exclamation icon

Member eligibility renewals are happening. Members - find out what to do to keep your insurance.

Updated Hennepin Health 2023 prior authorization requirements

  • 8/31/2023
  • •
  • •

September 1, 2023

Subject

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

Providers affected

All

Key points

  • Hennepin Health implemented changes to the prior authorization list beginning September 1, 2023. 
  • These changes include clarifying Early Intensive Developmental and Behavioral Intervention (EIDBI) prior authorization requirements, and removing the 54-visit authorization limit for skilled nurse visits for Special Needs BasicCare (SNBC) members.
     

Background

As of September 1, 2023, the below changes were made to Hennepin Health’s prior authorization list.

  • EIDBI – Hennepin Health added codes and descriptions for specific interventions that require authorization. The EIDBI CPT/HCPC codes requiring authorization include:

- Intervention – Individual: Adaptive behavior (97153UB)
 - Intervention – Group: Adaptive behavior (97154UB)
- Intervention – Higher intensity: Adaptive behavior (0373T)
- Intervention – Individual: Observation and direction (97155UB)
- Family or caregiver training and counseling – Individual (97156UB)
- Family or caregiver training and counseling – Group (97157UB)
- Travel time (H0046UB)

  • Skilled nurse visits – Hennepin Health removed the 54-visit authorization limit for skilled nurse visits for SNBC members. All skilled nurse visits for SNBC members now require authorization.  

Resources

 

Hennepin County logo© Hennepin County, Minnesota