The Minnesota Department of Human Services (DHS) asked Care Providers of Minnesota to publish the following important information. Effective 1/1/12, MN–ITS will accept and process only 5010 batch files and POS (point of sale) will accept and process only D.0. Direct data entry (DDE) will be 5010 compliant.

Batch billers must test with Minnesota Health Care Programs (MHCP) before 1/1/12 to submit 5010 batch files on and after 1/1/12, and to receive payment from MHCP for those batch file claims. Syntax testing started on 9/28/11 and will continue after 5010 implementation for new and current batch billers. Providers or their batch billers who are not 5010 production-ready will be able to use the MN–ITS direct data entry function to submit transactions starting 1/1/12.

To convert MN–ITS to the 5010 format and POS to the D.0 format:

MN–ITS will be unavailable starting at 6:00 p.m., Friday, December 30, 2011, and become available again in the 5010 format at 8:00 a.m., Sunday, January 1, 2012.

Point of sale will be unavailable starting at 10:00 p.m., Saturday, December 31, 2011, and become available again in the D.0 format at midnight, Sunday, January 1, 2012.

To be 5010 production-ready and receive payment from MHCP for batch claims submitted starting 1/1/12, providers and their batch billing staff must review the following:

• 5010 / D.0 page, under MHCP Industry Initiatives (updated as needed to provide the latest, one-stop information about all MHCP electronic batch transactions with critical technical tools and resources specifically for provider IT staff)
• MHCP 5010 X12 Batch Transactions Testing Plan (MNT-11-1; 9/12/11) provider update
• Online frequently asked questions (FAQ) to help providers understand impacts of 5010 and their role in compliance (watch for a link soon, to be announced in Provider News)
• HIPAA — 5010 Interchange Control Header/Trailer Companion Guide (PDF)  
• Provider News
• Postcard alerts placed in provider MN–ITS mailboxes

Please contact Todd Bergstrom at the Association office if you have any questions.

Todd Bergstrom
952.851.2486
tbergstrom@careproviders.org

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