This information is for people enrolled in Medical Assistance (MA) and MinnesotaCare who get medical services through fee-for-service coverage (county workers may use the term “straight MA”). This means that you will not be enrolled in a health plan. 

You need to see medical providers that are enrolled with the state and the state pays providers for each service they provide. Continue reading to see who to call for help, how to find a provider, and learn what services are covered.

Fee-for-service member handbook (PDF)

What’s new in benefits and coverage

2025 Annual Benefits and Eligibility Notice for MHCP Members (DHS-6525L) (PDF)

January 2026 changes:

  • Home births are now covered for members when their doctor identifies them as low-risk for problems in pregnancy and delivery.
  • Swim lessons are now covered for Medical Assistance members with a disability, who are under age 12 and receive Community First Services and Supports (CFSS) or Consumer-Directed Community Supports (CDCS) waivers.
  • Members that are 21 years old and older can’t get chiropractic care.
  • Physical therapy is limited to 14 visits per year and occupational therapy is limited to 24 visits per year. Health care providers can request an authorization for more visits.

Medical Assistance (PDF): Learn about basic coverage available to fee-for-service MA members

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8573-ENG

MinnesotaCare (PDF): Learn about how to find a healthcare provider, what services you can get and how much they cost.

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8573c-ENG

Dental Services (PDF): Learn about the basic dental services Medical Assistance covers.

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8573B-ENG

Non-Emergency Medical Transportation (PDF): Learn how Medical Assistance enrollees can use non-emergency medical transportation

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8573A-ENG

Child and Teen Checkups (PDF): Learn how to get your children the healthcare they need

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8573D-ENG

Abortion Services (PDF): Learn about Medical Assistance and MinnesotaCare coverage for abortions and abortion-related services

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8573E-ENG

Telehealth (PDF): Learn how you can receive health care using your phone or computer (Available in Hmong, Oromo, Somali, Spanish, Russian and Vietnamese)

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Contact info

Have a question or need to update your information and don’t know who to call? Use this quick reference guide to learn who to call for assistance with your question, or to update your information: Page 10

If you have questions about applying for or renewing your Medical Assistance, you may need to call your county or Tribe.

Find your local county or Tribal office

Look for your member ID card in the mail: Page 13 or search PDF for "Member ID"

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=13

Find a health care provider: Page 13 or search PDF for "Health care provider"

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=13

Find a ride to your health care appointment: Page 13 or search PDF for "Plan a ride"

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=13

Request an interpreter: Page 14 or search PDF for "Request an interpreter."

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=14

Maintain your Medical Assistance and MinnesotaCare eligibility: Page 14 or search PDF for "Maintain your eligibility."

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=14

Look for your member ID card in the mail: Page 13 or search PDF for "Member ID"

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=13

Medical Assistance members do not have any copays: Page 16 or search PDF for "Understanding your costs"

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=16

Some MinnesotaCare members have copays: Page 16 or search PDF for "Understanding your costs"

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=16

Some people may be eligible for Medical Assistance with a "spenddown" which is like a deductible. Members are responsible for the health care expenses that are part of the spenddown: Page 16 or search PDF for "Spenddown"

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=16

Health care providers can bill you for certain services: Page 18 or search PDF for "Health care providers bill you"

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=18

Finding Medicaid payment rates: Not part of member handbook

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Primary Care, urgent care, and emergency room care: Getting care in the right place for your condition: Page 19 or search PDF for "Levels of care"

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=19

Finding a family doctor who gets to know you year after year: Page 19 or search PDF for "Member ID"

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=19

Getting approval for a health care service that is not always covered: Page 20 or search PDF for "Approvals for services"

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=20

Getting a second opinion: Page 21 or search PDF for "Second opinions"

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=21

Covered services

The following services may be covered by fee-for-service Medical Assistance and MinnesotaCare. Consult with your provider to determine if the service is medically necessary.

Acupuncture: Page 23 or search for "Acupuncture"

Audiology services: Page 24 or search for "Audiology services"

Autism services for children: Page 25 or search for "Autism services for children"

Birth control: Page 37 or search for "Birth control"

Chemical dependency: Page 68 or search for "Substance use disorder"

Child and Teen Checkups: Page 27 or search for "Child and Teen Checkups"

Chiropractic: Page 29 or search for "Chiropractic"

Cochlear implants: Page 30 or search for "Cochlear implants"

Day support services: Page 31 or search for "Day support services"

Dental services: Page 33 or search for "Dental services"

Dermatology: Page 35 or search for "Dermatology"

Dialysis for End Stage Renal Disease: Page 36 or search for "Dialysis for End Stage Renal Disease"

Disability services: Page 85 or search for "Disability services"

Doctor visits: Page 62 or search for "Doctor visits"

Early Intensive Developmental and Behavioral Intervention (EIDBI): Page 25 or search for "Early Intensive Developmental and Behavioral Intervention (EIDBI)"

Eyeglasses and eye exams: Page 55 or search for "Optical services"

Family planning: Page 37 or search for "Family planning"

Hearing aids: Page 24 or search for "Hearing aids"

Home care services: Page 39 or search for "Home care services"

Hospice: Page 41 or search for "Hospice"

Hospital inpatient (with an overnight stay): Page 42 or search for "Hospital inpatient"

Hospital outpatient (with no overnight stay): Page 44 or search for "Hospital outpatient"

Immunizations and vaccinations: Page 46 or search for "Immunizations and vaccinations"

Individualized Education Program (IEP): Page 47 or search for "Individualized Education Program (IEP)"

Labs and diagnostic tests: Page 49 or search for "Labs and diagnostic tests"

Medical equipment and supplies (DME): Page 50 or search for "Medical equipment and supplies (DME)"

Medication: Page 59 or search for "Medication"

Mental and behavioral health: Page 52 or search for "Mental and behavioral health"

Nonemergency medical transportation (NEMT): Page 53 or search for "Nonemergency medical transportation (NEMT)"

Optical (eyeglasses): Page 55 or search for "Optical services"

Personal Care Assistance (PCA) and Community First Services and Supports (CFSS): Page 57 or search for "Personal Care Assistance (PCA) and Community First Services and Supports (CFSS)"

Pharmacy: Page 59 or search for "Pharmacy"

Physician services: Page 62 or search for "Physician services"

Pregnancy: Page 65 or search for "Pregnancy"

Rehabilitation services (PT, OT, SLP): Page 67 or search for "Rehabilitation services (PT, OT, SLP)"

Therapy (e.g. mental health): Page 52 or search for "Therapy (e.g. mental health)"

Substance use disorders: Page 68 or search for "Substance use disorders"

Surgery: Page 72 or search for "Surgery"

Transplants: Page 73 or search for "Transplants"

Transportation to appointments: Page 53 or search for "Nonemergency medical transportation"

Waiver services: Page 74 or search for "Waiver programs"

If you have experienced discrimination, you can report it: Page 75 or search for "Civil Rights"

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=75

If you were denied a health care service, you can appeal it: Page 77 or search for "Appeals"

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=77

Know your rights and responsibilities: Page 82 or search for "Member rights"

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=82

Learn about protection and privacy of your health care information: Page 77 or search for "Privacy rights"

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=77

Get information on other organizations for your health and wellbeing: Page 84 or search for "Resources for Your Health"

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG#page=84