Substance Use Services
At a Glance
Substance Use Services
Substance Use Services supports providers in delivering evidence-based substance use disorder care, including assessment, treatment planning, and recovery services. Providers must meet MHCP enrollment requirements, follow ASAM level-of-care standards, and report through DAANES. Streamline authorizations and billing via MN–ITS to ensure compliance and timely reimbursement.
Use MN SUD Provider Contact Form to keep your contact information updated.
Email us at MinnesotaASAM@acentra.com with any issues that require a response.
Post-Payment Utilization Management Review Process
For SUD Providers and any Recovery Community Organizations providing Recovery Peer Services
How to Upload Documentation
SUD Providers (245G and 245F)
ASAM Integration and Application (On-the-Spot training for all SUD Providers presented by ATTCN)
3rd Friday of every month, 11:00am Central Time
Addiction Technology Transfer Center Network
Link to Zoom Login: https://us06web.zoom.us/j/761231872
On-the-Spot is an online opportunity for Minnesota Substance Use Disorder and Recovery Support Services providers to receive real-time input on a wide range of behavioral health topics. This open, one-hour forum is guided by participants’ questions, with responses provided by experienced consultants familiar with SUD best practices.
The purpose of OtS is to offer an additional resource to increase knowledge, strengthen skills, and support practice change through the adoption of evidence-based and promising approaches in SUD care.
No registration is required. Providers can join at any time during the one-hour “hotline” session via phone, computer, or tablet. OtS is a discussion-based event, not a formal training or webinar. Please note: Continuing Education credits or certificates of attendance are not available, and sessions will not be recorded.
Alcoholism
Opioids
- Opioid Addiction & MAT v2 - Accessible
- Please note, the video for Opioids part 1 is not available.
- MN SUD Opioids Part 2 (PDF)
- MN SUD Opioids Part 2 (Video)
Stimulants
Recovery Peer Services (Recovery Community)
- Behavioral Health Administration Mailboxes / Minnesota Department of Human Services
- Currently there is not a Recovery Peer Services Provider Manual Page (this will be updated when they have one available)
Non-Residential Substance Use Authorizations
Substance Use Disorder (SUD) Services
SUD authorization request for Nonresidential (outpatient) group and individual treatment for more than six hours a day or 30 hours a week.
Outpatient or nonresidential substance use disorder services are provided based on the identified individual need and client preference.
The 30 hours/units a week is calculated based on a rolling seven-day time span. Authorization is required if at any point during a rolling seven-day time span more than 30 hours/units of H2035 and/or H2035 HQ of service is provided. A rolling seven-day time span includes the hours of service on the date of service and the six calendar days counting forward OR the six calendar days counting backwards from the date of service. For example, if the date of service is on July 1, the rolling seven-day time span would be from June 25 to July 1 or from July 1 to July 7.
Authorizations
Authorizations are required when an individual receives more than six hours/units a day or 30 hours/units a week of any combination of individual (H2035) or group (H2035 HQ) treatment services. This authorization process is only applicable for SUD nonresidential licensed programs.
Authorizations to exceed six hours/units a day or 30 hours/units a week cover up to 28 calendar days. After the 28-day authorization period, if it is determined the member continues to meet medical necessity for more than six hours/units a day or 30 hours/units a week, the provider needs to request another authorization.
Providers must submit an authorization request and required documentation when it is determined that the client needs more than six hours/units per day or 30 hours/units per week. Refer to the “Substance Use Disorder Authorization Criteria” document in the Substance Use Authorization section of the medical review agent’s Training webpage for a description of documentation required to be submitted in order to determine medical necessity for the additional services.
Refer to information under Substance Use Disorder Request for Nonresidential (outpatient) Group and Individual Treatment in the Authorization section of the MHCP Provider Manual for information on how to submit an authorization request for SUD nonresidential (outpatient) group and individual treatment to the medical review agent.
Billing Authorization for H2035 and H2035 HQ
Providers must submit additional hours/units of service which require authorization separately from services which do not require authorization. The separate claim for additional services may be submitted once authorized by the medical review agent.
Review the Outpatient Substance Use Disorder (SUD) Services section of the MN–ITS user guide for instructions on how to submit the authorization number received from the medical review agent for services that have been authorized by the medical review agent.