Medical, Dental & Pharmacy

• Medical
  • Ambulatory Surgical Services
    • Billing
    • Covered Services
  • Children's Services
    • Billing
    • Resources
  • Chiropractic
    • Covered Services
    • Non-Covered Services
    • Billing
  • Clinic Services
    • Community Health Clinic
    • Community Health Worker
    • FQHC
    • Health Care Home
    • Preventive
    • Public Health Clinic
  • Community First Services and Supports (CFSS)
  • Early Intensive Development and Behavioral Intervention (EIDBI)
  • Equipment and Supplies
    • Covered Services
    • Documentation of Orders
    • Non-Covered Services
    • Billing
  • HCBS
    • Covered Services
    • Authorization of Services
    • Moving Home Minnesota (MHM)
    • Billing
  • Hearing Services
  • Home Care Services
    • Forms
    • Home Care Nursing (HCN) Services
    • Home Health Aid (HHA) Services
    • Rehabilitation Therapies
    • Skilled Nurse Visits (SNVs)
    • Non-Covered Services
    • Billing
  • Hospice Services
    • Billing
    • Covered Services
  • Hospital Services
    • Hospital In-Reach Service Coordination (IRSC)
    • Inpatient Services
    • Notifications and Authorization
    • Outpatient Hospital Services
    • Non-Covered Services
    • Billing
  • Housing Stabilization Services
  • Immunizations and Vaccinations
    • Billing
    • Covered Services
  • Laboratory/Pathology, Radiology, and Diagnostic Services
    • Covered Services
  • Language Interpreter Services
    • Billing
  • Long-Term Care
    • Eligible Members
    • Covered Services
    • Swing Bed Hospital Services
    • Billing
  • Medication Reconciliation
    • Billing
    • Medication Reconciliation FAQ
  • Mental Health Services
    • Covered Services
    • Non-Covered Services
  • Optical Services
    • Contact Lenses
    • Eyeglasses
    • Vision Therapy
    • Non-Covered Services
    • Billing
  • Personal Care Assistance (PCA) Services
    • Individual PCA Requirements
    • Qualified Professionals
    • Shared Care
    • Non-Covered Services
    • Billing
  • Physician and Professional Services
    • Covered Services
    • Non-Covered Services
    • Billing
  • Recuperative Care
  • Rehabilitation Services
    • Authorization
    • Augmentation Communication Devices
    • Non-Covered Services
    • Billing
  • Renal Dialysis
  • Restricted Recipient Program
  • School-Based Community Services
  • Substance Use Disorder
    • Non-Covered Services
    • Billing
    • SBIRT
  • Telehealth Services
  • Transportation
    • Covered Services
    • Ambulance
    • Authorization Requirements
    • Community Emergency Medical Technician (CEMT) Services
    • Community Paramedic Services
    • PrimeWest Health Administered NEMT
    • Non-Covered
    • Billing
  • Tribal and Federal Indian Health Services
    • Billing
    • Covered Services
•  
• Dental
  • Covered Services
    • Alveoloplasty/Gingivectomy
    • Anesthesia
    • Basic Screen Survey
    • Fluoride Varnish Application (FVA)
    • Sleep Apnea Appliance
    • Teledentistry
    • Temporomandibular Joint Disorder (TMD)
  • Non-Covered Services
  • Billing
    • Critical Access Dental Payment Program
    • Dental Procedures with Current CPT Codes
  • Submitting Dental Service Authorization Requests
•  
• Pharmacy
  • Clinical Pharmacy Determinations
  • Long-Term Care Facilities (Medicare
    Part A)
  • Medicare Part B
  • Medicare Part D
  • MTM
  • NCPDP Telecommunication Reject Codes
  • Formularies
  • Formulary Exception Process