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.

Please note that Chapters 3, 25, 29 and 30 have been intentionally left blank. Chapter 16 - Mental Health Services and Chapter 19 - Dental Services are currently being updated.

Provider Manual

  1. Chapter 1 Requirements for Providers (PDF)
  2. Chapter 2 Health Care Programs and Services (PDF)
  3. Chapter 4 Billing Policy (PDF)
  4. Chapter 5 Service Authorization (PDF)
  5. Chapter 6 Physician and Professional Services (PDF)
  6. Chapter 7 Anesthesia Services (PDF)
  7. Certified Community Behavioral Health Clinic (PDF)
  8. Chapter 8 Clinic Services (PDF)
  9. Chapter 9 Childrens Services (PDF)
  10. Chapter 9A Immunizations and Vaccinations (PDF)
  11. Chapter 10 Reprod Health OBGYN (PDF)
  12. Chapter 11 Lab Path Rad Diagnostic Services (PDF)
  13. Chapter 12 Ambulatory Surgical Services (PDF)
  14. Chapter 13 Inpatient Authorizations (PDF)
  15. Chapter 14 Hospital Services (PDF)
  16. Chapter 15 Chemical Dependency (PDF)
  17. Substance Use Disorder Services SUD (PDF)
  18. Chapter 17 Rehabilitative Services (PDF)
  19. Chapter 18 Chiropractic Services (PDF)
  20. Chapter 20 Eyeglass and Vision (PDF)
  21. Chapter 21 Transportation Services (PDF)
  22. Chapter 22 Pharmacy Services (PDF)
  23. Chapter 23 Supplies and Equipment (PDF)
  24. Chapter 24 Personal Care Assistance Services (PDF)
  25. Chapter 24A Home Care Services (PDF)
  26. Chapter 26 Home and Community Based Services Elderly Waivers (PDF)
  27. Chapter 27 Long-Term Care (PDF)
  28. Chapter 28 Hospice Services (PDF)
  29. Chapter 31 – Tribal and Federal Indian Health Services (PDF)
  30. Chapter 32 COVID-19 (PDF)