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.
Training & Reference Materials
Inpatient Hospital Authorization Form
MHCP Provider Manual Page
Newsletters
Newsletters
Beginning January 1, 2026, Acentra will reduce turnaround times to 10 days for pended cases and 72 hours for expedited cases, with incomplete expedited requests now resulting in rejection. Expedited reviews only apply when delays could seriously impact a member’s life, health, function, or create risk of severe pain or emergency. A new Member Portal will launch, allowing Medicaid recipients to view authorizations and submit appeal documents. Providers are encouraged to use the Atrezzo Portal for faster, easier documentation submission and case communication. For more details see the attached newsletter below.
Frequently Asked Questions
Inpatient Hospital Admissions FAQ Coming Soon!