Provider Manual

The IMCare Provider Manual is a reference guide to the policies and procedures governing Minnesota's Prepaid Medical Assistance, MinnesotaCare, Minnesota Senior Care Plus (MSC+), Minnesota Senior Health Options (MSHO), and details IMCare's requirements for prior authorizations, referrals, and claims submission.

This manual is meant to be used as general guidance.  It is not all encompassing of federal rules, state statutes and other regulatory guidance.

Provider Manual

  1. Acupuncture Services (PDF)
  2. Adult Mental Health Targeted Case Management (PDF)
  3. Ambulatory Surgical Services (PDF)
  4. Anesthesia Services (PDF)
  5. Behavioral Health Home Services (PDF)
  6. Billing Policy (PDF)
  7. Certified Community Behavioral Health Clinic (CCBHC) (PDF)
  8. Children's Services (PDF)
  9. Chiropractic Services (PDF)
  10. Clinic Services (PDF)
  11. Community Emergency Medical Technician (PDF)
  12. Community Health Worker (PDF)
  13. Community Paramedic Services (PDF)
  14. COVID-19 (PDF)
  15. Dental Services (PDF)
  16. Early Intensive Developmental and Behavioral Intervention (PDF)
  17. Health Care Programs and Services (PDF)
  18. Hearing Aid Services (PDF)
  19. Home and Community Based Services Elderly Waivers (PDF)
  20. Home Care Services (PDF)
  21. Hospice Services (PDF)
  22. Hospital Services (PDF)
  23. Housing Stabilization Services (PDF)
  24. Immunizations and Vaccinations (PDF)
  25. Inpatient Authorizations (PDF)
  26. Lab Path Rad Diagnostic Services (PDF)
  27. Long-Term Care (PDF)
  28. Optical Services (PDF)
  29. Personal Care Assistance Services (PDF)
  30. Pharmacy Services (PDF)
  31. Physician and Professional Services (PDF)
  32. Rehabilitation Services (PDF)
  33. Reproductive Health - Obstetrics and Gynecology (PDF)
  34. Requirements for Providers (PDF)
  35. Service Authorization (PDF)
  36. Substance Use Disorder Services SUD (PDF)
  37. Supplies and Equipment (PDF)
  38. Transportation Services (PDF)
  39. Tribal and Federal Indian Health Services (PDF)