Home Care Medicaid Billing.
By eliminating the need for a separate clearinghouse, EVV crosschecks and automated Medicaid, Paradigm ensures efficient, reliable Medicaid payments for your home care agency.
How Paradigm Helps.
Billing
Enrollments
Eligibility
EVV Support
Training
MedicaidinMinnesota.
Electronic Visit Verification
Understanding Minnesota's EVV requirements is essential for seamless compliance and home care billing.
EVV Requirements
The hybrid model in MN allows agencies can choose between HHAeXchange or their preferred EVV software.
EVV Aggregator
HHAeXchange, as Minnesota's official EVV aggregator, handles EVV data. Providers using different EVV systems must ensure compatibility with HHAeXhange.
Billing Process
Billing in Minnesota requires separate processing from EVV data. Providers must submit claims either through a clearinghouse or individually to MN-ITS, the DHS billing system.
Rates
According to the Department of Human Services (DHS), the current Medicaid rates in Minnesota for home care services are as follows:
- Personal Care: $23.80
- Attendant Care: $18.43
It should be noted that Managed Care Organizations (MCOs) may negotiate different rates with home care providers, which can diverge from the DHS fee schedule. These variations would be detailed in the billing terms of the payer contracts. As such, it is crucial for providers to conduct a thorough review of all payer contracts to ensure full understanding and compliance.
Payers
Home care agencies can receive referrals and payments through either the Minnesota Department of Health Services (DHS) or various Managed Care Organizations (MCOs), including:
- Blue Plus
- Health Partners
- Hennepin Health
- Itasca Medical Care
- Medica
- PrimeWest Health
- South Country Health Alliance
- UCare
- UnitedHealth
