MCO contacts for MHCP providers
Minnesota Health Care Programs (MHCP) providers can contact the managed care organizations (MCOs) using the phone and fax numbers listed for each MCO. Refer members to health plan member services phone numbers.
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Minnesota Health Care Programs (MHCP) providers can contact the managed care organizations (MCOs) using the phone and fax numbers listed for each MCO. Refer members to health plan member services phone numbers.
Blue Plus
Network Management
1800 Yankee Doddle Rd. Eagan, MN 55122
| MCO contact | Contact Information |
|---|---|
| Provider Service Center | 866-518-8448 |
| Behavioral Health | 866-518-8448 |
| Chiropractic | 866-518-8448 |
| Claims | 866-518-8448
(Fax Attachments to: 833-224-6929) |
| Clinical Services | 866-518-8448
(Fax PMAP, MSC+ and Minnesota Care: 844-480-6839) (Fax MSHO: 866-959-1537) |
| Dental | Minnesota Select Dental: 651-406-5907 or 800-774-9049 |
| Nonemergency Transportation | BlueRide: 651-662-8648 or 866-340-8648 |
| Nursing Facility | 866-518-8448 |
| Pharmacy | Prime Therapeutics Blue Advantage: 844-765-5940
SecureBlue (MSHO): 800-648-2778 Formulary Blue Plus Blue Advantage (Families and Children, MSC+ and MinnesotaCare) (PDF) SecureBlue (MSHO) Formulary (PDF) |
| Substance Use Disorder (SUD) | 866-518-8448 |
HealthPartners
PO Box 1309
Minneapolis, MN 55440-1309
| MCO contact | Contact Information |
|---|---|
| Provider Services | Hospital and Regional Network Management: 952-883-5589 |
| Behavioral Health | Prior Authorization: 952-883-7501 or 866-669-3856 |
| Chiropractic | Fulcrum Health, Inc.: 877-886-4941 |
| Claims | (Fax: 952-883-7666) |
| Clinical Services | Utilization Management: 952-883-6333 |
| Dental | HealthPartners Dental Plan and Contracting: 952-883-5168
Claims: 651-265-1000 (Fax: 651-265-1001) |
| Nonemergency Transportation | Go to: healthpartners.com, click on medical, fill out form and submit |
| Nursing Facility | Forms: 952-883-6333 or 888-467-0774 (Fax: 952-853-8712) |
| Pharmacy | Administration: 952-883-5813 or 800-492-7259
MHCP Drug List (PDF) MSHO Drug List (PDF) |
| Substance Use Disorder (SUD) | 952-883-7501 or 866-669-3856 |
Hennepin Health
300 South Sixth Street MC 604
Minneapolis, MN 55487-0604
| MCO contact | Contact Information |
|---|---|
| Provider Services | Provider Help Desk and Contracting: 612-596-1036, Option 2 |
| Behavioral Health | Crisis Line: Hennepin County Community Outreach for Psychiatric Emergencies (COPE): 612-596-1223
Behavioral Health Service authorizations: http://www.hennepinhealth.org/providers/prior authorization (Fax: 612-677-6222 or 888-734-0008) |
| Chiropractic | Hennepin Health Provider Services: 612-596-1036, option 2 |
| Claims Adjustment Request | Claim adjustment requests, reconsiderations and associated documentation: 612-596-1036 or 800-647-0550
www.hennepinhealth.org/providers/forms (Fax: 612-321-3786) |
| Clinical Services and Authorization | Medical Health Service authorizations:
https://www.hennepinhealth.org/providers/prior authorization |
| Dental | Minnesota Select Dental: 651-406-5907 or 800-774-9049 |
| Nonemergency Transportation | Hennepin Health Member Services: 612-596-1036 |
| Nursing Facility | Nursing facility communication forms: https://hennepinhealth.org/-/media/hh/providers/forms/nursing-facility-communication.pdf
612-596-1036 or 800-647-0550 (Fax: 612-677-6222 or 888-734-0008) |
| Pharmacy | Navitus: 855-673-6504 (this call is free)
Formulary – Prepaid Medical Assistance Program (PMAP) (scroll down to find the most current formulary) Formulary – MinnesotaCare (scroll down to find the most current formulary) Formulary – Special Needs BasicCare (SNBC) (scroll down to find the most current formulary) |
| SUD | Certified patient assessments (CPA) Rule 25 assessment form, refund requests, and subrogation: 612-596-1036 or 800-647-0550 www.hennepinhealth.org/providers/forms
