Payer List

👤 RESPONSIBLE POSITION | ROLE

Elig/Auth Coordinator | Authorization Specialist

🎯 PURPOSE

This payer list give a list of payers which are set up in HCHB and provides some basic information for those payers. Additionally, the list includes links to separate pages, called payer spaces, which have more details specific to the individual payer.

Click the payer name to open that payer space for more details.

Payer/Policy Name	Payer Type	Order supplies via HCHB/ Medline?	M0150 OASIS Response
AAA - Michigan	WORKERS COMP/LIABILITY	N	5
Accident Fund Insurance Company	WORKERS COMP/LIABILITY	N	5
Acuity - Corvel	WORKERS COMP/LIABILITY	N	5
Administrative Claims Services	WORKERS COMP/LIABILITY	N	5
Aetna-Allina Commercial	COMMERCIAL INSURANCE	N	8
Aetna-Allina MDCR-P	MEDICARE ADVANTAGE - PDGM	Y	2
Aetna Choice POS II	COMMERCIAL INSURANCE	N	8
Aetna - Commercial	COMMERCIAL INSURANCE	N	8
Aetna-MDCR	MEDICARE ADVANTAGE - PDGM	Y	2
Aetna Signature Administrators	COMMERCIAL INSURANCE	N	8
All Savers	COMMERCIAL INSURANCE	N	8
Allied-Assurant Health	COMMERCIAL INSURANCE	N	8
Allstate	WORKERS COMP/LIABILITY	N	5
ALS Association - MN	SUB-CONTRACT	N	11
America's PPO	COMMERCIAL INSURANCE	N	8
American Family Insurance	WORKERS COMP/LIABILITY	N	5
Amerisafe Risk Services	WORKERS COMP/LIABILITY	N	5
BCBS Anthem - MDCR (MDCR plans only)	MEDICARE ADVANTAGE - PDGM	Y	2
BCBS - Federal	COMMERCIAL INSURANCE	N	8
BCBS Minnesota Health Care Programs: MSC+ or PMAP	MANAGED MEDICAID- PMAP	N	4
BCBS of MN - Commercial Plans	COMMERCIAL INSURANCE	N	8
BCBS of MN: Medicare Advantage Plans (MDCR ADV)	MEDICARE ADVANTAGE - PDGM	Y	2
BCBS MSHO: Medicaid Side	MANAGED MEDICAID- PMAP	N	4
BCBS MSHO: Medicare Side	MEDICARE ADVANTAGE - PDGM	Y	2
BCBS - All Out-of-State Plans	Varies	Varies	Varies
BLUE PLUS PMAP -Amerigroup	MANAGED MEDICAID- PMAP	N	4
BLUE PLUS PMAP Amerigroup w/ Elderly Waiver	MANAGED MEDICAID- PMAP	N	4
Berkley Administrators	WORKERS COMP/LIABILITY	N	5
Bridgeview (Homemaking)	MANAGED MEDICAID- PMAP	N	4
CareWorks	WORKERS COMP/LIABILITY	N	5
CHUBB Group of Insurance	WORKERS COMP/LIABILITY	N	5
Cigna Healthcare	COMMERCIAL INSURANCE	N	8
Consumer Choice/ACCRA-FI	MEDICAID	N	3
Consumer Directions Inc	MEDICAID	N	3
Continental LTC	LONG TERM CARE INSURANCE	N	11
Coram Healthcare	SUB-CONTRACT	N	11
Employers Preferred	WORKERS COMP/LIABILITY	N	5
Eversana	SUB-CONTRACT	N	11
Fairview Home Infusion	SUB-CONTRACT	N	11
Geico Insurance	WORKERS COMP/LIABILITY	N	5
Genworth Life Insurance Company	LONG TERM CARE INSURANCE	N	11
Health Partners Commercial	COMMERCIAL INSURANCE	N
Health Partners MDCR Journey Stride	MEDICARE ADVANTAGE - PDGM	N	2
Health Partners - MSHO	MANAGED MEDICAID- PMAP	N	2 and/or 4
Health Partners - PMAP, MSC+ and SNBC	MANAGED MEDICAID- PMAP	N	4
HealthEOS by Multiplan - Quartz PPO (Commercial)	COMMERCIAL INSURANCE	N	8
Healthscope Benefits	COMMERCIAL INSURANCE	N	8
Hennepin Health-PMAP/MinnesotaCare	MANAGED MEDICAID- PMAP	N	4
Hennepin Health- SNBC with Waiver	MANAGED MEDICAID- PMAP	N	4
