Inpatient Hospital Admissions

At a Glance

Inpatient Hospital Admissions

Inpatient Hospital Admissions covers medically necessary inpatient hospital services for eligible members. Providers must ensure admissions meet MHCP guidelines, including prior authorization when required, and document medical necessity based on severity of illness and intensity of services. Compliance with admission criteria and accurate billing through MN–ITS helps streamline reimbursement and maintain quality care standards.