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Frequently asked questions for Hennepin Health SNBC plan members who joined April 1, 2025.

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Provider updates

Provider updates includes news, notifications and items of interest for Hennepin Health providers.

ASAM webpage and readiness tools


The Minnesota Department of Human Services (DHS) has created a webpage for American Society of Addiction Medicine (ASAM) resources to help Minnesota substance use disorder providers.
  • 04/23/2025
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Webinar: Improving childhood immunization rates

A webinar about trends related to declining immunization rates throughout the state and strategies to address vaccine hesitancy.

  • 04/23/2025
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2025 Q2 Drug Formulary Change Notification

Hennepin Health has made several changes to the drug formulary.
  • 04/01/2025
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New provider education resources

Hennepin Health has added new provider education resources to our website.
  • 03/28/2025
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New member and provider resources posted on the Hennepin Health website

Review recently posted resources to Hennepin Health's website.
  • 03/12/2025
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2025 Q1 Drug Formulary Change Notification

  • 02/28/2025
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Dental openings for Hennepin Health members

More dental appointments are now available for pediatric Hennepin Health members throughout the Delta Dental of Minnesota network. Adult Hennepin Health members can also schedule dental appointments throughout the Delta Dental network, which is Hennepin Health’s dental partner.
  • 02/25/2025
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Updates to prior authorization requirements

Hennepin Health made updates to prior authorization (PA) requirements starting January 1, 2025. 
  • 01/31/2025
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Provider manual updates for 2025

Hennepin Health has made recent updates to its provider manual for 2025. 
  • 12/30/2024
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2024 Q4 Drug Formulary Change Notification

Hennepin Health is making several changes to its drug formulary for Q4 2024. 
  • 12/01/2024
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2025 Q1 Drug Formulary Change Notification

Hennepin Health is making several changes to its drug formulary for Q1 2025. 
  • 12/01/2024
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2025 changes to Substance Use Disorder (SUD) and mental health room and board charges

Starting Jan. 1, 2025, Hennepin Health will begin covering room and board charges associated with SUD and mental health services for MinnesotaCare members only. 
  • 11/21/2024
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Providers to submit 837 claim transactions to Change Healthcare on Dec. 9

Starting Dec. 9, providers will need to submit all 837 claim transactions to Change Healthcare instead of Availity. 
  • 11/19/2024
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Updated Minnesota Uniform Credentialing Applications take effect Jan. 1, 2025

Starting Jan. 1, 2025, providers submitting initial or re-credentialing applications to Hennepin Health must use the new Minnesota Uniform Credentialing Applications that include new disclosure questions.
  • 11/19/2024
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Claims and eligibility checks process update, provider portal now functional, and remit processing transitioning back to PCS/Change Healthcare

Providers may now perform 270/271 eligibility checks and 276/277 claims status checks via direct clearinghouse connection and via the Change Healthcare ConnectCenter. 
  • 11/14/2024
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Providers encouraged to discuss advance care planning

Providers are encouraged to discuss advance care planning with patients. 
  • 11/05/2024
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Webinar: Focused strategies to improve colorectal cancer screenings

Providers interested in learning about colorectal cancer screening modalities and best practices in improving screening rates for adults ages 45–55 may attend a webinar hosted by the American Cancer Society and Boston Scientific. The webinar is Nov. 14 from noon–1 pm CT. 
  • 11/05/2024
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Hennepin Health members can get free COVID and flu shots, COVID tests

It's free and easy for Hennepin Health members to get their COVID and flu vaccines this fall and winter, as well as free COVID tests. 
  • 10/17/2024
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Webinar: Changing the narrative on mental health and suicide

Providers interested in learning more about mental health and suicide prevention may attend an upcoming webinar on Tuesday, Oct. 22, from noon to 1 pm. 
  • 10/04/2024
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2024 Q3 Drug formulary change notification

Hennepin Health is making several changes to its drug formulary for Q3 effective Sept. 1, 2024.
  • 08/30/2024
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Recorded webinars now available: Improving care for people with co-occurring diabetes and depression

Recorded webinars are available for health care providers interested in learning how to improve care for people with co-occurring diabetes and depression.
  • 08/28/2024
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Hennepin Health members now eligible for free car seats through Milk Moms program

Effective August 1, 2024, Milk Moms can provide child safety seat services to eligible Hennepin Health members. 
  • 08/15/2024
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2024 Q3 Drug formulary change notification

