Information for managed care organizations
The Department of Human Services (DHS) contracts with several managed care organizations (MCOs) to serve people enrolled in Minnesota Health Care Programs (MHCP). Approximately two-thirds of MHCP members are enrolled in an MCO, while one-third receive services on a fee-for-service basis. This page has information that MCOs need to meet contract requirements, along with links to various resources.
Contract requirements and operational information
Managed care for seniors and people with disabilities
Quick links to additional resources
MN–ITS access and billing information
Access to functions and applications within MN-ITS is based on the health care services you provide. Your organization must assign one or more MN–ITS Administrators to register for MN–ITS, create new users, reset user passwords, and assign access to these functions and applications, by user. Your administrator can restrict this view/access by user. Contact your organization’s MN–ITS Administrator with questions or concerns about your view/access.
Other billing resources
Managed care reporting
The Managed care reporting pages provide information on managed care plans' quality of care delivered, financials, contracting and related reports by state agencies. This information is collected by DHS and the Minnesota Department of Health (MDH), the state agency that regulates managed care plans including health maintenance organizations (HMOs) and county-based purchasing plans.