Welcome to the Minnesota Medical Assistance Portal
Minnesota Medical Assistance Fee-For-Service Pharmacy Program
DHS now accepting POS pharmacy claims for pen needles and insulin syringes
With the transition of outpatient pharmacy claims processing to Prime Therapeutics, the Minnesota Department of Human Services now accepts point-of-sale (NCPDP D.0) pharmacy claims for pen needles and insulin syringes.
Point-of-sale claims for pen needles and insulin syringes will process at the same payment rate as professional claims submitted for these medical supplies using HCPCS codes. Point-of-sale claims are processed using the NDC of the product being dispensed. Providers may look up covered NDCs utilizing the Drug Lookup tool online at https://minnesota.primetherapeutics.com/drug-lookup.
Providers may also continue to submit professional claims for pen needles and insulin syringes using HCPCS codes and are not required to submit these claims as point-of-sale pharmacy claims.
Announcements
DHS now accepting POS pharmacy claims for pen needles and insulin syringes
With the transition of outpatient pharmacy claims processing to Prime Therapeutics, the Minnesota Department of Human Services now accepts point-of-sale (NCPDP D.0) pharmacy claims for pen needles and insulin syringes.
Point-of-sale claims for pen needles and insulin syringes will process at the same payment rate as professional claims submitted for these medical supplies using HCPCS codes. Point-of-sale claims are processed using the NDC of the product being dispensed. Providers may look up covered NDCs utilizing the Drug Lookup tool online at https://minnesota.primetherapeutics.com/drug-lookup.
Providers may also continue to submit professional claims for pen needles and insulin syringes using HCPCS codes and are not required to submit these claims as point-of-sale pharmacy claims.
Provider Manual Available Now
The Minnesota Health Care Program Pharmacy Modernization Module Provider Manual is now available.
Announcements
Provider Manual Available Now
The Minnesota Health Care Program Pharmacy Modernization Module Provider Manual is now available.
30 Day Pharmacy Provider Notice
Minnesota Health Care Programs Pharmacy Modernization Module
Effective November 4, 2024, Prime Therapeutics, LLC. will be the contracted vendor for the Minnesota DHS Fee-for-Service Point-of-Sale and AIDS Drug Assistance Program.
View
Minnesota Department of Human Services (DHS) Provider Notice details.
Announcements
30 Day Pharmacy Provider Notice
Minnesota Health Care Programs Pharmacy Modernization Module
Effective November 4, 2024, Prime Therapeutics, LLC. will be the contracted vendor for the Minnesota DHS Fee-for-Service Point-of-Sale and AIDS Drug Assistance Program.
View
Minnesota Department of Human Services (DHS) Provider Notice details.
Announcements
NCPDP D.0 Payer Specifications Now Available
The Minnesota Health Care Program Pharmacy Modernization Module (PMM) NCPDP D.0 Payer Specifications are now available.
Provider Training Video Available Now
The Minnesota Health Care Program Pharmacy Modernization Provider Training video is now available for all learners! This informative self-paced video contains information you need to get ready for the upcoming implementation. It is designed to support your professional development at your convenience, allowing you to learn and progress at your own pace.
Announcements
Provider Training Video Available Now
The Minnesota Health Care Program Pharmacy Modernization Provider Training video is now available for all learners! This informative self-paced video contains information you need to get ready for the upcoming implementation. It is designed to support your professional development at your convenience, allowing you to learn and progress at your own pace.
60 Day Pharmacy Provider Notice
Minnesota Health Care Programs Pharmacy Modernization Module
Effective November 4, 2024, Prime Therapeutics, LLC. will be the contracted vendor for the Minnesota DHS Fee-for-Service Point-of-Sale and AIDS Drug Assistance Program.
View Minnesota Department of Human Services (DHS) Provider Notice details.
Announcements
60 Day Pharmacy Provider Notice
Minnesota Health Care Programs Pharmacy Modernization Module
Effective November 4, 2024, Prime Therapeutics, LLC. will be the contracted vendor for the Minnesota DHS Fee-for-Service Point-of-Sale and AIDS Drug Assistance Program.
View Minnesota Department of Human Services (DHS) Provider Notice details.
Announcements
MHCP Pharmacy Module Modernization Project Stakeholder Meeting 8/21/24
Minnesota Healthcare Programs (MHCP) Pharmacy Module Modernization Project Stakeholder Meeting August 21, 2024 2:00 PM – 3:00 PM CST.
View meeting materials.