Hennepin Health made several changes to its drug formulary for Q3 2024. 
  • 07/31/2024
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Certain providers must enroll for electronic visit verification (EVV) compliance by Sept. 1

The Minnesota Department of Human Services (DHS) will begin enforcing EVV compliance effective Sept. 1, 2024, for all providers whose services require the use of EVV. 
  • 07/24/2024
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Service authorization request form update

When using the service authorization request form, providers now have the option to check one of three options regarding the nature of their request: retro, current/standard, or urgent.
  • 06/18/2024
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Q2 Drug formulary change notification

Hennepin Health is making several changes to its drug formulary for Q2 2024. 
  • 06/01/2024
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Hennepin Health releases 2023 Annual Report

Hennepin Health’s 2023 Annual Report is now available for providers to review. 
  • 05/09/2024
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Answers to common Availity questions

In response to the Change Healthcare cybersecurity issue, 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. Here are some answers to common questions that Hennepin Health is receiving from providers about Availity.
  • 04/25/2024
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Important updates for providers on claims submissions to Hennepin Health

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.

  • 03/27/2024
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Q1 drug formulary change notification

Hennepin Health is making a change to its drug formulary for Q1 2024 effective March 15.
  • 03/15/2024
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Change Healthcare Experiencing Cybersecurity Issue

Change Healthcare is experiencing a cybersecurity issue impacting claims submission and eligibility verification with Hennepin Health.  
Hennepin Health is closely monitoring the situation and is in contact with Change Healthcare as the situation continues. 
 
  • 03/01/2024
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Member rewards and incentives

Hennepin Health offers members a variety of rewards and incentives for staying up-to-date with their health care.

  • 02/12/2024
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2024 Q1 drug formulary change notification

Hennepin Health is making a change to its drug formulary for Q1 2024.
  • 02/01/2024
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Housing Stabilization Services (HSS) 2024- update

Review changes to a new Remote Support modifier and upcoming process changes for the Moving Expense benefit. 
  • 01/31/2024
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Review resources for Hennepin Health members

  • 01/31/2024
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Changes to claims pre-processing electronic data interchange (EDI) starting Feb. 18, 2024

Beginning Feb. 18, Hennepin Health will implement an 837I pre-processing EDI change.
  • 01/18/2024
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2024 prior authorization requirements

Hennepin Health prior authorization requirements for 2024.

  • 01/03/2024
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Drug formulary changes for 2024 Q1

Hennepin Health has made several changes to its drug formulary that impacts members of all plans. Read about which medications were changed.

  • 12/29/2023
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Drug formulary changes for Q4 2023 - update

Hennepin Health is making several changes to its drug formulary for Q4 2023. The changes apply to all Hennepin Health members.
The updated full drug formulary is available online. A printed copy can be obtained by calling Provider Services.
  • 12/28/2023
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2024 changes to doula services and reimbursement

In 2024, doulas will no longer be required to bill under a supervising provider. 

  • 12/20/2023
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New phone number for Navitus Health Solutions (Navitus)

There is a new phone number for our pharmacy vendor, Navitus Health Solutions (Navitus), beginning Jan. 1, 2024.

  • 12/12/2023
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Hennepin Health discontinues eApply on January 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.

  • 12/01/2023
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Monthly billing of end-stage renal disease

Hennepin Health now requiring providers treating outpatient end-stage renal disease (ESRD) to bill monthly.

  • 11/14/2023
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HHS resources for providers about telehealth privacy and security risks

U.S. Department of Health and Human Services (HHS) issues resources for health care providers about telehealth privacy and security risks.

  • 11/14/2023
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Drug formulary changes for 2023 Q4

Hennepin Health has made several changes to its drug formulary that impacts members of all plans. Read about which medications were changed.

  • 10/02/2023
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Flu shot season

All Hennepin Health members are encouraged to get a flu shot. We have developed a list of local pharmacies for where they can go. 
  • 10/02/2023
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Residential SUD providers must enroll as 1115 demonstration project providers

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.

  • 09/28/2023
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Help members with Medical Assistance or MinnesotaCare keep their health insurance

Hennepin Health members with Medical Assistance or MinnesotaCare insurance must renew their eligibility. Members should be aware of the renewal process and complete renewal requirements to avoid losing health insurance. Members and providers can visit mn.gov/dhs/renewmycoverage to learn more about renewing health insurance.
 