(Contact the facility you are interested in using for admission.) |
Itasca Resource Center
1219 SE Second Ave.
Grand Rapids, MN 55744-3983
| MCO contact | Contact Information |
|---|---|
| Provider Services | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
| Behavioral Health | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
| Chiropractic | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
| Claims adjustment request | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
| Clinical Services | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
| Dental | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
| Nonemergency Transportation | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
| Nursing Facility | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
| Pharmacy | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) Formulary – Medical Assistance Formulary – Minnesota Senior Health Option (MSHO) |
| SUD | Provider Services and Contracting: 800-843-9536
email: IMCare.Office@CO.ITASCA.mn.us (Fax: 218-327-5545) |
Mail Route CP320
PO Box 9310
Minneapolis, MN 55440-9310
| MCO contact | Contact Information |
|---|---|
| Provider Services and Contracting | 800-458-5512
(Fax: 952-992-8667) |
| Behavioral Health | 800-848-8327
(Fax: 855-454-8155) |
| Chiropractic | Optum Health Care Solutions, Physical Health: 800-873-4575 |
| Claims and Adjustment Request | Contact Provider Services and Contracting: 800-458-5512
PMAP, MNCare and Medica Government Programs address: PO Box 21342 Eagan, MN 55121-0342 Payer ID: MEDM1 (Fax: 952-992-3899 for appeals or adjustments) Care Coordinated Products address: PO Box 30990 Salt Lake City, UT 84130-0990 Payer ID: 94265 (Fax: 801-994-1076 for appeals or adjustments) Provider Services and Contracting: 800-458-5512 Authorizations Fax 952-992-3556 |
| Clinical Services | Provider Services and Contracting: 800-458-5512
(Fax: 952-992-3556 for authorizations) |
| Dental | Delta Dental: 651-406-5919 or 800-459-8574 |
| Nonemergency Transportation | Provider Services and Contracting: 800-458-5512
Email: ProviderOversight@Medica.com |
| Nursing Facility | Provider Services and Contracting: 800-458-5512
(Fax 952-992-2299) Email: NFCommunications@Medica.com |
| Pharmacy | Express Scripts, Inc. (ESI): 800-922-1557
(Fax: 877-251-5896) Medica DUAL Solution Medica Choice Care MSC+ Medica AccessAbility Solution Enhanced (HMO D-SNP) Medica AccessAbility Solution Medica Choice Care PMAP Medica MinnesotaCare |
| SUD | Behavioral Health: 800-848-8327
(Fax: 855-454-8155) |
3905 Dakota St.
Alexandria, MN 56308
| MCO contact | Contact Information |
|---|---|
| Provider Services | 866-431-0802 or 320-335-5359 |
| Behavioral Health | https://primewest.org/forms/authorization
866-431-0802 (Fax: 866-431-0804) |
| Chiropractic | Provider Services: 866-431-0802 |
| Claims Adjustment Request | Provider Services: 866-431-0802
(Fax: 320-762-1805 for adjustment request) |
| Clinical Services | PrimeWest Health Utilization Management:
https://primewest.org/forms/authorization 866-431-0803 (Fax: 866-431-0804) |
| Dental | Provider Services Eligibility and Claims: 866-431-0802
(Fax: 866-431-0804 for service authorizations) Secure email: dental@primewest.org (preferred contact) |
| Nonemergency Transportation | Provider Services: 866-431-0802 |
| Nursing Facility | Provider Services: 866-431-0802 |
| Pharmacy | MedImpact: 800-788-2949
Provider Help Desk Authorization requests: 877-391-9294 (Fax: 858-790-7100) Formulary – Medical Assistance (PDF) Formulary – MSHO (PDF) |
| SUD | Provider Services: 866-431-0802 |
6380 West Frontage Road
Medford, MN 55049
