Adult Rehabilitative Mental Health Services (ARMHS)

Provider Training – “updated from the DHS May 14, 2007

training”

UCare at a Glance

• Fourth largest health plan in the state, serving 130,000 members (including 21% of the state’s Minnesota Health Care Program members).

• Founded in 1984 by the University of Minnesota Department of Family Medicine and Community Health.

• Focus on primary care clinics as “medical homes.”

UCare at a Glance

• Person-centered care – working with our members and health care partners to provide the best care possible.

• Cultural diversity – delivering culturally sensitive health care services.

UCare’s Service Area

Contracting

• ARMHS providers are not required to contract with UCare to provide services to UCare state public program members.

• Providers must be certified by the Minnesota Department of Human Services, and in each county as an ARMHS provider.

Authorizations

• Initial prior authorizations (under the threshold) are not required.

• Requests that exceed the threshold require a prior authorization.

Billing ProceduresCode Modi-

ficationDescription Units Thresholds

H2017 Basic Living and Social Skills – individual; mental health professional or practitioner

15 min Authorization is required for more than 300 hours per calendar year

*combined total of H2017, H2017 HM and H2017 HQ.

HM Basic Living and Social Skills – individual; mental health rehabilitation worker

HQ Basic Living and Social Skills – group; mental health professional, practitioner, or mental health worker

Note: Bill with your facility number

Billing ProceduresCode Modi-

ficationDescription Units Thresholds

90882 Community Intervention; mental health professional or practitioner

15 min Authorization is required for more than 72 hours per calendar year

HM Community Intervention; mental health rehabilitation worker

H0034 HQ Medication Education – individual; physician, registered nurse, physician’s assistant or a pharmacist

15 min Authorization is required for more than 26 hours per calendar year of H0034 and 26 hours per calendar year of H0034 HQ

ContactsContracting: Pam Austin 612-676-3227

Claims Questions: Provider Assistance Center

1-888-531-1493

State Member Services: 612-676-3200 1-800-203-7225

Verification/Eligibility: 612-676-6824

BHP – Metro Area: 763-525-9919

BHP – Greater Minnesota 1-800-361-0491

Altru: 1-866-232-7792

Mayo: 1-800-645-6296

UCare Minnesota Web Site: www.ucare.org