 
  • 09/18/2023
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Updated Hennepin Health 2023 prior authorization requirements

Changes to Hennepin Health prior authorization list starting Sept. 1, 2023.

  • 08/31/2023
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Drug formulary changes for 2023 Q3

Hennepin Health has made several changes to its drug formulary that impacts members of all plans. Read about which medications were changed.

  • 08/31/2023
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Substance use disorder (SUD) claim reimbursement bulletin

Important SUD provider information regarding claims, rates, and billing questions.
  • 08/22/2023
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Hennepin Health releases 2022 Annual Report

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.

  • 07/24/2023
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Targeted case management provider interactive video UPDATE

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.

 
  • 07/19/2023
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New version of Professional Statement of Need form for Housing Stabilization Services providers

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.

  • 07/11/2023
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2023 Q2 drug formulary change notification – update

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.

  • 06/15/2023
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Clarification for billing with a GY modifier when Medicare is the primary insurance

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.

  • 06/13/2023
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Minnesota Provider Screening and Enrollment (MPSE) portal training session from DHS

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.

 
  • 06/06/2023
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Updated Hennepin Health 2023 prior authorization requirements

Hennepin Health recently updated 2023 prior authorization requirements with a June 2023 posting. There are four main updates to the 2023 prior authorization list.

  • 06/06/2023
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Drug formulary changes for 2023 Q2

Hennepin Health has made several changes to its drug formulary that impacts members of all plans. Read about which medications were changed.

  • 05/30/2023
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At-home digital blood pressure cuffs are covered for pregnant members

Digital blood pressure cuffs are a covered service for pregnant members to use at home. Providers can write an order for this service and submit it to a durable medical equipment (DME) provider, who would then deliver it to the member.
 
  • 05/30/2023
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New provider portal launched

Hennepin Health has launched a new provider portal which allows providers to check member eligibility and claim status in real time.

  • 05/10/2023
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System issue with UMPI numbers

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.

 
  • 05/10/2023
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EIDBI Meet and Greet event

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 

  • 05/02/2023
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Targeted case management provider interactive video

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.

  • 05/02/2023
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Drug formulary changes for 2023 Q1

Hennepin Health has made several changes to its drug formulary that impacts members of all plans. Read about which medications were changed.

  • 02/28/2023
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Drug formulary changes for 2022 Q4-December 22

We have made several changes to our drug formulary that impacts members of all plans. Read about which medications were changed.

  • 12/21/2022
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EIDBI resource guide presentation

A resource guide for EIDBI (Early Intensive Developmental and Behavioral Intervention) providers serving Hennepin Health members.
  • 12/08/2022
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Drug formulary changes for 2022 Q4-December

We have made several changes to our drug formulary that impacts members of all plans. Read about which medications were changed.

  • 11/30/2022
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Drug formulary changes for 2022 Q4

We have made several changes to our drug formulary that impacts members of all plans. Read about which medications were changed.

  • 11/03/2022
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Non-designated provider referrals for the Restricted Recipient Program

Referrals to a non-designated provider that are received more than 90 days from the date of service will not be reimbursed.
If the referral is received from the designated provider less than 90 days from the date of service, an authorization will be entered in the care management system.
  • 09/22/2022
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Providing telehealth to Hennepin Health members

Hennepin Health has produced an updated Provider Bulletin with information on telehealth services.
  • 09/22/2022
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Drug formulary changes for 2022 Q3 September

We have made several changes to our drug formulary that impacts members of all plans. Read about which medications were changed.

  • 09/13/2022
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Member Service Center Open House

You are invited to the new Member Service Center Open House on September 28.
  • 09/13/2022
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Drug formulary changes for 2022 Q3 August

We have made several changes to our drug formulary that impacts members of all plans. Read about which medications were changed.

  • 08/05/2022
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Drug formulary changes for 2022 Q3

We have made several changes to our drug formulary that impacts members of all plans. Read about which medications were changed.

  • 07/07/2022
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2022 clinical practice guidelines

Hennepin Health’s Clinical Quality Outcomes Committee formally adopted five medical clinical practice guidelines, three behavioral health and two substance use clinical practice guidelines from nationally or locally recognized sources. 
  • 06/13/2022
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Drug formulary changes for 2022 Q1

Hennepin Health has made several changes to its drug formulary that impacts members of all plans. Read about which medications were changed.
  • 01/25/2022
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