Minnesota State Rules & Carrier Working Documents

 

NEW: MHCCRS Carrier Communication Package, Version 3.0 (Updated: May 2015)
Minnesota submitters, please download and review the newly updated Carrier Communication Package (link above), which includes important updates regarding the upcoming collection of elements coded in adherence to ICD-10 requirements. Special attention should be paid to the document's change log and revised coding for medical claims field MC041 (Principal Diagnosis | ICD Version Indicator).

Minnesota Data Collection Rule
The Minnesota rule itself has two primary parts — the main body as well as appendices containing many details of interest to submitters.

Minnesota Encounter Data Variance Procedure (Updated: April 2016)

 


Notice: Minnesota's Plans for Collecting ICD-10 Codes
Updated: June 30, 2015

MHCCRS Data Submitters:

As you know, the ICD-10 transition deadline is fast approaching. In order to accommodate data submissions that include the new ICD-10 codes, beginning with October 2015 paid claims, Onpoint Health Data, in partnership with the Minnesota Department of Health (MDH), would like to update you on the following solutions for claims submissions to the Minnesota Health Care Claims Reporting System (MHCCRS).

Please note: For those ready to begin testing, Onpoint's systems are ready to receive submissions coded with the planned update to the Principal Diagnosis field, allowing the submission of an ICD Version Indicator (as explained below). We also have expanded this field's length to 9 and expanded the length for all other ICD diagnosis and procedure codes to 7.

For data submitted on or after September 1, the data element MC041 (Principal Diagnosis) must be used to report both the Principal Diagnosis and the ICD Version Indicator separated by a pipe. The reported ICD Version Indicator should pertain to the entire claim and to all of its ICD diagnosis and procedure codes. A 100% threshold will be required for the ICD Version Indicator component.

MN APCD ICD update