Minnesota Medicaid: Your claims may be denied if you’re not enrolled before Oct. 1

Starting Oct. 1, 2024, the Minnesota Health Care Programs (MHCP) has instructed all managed care organizations (MCOs) to deny claims filed by providers who are not enrolled in the Medicaid program but are contracted with the MCO or have recently billed as an MCO network provider.

We will begin denying claims with a service date of Oct. 1 from providers identified by their NPI as not being enrolled with the state.

How to enroll

To ensure compliance with the federal mandate, providers must submit their enrollment application as soon as possible. Providers contracted with multiple MCO plans need only to submit a single MHCP enrollment request.

All Medicaid providers must enroll through the Minnesota Department of Human Services (DHS). The process includes rendering, ordering, referring and prescribing providers of services to managed care members, depending on their specialty.

Note: Enrolling with MHCP does not mean you are required to deliver services to fee-for-service members.

For information on the certification and licensure requirements and the enrollment process, go to the Enrollment with Minnesota Health Care Programs (MHCP) page on the Minnesota DHS site.

Questions?

Go to the MHCP Provider Resource Center for phone number options and additional resources, or contact us at mn-csproviderrelations@uhc.com.

PCA-1-24-02735-UHN-NN_09132024