sept. 1, 2021 for providers of the following services:
Call the Minnesota Health Care Programs Provider Call Center at 651-431-2700 or 800-366-5411 if you have questions about this message.
Please be advised, effective Monday, August 2nd 2021, a new case will need to be created for recertification requests. Additionally, as a reminder, please complete the questionnaire.
For case submission - the only procedure code that can be submitted is 97151 with Modifier U8.
NOTE: You must attach the Comprehensive Multi-Disciplinary Evaluation (CMDE) Form with the Signature Page. This Form is available in the drop down selection when you are attaching your document(s).
The only procedure codes that can be submitted are: 97153, 97154, 97155, 97156, 97157, H0032, AND H0046 with modifier UB.
NOTE: You must attach the Individual Treatment Plan (ITP) Form with the Signature Page. This Form selection is available in the drop down when you are attaching your document(s).
Under Covered Services, we provided two examples of when both a portable and stationary ventilator may be covered.
Under Noncovered Services, we added a reminder that manual resuscitation bags are covered.
Under Authorization, we explained authorization requests for a second ventilator must include a letter of medical necessity and we added the criteria that must be addressed and documentation required in the letter of medical necessity.
Effective 08/10/2021 - The number of additional prophies approved for the current calendar year will be calculated based on the date of the first Prophy and MRC submitted on the questionnaire. The approved dates will be backdated to January 1st of the current year to allow for the authorization to be used for retrospective D1110 for the CURRENT calendar year.
Example:
1st Prophy date 08/02/2021, 3 MRC, 2 calendar year(s).
1 additional D1110 approved for the period 01/01/2021 to 12/31/2021. 3 additional D1110 approved for the period 01/01/2022 to 12/31/2022.
Reminder: Submit D1110 requests independent of other Dental Requests. D1110 requests submitted for auto-approval will receive authorization within 2 business days and for up to 2 calendar years.
PLEASE NOTE: Retrospective requests for the PRIOR calendar year must be submitted on a separate case.