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Minnesota rates for substance use disorder (SUD) treatment services have changed due to approval of state plan amendments. Changes included:
- Minnesota has adopted the 1115 SUD waiver base rates to be used for SUD treatment services where applicable. This change allows services provided to Behavioral Health Fund recipients (major program OO*) to be paid at the same rate as Medical Assistance (MA) recipients.
Resubmit claims for residential treatment services for members in major program OO Behavioral Health Fund Residential services providers must resubmit claims for major program OO for dates of service July 1, 2024 through Feb. 28, 2025, using the current value 24 code from Residential Value Codes for Billing Direct Access table to be reimbursed at the higher rate.
Nonresidential/outpatient services DHS has already reprocessed nonresidential claims with dates of service beginning Jan. 1, 2025. The reprocessed claims will show up on Remittance Advice for March 14, 2025.
Call the MHCP Provider Resource Center at 651-431-2700 or 800-366-5411 if you have any questions about this message. Email questions about state plan amendments, SUD residential and outpatient rates to sud.direct.access.dhs@state.mn.us.
* Minnesota's Behavioral Health Fund (BHF) and substance use disorder (SUD) services, "OO span" refers to the six-month eligibility period for accessing treatment services through the BHF, determined by the county of residence and based on financial eligibility.
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