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.
Hennepin Health is required by the Minnesota Department of Human Services to have a grievance system in place that includes grievances, appeals, DTRs and state fair hearings. Effective January 1, 2018, some changes to the grievances, appeals and state fair hearings processes will take place.
Effective February 1, 2018, Hennepin Health will require ASC providers to submit claims utilizing the 837I transaction. If a claim is received on or after this date from an ASC provider utilizing the 837P transaction, it will be denied.
Hennepin Health has completed its 2017 annual HEDIS measure reporting. Results are available in the accompanying PDF document.
At this time, Hennepin Health’s provider network is closed for all provider types except chiropractic, acupuncture, federally qualified health centers and essential community providers.
Effective January 1, 2018, all pharmacy locations at the following retail stores will no longer be in Hennepin Health’s pharmacy network:
Effective January 1, 2018, EIDBI Level III providers will be required to enroll with the Minnesota Department of Human Services for Minnesota Health Care Programs.
Hennepin Health recently made updates to the electronic remittance advice. These changes are a result of new business processes and ensure Hennepin Health’s electronic remittance advices comply with ANSI Version 5010A1 835 requirements specified in the Technical Report Type 3.
Hennepin Health has confirmed that the 2018 updates to the International Classification of Diseases, Tenth Edition (ICD-10) released from the Centers for Medicare and Medicaid Services (CMS) are in effect with our claims processing vendor. This system update includes both ICD-10 CM and ICD-10 PCS. Claims for dates of services starting October 1, 2017 through September 30, 2018 are to be coded with this most recent code release.
Hennepin Health identified an error on the Remittance Advice published October 11, 2017. The claim adjustment reason code on all primary paid claims was reported as OA-23. This adjustment reason code should have reported as CO-45.
The MN Department of Human Services has made several changes to the Child and Teen Checkup (C&TC) schedule of periodic screenings and well-child examinations that went into effect on October 1, 2017.
Hennepin Health members can get flu shots through the pharmacy network in addition to the clinical setting. Attached is the Navitus-contracted pharmacy network where members are able to get a flu shot.
Based on feedback received from providers who utilize the Hennepin Health provider portal, several enhancements are being made to improve efficiency when using the system. These changes are outlined below, including snapshots of how the screens will look when the changes take effect on September 29, 2017.
As part of a collaborative PIP, UCare, HealthPartners, Medica, Blue Cross and Blue Shield of MN, and Hennepin Health with support from Stratis Health have teamed up to reduce disparity in antidepressant medication adherence by focusing attention on multiple interventions, including a provider toolkit.
Hennepin Health made several Q3 changes to its drug formulary applicable to all members.
Two new screenings have been added to the Minnesota Newborn Screening Panel effective August 1, 2017.
This webinar will discuss trauma in communities of color. The focus will be on delivering quality mental health services in a culturally appropriate way, and understanding the barriers and solutions in serving this population.
Effective 9/1/17, Hennepin Health is encouraging providers to submit claims with CPT Category II codes, which will simplify data collection for the purposes of performance measurement.
Hennepin Health has completed its first quarterly fee schedule update process and the July 2017 DHS fee schedule became effective August 15, 2017.
In line with the Minnesota Department of Human Services (DHS), Hennepin Health will implement a rate increase of 1.642% for PCA services. The new rate will apply to dates of service on or after January 1, 2018. Please contact Hennepin Health Member Services at 612-596-1036 (select the provider services option) with any questions.
The 120-day window to transition to in-network providers for members who transitioned to Hennepin Health from Medica on May 1, 2017 will be closing on August 28, 2017.
Hennepin Health has made several Q2 changes to its drug formulary applicable to Hennepin Health-MNCare, Hennepin Health-PMAP and Hennepin Health-SNBC members.
In this webinar, NAMI Minnesota will talk about risk factors, warning signs, stigma, treatment, recovery and resources for anxiety in older adults.
Effective July 1, 2017, Hennepin Health will update both the DHS and CMS monthly fee schedules on a quarterly basis unless regulatory requirements dictate a different timeline. This change applies to all Hennepin Health products and providers.
In this webinar, NAMI Minnesota will talk about risk factors, warning signs, stigma, treatment, recovery and resources for depression in older adults.
Effective May 4, 2017, all inpatient notifications and authorization requests should be faxed to Hennepin Health at 612-288-2878. Please update your contact information to reflect this new number. The inpatient services notification/authorization request can be accessed online.
Effective May 1, 2017, Medica will no longer be a health plan option for Hennepin County residents with Medical Assistance or MinnesotaCare, which means Hennepin Health will see a significant increase in its PMAP and MNCare membership as of this date. Hennepin Health is committed to ensuring that all new members - as well as providers - experience a smooth transition.
Personal care assistant (PCA) services are available for new Hennepin Health-PMAP and Hennepin Health-MNCare members transitioning from Medica.
Effective May 1, 2017, Hennepin Health made several changes to its drug formulary applicable to all members.
Hennepin Health recently completed a focused study on pain management, and pain medication prescribing and treatment.
Hennepin Health is pleased to announce the addition of Children’s to its PMAP/MNCare network effective April 1, 2017.
Effective May 1, 2017, Medica will no longer be a health plan option for Hennepin County residents with Medical Assistance or MinnesotaCare (MNCare), which means Hennepin Health will see a significant increase in its PMAP and MNCare membership as of this date.
This webinar will discuss the delivery of mental health services to the Latino population. The focus will be on delivering these services in a culturally appropriate way, and better understanding the barriers and solutions to providing this population with quality mental health services.
Effective 2/1/17, transaction file names will change for Electronic Data Interchange (EDI) 837I, 837P and 835 transactions.
Hennepin Health’s Quality Management Committee formally adopted nine medical practice guidelines from the Institute for Clinical Systems Improvement, the United States Preventive Services Task Force and the Minnesota Community Measurement D 5 (Diabetes) Program for 2017.
Hennepin Health has made several changes to its drug formulary that will become effective on February 1, 2017.
This is the fourth and final webinar in Dr. Kroupin's series that has explored the refugee experience as it relates to behavioral health. This session will focus on working with interpreters as part of the clinical team and the therapeutic process of treating behavioral health issues in refugees.
Studies have shown that language barriers can make it difficult for patients to understand their medications, which is why it's critical that pharmacies provide translation services or have translated information available for non-English speaking patients.
The antidepressant medication management provider toolkit is part of a performance improvement project that’s a collaborative effort among Blue Cross, HealthPartners, Hennepin Health, Medica and UCare with project support provided by Stratis Health.