1. Adult Rehabilitative Mental Health Services (ARMHS)
Provider Training –
“updated from the DHS May 14, 2007 training”

2. 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.”

3. 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.

4. UCare’s Service Area

5. 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.
Most of the mental health providers in UCare’s network are credentialed ARMHS providers by the state. There are advantages to being a contracted provider with UCare. If you are interested in contracting with UCare, refer to the contacts listed on the last slide.

6. Authorizations
Initial prior authorizations (under the threshold) are not required.
Requests that exceed the threshold require a prior authorization.
Refer to the BHP prior notification or authorization form.

7. Billing Procedures H2017 15 min HM HQ Code Modi-fication Description
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

8. Billing Procedures 90882 15 min HM H0034 HQ Code Modi-fication
Description
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
Authorization is required for more than 26 hours per calendar year of H0034 and 26 hours per calendar year of H0034 HQ

9. Contacts Contracting: Pam Austin 612-676-3227
Claims Questions: Provider Assistance Center
State Member Services:
Verification/Eligibility:
BHP – Metro Area:
BHP – Greater Minnesota
Altru:
Mayo:
UCare Minnesota Web Site: