The Minnesota Department of Human Services sent out an update to the Rehabilitation MHCP Provider Manual. We have highlighted two sections of the updates that are changes to past requirements and also included the full bulletin with links:
Progress Notes:
Must be documented by a progress note or shown throughout visit notes at least every 30 days and include at minimum the following information:
- Justify medical necessity
- Evidence of progress or if progress is not being made rationale why services are being continued
- Documentation regarding progress to long term goals, or lack of and the barriers
- Objective measurements compared to normal values of uninvolved contralateral extremity or prior level of function or objective measures in relation to level of caregiver assist or function as it pertains to ADLs/IADLs
- Specific information about continued frequency and duration
- Clear evidence that the OT, PT or SLP reviewed intervention goals, therapy programs and client progress
- Formal progress notes must be completed by PT, OT, or SLP.
Authorization Requirements:
Effective July 24, 2026:
Submitting an authorization requirement:
- Submit each CPT code you anticipate using or the codes you did use for dates of the request.
- Submit number of units per CPT code you anticipate using or the number you did use for dates of the request.
- Unit requirements may vary by service and should not be the same across all codes submitted. Unit totals should accurately reflect the services requested for the authorized period.
- Include any modifiers for each CPT code you will need, refer to the Modifier table for more information.
- The request must match the TPL or Medicare authorization or claim exactly, including modifiers, when MHCP is not the primary payer.
Full bulletin information below:
| Minnesota Health Care Programs (MHCP) Rehabilitation Services |
| June 15, 2026 |
| The following information changed on the MHCP Provider website: We updated the MHCP Provider Manual – Rehabilitative Services:Under the Documentation Requirements for all Rehabilitation Services heading, we added information for initial evaluation, visit notes, progress notes, reevaluation and recertification. Under the Authorization Requirements heading, we added information for Authorization Requests with Third Party Liability (TPL) and Medicare and information about submitting authorization effective July 24, 2026, and authorization documentation requirements. In the Modifier table under the Billing heading, we added the CO and CQ modifiers. |