|
HealthPartners will no longer be a health plan option for Special Needs BasicCare (SNBC) members beginning April 1, 2025.
Approximately 4,300 HealthPartners SNBC members in the counties of Anoka, Benton, Carver, Chisago, Dakota, Ramsey, Scott, Sherburne, Stearns, Washington and Wright will be moved to and will access their health care services though Medical Assistance fee-for-service beginning April 1, 2025. Many of these members have existing authorizations through HealthPartners, and Minnesota Department of Human Services (DHS) will honor most of these existing authorizations.
DHS asks providers to help members transitioning from HealthPartners by submitting authorization requests to DHS’s authorization agents so these members may continue receiving services.
What do providers need to do for transition to fee-for-service?
Members who have approved authorizations with HealthPartners for services on or after April 1, 2025, will need new authorizations from Minnesota Health Care Programs (MHCP).
If you are currently an MHCP-enrolled provider, submit authorization requests to our authorization agents, Acentra Health for medical or dental or Prime Therapeutics for physician administered drugs. If the services were authorized by HealthPartners, include a copy of the approval notice. Refer to the MHCP Provider Manual sections for Authorization or Drug Authorization process and documentation requirements for services that were not authorized by HealthPartners.
If you are an MCO In-Network only provider and want to continue to provide service to your member, you will first need to Enroll with MHCP. Once you are approved and enrolled with MHCP, you should submit an authorization request.
Additional Reference
SNBC HealthPartners members received letters from DHS in March 2025 informing them of their new coverage. Refer to the Important Notice for HealthPartners Inspire Special Needs BasicCare (SNBC) Members (PDF) to review the letter.
|
