Below is IMCare's provider manual.  This manual assists you and your staff to find important information such as general benefits, authorization requirements and claims billing information.

IMCare follows MN Department of Human Services (MNDHS) guidelines with a few exceptions. If there is a conflict between the Minnesota Health Care Programs (MHCP) Provider Manual and IMCare's Provider Manual, this manual and applicable federal and state statutes and regulations and/or federal/state contracts, applicable federal and state statutes and regulations and/or federal/state contracts will control.  IMCare reserves the right to supplement this manual to help ensure CMS and MNDHS terms and conditions remain in compliance with relevant federal and state statutes and regulations.  This manual will be amended as policies change.

IMCare may require prior authorization for certain services or items. For each healthcare service or item that requires a prior authorization, there are documented review criteria in place that have been developed or adopted by IMCare and reviewed by physicians from appropriate specialty areas.  All review criteria are available to the provider and member upon request free of charge.  Emergency services do not require prior authorization.