| MCO contact | Contact Information |
|---|---|
| Provider Services
|
Provider Helpdesk: 888-633-4055
Provider Contracting: 507-444-7770 or 866-633-4055 |
| Behavioral Health | South Country Utilization Management: 888-633-4051
(Fax 888-633-4052) 24-hour Nurse Line for Members: 866-538-1226 |
| Claims | Provider Helpdesk: 888-633-4055 |
| Claims Adjustment Request | Provider Helpdesk: 888-633-4055
(Fax: 888-633-4052) |
| Clinical Services | South Country Utilization Management: 888-633-4051
(Fax: 888-633-4052) |
| Dental | Delta Dental of MN: 866-398-9419 |
| Nonemergency Transportation | Provider Helpdesk: 888-633-4055
Assistance with scheduled rides: 866-567-7242 |
| Nursing Facility | South Country Utilization Management: 888-633-4051
Fax notifications and nursing home communications requests to: 507-431-6329 |
| Pharmacy | PerformRX Medicare Help Desk: 866-935-6681
Medical Assistance Help Desk: 866-935-8874 https://mnscha.org/find-a-drug/ |
| SUD | Provider Helpdesk: 888-633-4055 |
Provider Assistance Center
PO Box 52
Minneapolis, MN 55440-0052
| MCO contact | Contact Information |
|---|---|
| Provider Services | Provider Assistance Center: 612-676-3300 or 888-531-1493 |
| Behavioral Health | Behavioral Health: 612-676-6705 (option 2, option 2, option 2)
(Fax: 612-884-2033) |
| Chiropractic | Fulcrum Health (previously known as Chiropractic Care of Minnesota, Inc.): 877-886-4941 |
| Claim Adjustment Request | Provider Assistance Center: 612-676-3300 or 888-531-1493
(Fax: 612-884-2186) |
| Clinical Services | Clinical Services, authorizations, intake: 612-676-6705 or 877-447-4384 |
| Dental | Delta Dental of Minnesota: 651-768-1415 or 855-648-1415 |
| Nonemergency Transportation | For claims Issues or billing questions – Provider Assistance Center:
612-676-3300 For scheduling or ride questions, contact HealthRide Team: 612-676-6878 or 833-276-1183 For Contract Related Questions: transprov@ucare.org |
| Nursing Facility | Provider Assistance Center: 612-676-3300 or 888-531-1493 |
| Pharmacy | Express Scripts, Inc. (ESI): 877-558-7523 (physician authorizations)
(Fax: 877-251-5896) Formulary – Prepaid Medical Assistance Program (PMAP), MinnesotaCare, Connect (SNBC) and Minnesota Senior Care Plus (MSC+) Formulary – MSHO Formulary – UCare Connect (SNBC) + Medicare |
| SUD | Mental health and substance use disorder (MHSUD) crisis calls, authorizations and notifications, and MHSUD case management:
612-676-6533 or 833-276-1185 (Fax: 612-884-2033 or 855-260-9710) |
Network Management and Provider Relations
9700 Health Care Lane
Mail Stop: MN017-E600
Minnetonka, MN 55343
| MCO contact | Contact Information |
|---|---|
| Provider Services
|
Provider Call Center: 877-440-9946 |
| Behavioral Health | Behavioral Health Benefit Questions and Prior Authorization: 877-440-9946 |
| Chiropractic | OptumHealth Care Solutions, Physical Health: 800-873-4575 |
| Claims Adjustment Request | Claims RMO: PO Box 5270, Kingston, NY 12402-5270
For claims, billing and payment questions, go to UHCprovider.com. We no longer use fax numbers. |
| Clinical Services | Cardiology Prior Authorization (eviCore): 866-889-8054
Radiology Prior Authorization (eviCore): 866-889-8054 |
| Dental | Dental contact line for providers: 866-547-0809 |
| Nonemergency Transportation | Nonemergency Transportation (MTM): 888-444-1519 |
| Nursing Facility | Provider Call Center: 877-440-9946 |
| Pharmacy | Pharmacy Helpdesk
Pharmacy Prior Authorization 844-495-8038 800-310-6826 Formulary (Families and Children and MinnesotaCare) |
| SUD | Behavioral Health Provider
Express and Provider Services: 877-440-9946 and providerexpress.com |