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Coverage criteria policies

In-Home Mental Health Psychotherapy Services- Minnesota Health Care Programs

These services may or may not be covered by your HealthPartners plan. Please see your plan documents for your specific coverage information. If there is a difference between this general information and your plan documents, your plan documents will be used to determine your coverage.

Administrative Process

Prior authorization is required for in-home mental health psychotherapy services that are not billed as a part of Children’s Therapeutic Support Services (CTSS). Please refer to HealthPartners In-Home Mental Health Psychotherapy Services coverage policy in Related Content.

This policy does not apply to Children’s Therapeutic Support Services (CTSS), which does not require prior authorization.

Coverage

For children, coverage of in-home psychotherapy may be provided as part of the CTSS benefit. CTSS does not require prior authorization. Please refer to a HealthPartners contracted CTSS network provider. HealthPartners Member Services can identify CTSS in-network providers.

Products

This information is for most, but not all, HealthPartners plans. Please read your plan documents to see if your plan has limits or will not cover some items. If there is a difference between this general information and your plan documents, your plan documents will be used to determine your coverage. These coverage criteria may not apply to Medicare Products if Medicare requires different coverage. For more information regarding Medicare coverage criteria or for a copy of a Medicare coverage policy, contact Member Services at 952-883-7979 or 1-800-233-9645.

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Policy activity

  • 10/25/2012 - Date of origin
  • 08/03/2017 - Effective date
Review date
  • 06/2017
Revision date
  • 08/01/2017

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