1. What is the HealthPartners process to become an in-network provider?
2. How do I check the status of my network participation request?
3. What are the provider credentialing and enrollment requirements?
4. How do I check if a patient is currently insured with HealthPartners and eligible for EIDBI services?
5. What are the HealthPartners prior authorization requirements for EIDBI services?
6. How do I bill HealthPartners for EIDBI services?
7. If I have additional questions, who at HealthPartners should I contact?
   

Contracting is a separate and distinct process from practitioner credentialing and enrollment. Both are required to participate in our network.

• Contracting is the formal process of obtaining a provider network agreement.
• Practitioner credentialing and enrollment is the formal process for ensuring network practitioners are qualified to treat our members.
• Learn more about the contracting and credentialing process.
  

To check the status of your contracting request, please contact the HealthPartners Contracting and Payer Relations team.

Before practitioner credentialing or enrollment, you must be a contracted provider or have been offered a contract by HealthPartners. Once individual practitioners have enrolled with DHS, all EIDBI providers must complete either our provider credentialing or enrollment process.

Prior to services being rendered or obtaining a service authorization, use the HealthPartners provider portal eligibility tools to find policyholders, coverage and benefit details, coverage criteria, and more:

• Use our guest eligibility tool for basic member verification and coverage. No sign-in is required.
• Sign in or register for an account for complete eligibility and benefit details.

HealthPartners has established several connections for the exchange of eligibility inquiry and response transactions (270/271).

You may also call our HealthPartners Member Services department to obtain eligibility and benefit information.

Authorization requests are reviewed by the Behavioral Health Utilization Management team. View the HealthPartners EIDBI policy:

• Early intensive developmental and behavioral intervention (EIDBI) – Minnesota Health Care Programs
  

How to submit a request for authorization:

• Fax required clinical information to 952-853-8830.

How long does it take for authorization review?

• HealthPartners has 14 days to make a decision about a request.
  

What documents are required for authorization review?

• Comprehensive multi-disciplinary evaluation (CMDE)
  

HealthPartners requires all claims to be submitted electronically

Please bill HealthPartners for your EIDBI services following the guidelines in DHS’s EIDBI billing grid (PDF).