Hennepin Health- SNBC without Waiver	MANAGED MEDICAID- PMAP	N	4
Homecare Connect - see Paradigm (below)
Homelink	WORKERS COMP/LIABILITY	N	5
Homelink VGM	COMMERCIAL INSURANCE	N	8
Humana - MDCR	MEDICARE ADVANTAGE - PDGM	Y	2
Innovative Claims Strategies - ICS	WORKERS COMP/LIABILITY	N	5
Integrity Mutual Insurance Company	WORKERS COMP/LIABILITY	N	5
John Hancock LTC	LONG TERM CARE INSURANCE	N	11
Liberty Mutual	WORKERS COMP/LIABILITY	N	5
Mains'l Services Inc - FI	MEDICAID	N	3
Mayo Clinic Hospice	SUB-CONTRACT	N	11
Medica Accessibility Solutions	MANAGED MEDICAID- PMAP	N	4
Medica Accessibility Solutions Enhanced - FFS	MANAGED MEDICAID- PMAP	N	2 and/or 4
Medica Advantage Solutions - FFS	MEDICARE ADVANTAGE - PDGM	N	2
Medica ChoiceCare MSC+	MANAGED MEDICAID- PMAP	N	4
Medica ChoiceCare PMAP	MANAGED MEDICAID- PMAP	N	4
Medica - Commercial	COMMERCIAL INSURANCE	N	8
Medica Dual Solutions (MSHO)	MANAGED MEDICAID- PMAP	N	2 and/or 4
Medica Individual Family Benefit (IFB)	COMMERCIAL INSURANCE	N	8
Medica Mayo Premier	COMMERCIAL INSURANCE	N	8
Medica MinnesotaCare (PMAP)	MANAGED MEDICAID- PMAP	N	4
Medica One Health	MANAGED MEDICAID- PMAP	N	4
Medicaid - NO WAIVER	MEDICAID	N	3
Medicaid HOMEMAKING or RESPITE	MEDICAID	N	3
Medicaid Alternative Care (AC) Waiver	MEDICAID	N	3
Medicaid OTHER WAIVERS	MEDICAID	N	3
Medicare - NGS	MEDICARE	Y	1
MRCI Worksource - FI	MEDICAID	N	3
Multiple Sclerosis Foundation	MEDICAID	N	3
Mutual of Omaha	COMMERCIAL INSURANCE	N	8
Nationwide Agribusiness	WORKERS COMP/LIABILITY	N	5
Network Health Insurance - Medicare	MEDICARE ADVANTAGE - PDGM	Y	2
One Call Care Management	WORKERS COMP/LIABILITY	N	5
Option Care	SUB-CONTRACT	N	11
Optum - Subcontract	SUB-CONTRACT	N	11
Optum - Work Comp	WORKERS COMP/LIABILITY	N	11
Orion Intermediary Services Organization (ISO) - FI	MEDICAID	N	3
Orsini Healthcare	WORKERS COMP/LIABILITY	N	5
Paradigm (previously Homecare Connect)	WORKERS COMP/LIABILITY	N	5
Primewest - MDCR, MSHO (MDCR side only)	MEDICARE ADVANTAGE - PDGM	Y	2
Primewest - PMAP, SNBC, MSC+, MSHO (Medicaid side only)	MANAGED MEDICAID- PMAP	N	4
Primewest - HOMEMAKING	MANAGED MEDICAID- PMAP	N	4
Progressive Claims	WORKERS COMP/LIABILITY	N	5
Quartz Medicare Advantage	MEDICARE ADVANTAGE - PDGM	N	2
Risk Administrative Services Inc. (RAS)	WORKERS COMP/LIABILITY	N	5
RiverSource Life Insurance	LONG TERM CARE INSURANCE	N	11
Saint Croix Hospice	SUB-CONTRACT	N	11
Secura	WORKERS COMP/LIABILITY	N	5
Sedgwick Work Comp	WORKERS COMP/LIABILITY	N	5
Self-Pay/Private Pay	SELF PAY	N	10
SFM Mutual Insurance	WORKERS COMP/LIABILITY	N	5
South Country Health Alliance - MDCR, MSHO (MDCR side only)	MEDICARE ADVANTAGE - PDGM	Y	2
South Country Health Alliance - PMAP, MSHO (Medicaid side only)	MANAGED MEDICAID - PMAP	N	4
South Country Health Alliance - HOMEMAKING	MANAGED MEDICAID - PMAP	N	4
State Farm	WORKERS COMP/LIABILITY	N	5
State of MN: Doer - CorVel	WORKERS COMP/LIABILITY	N	5
Stillwater Insurance	WORKERS COMP/LIABILITY	N	5
The Benefit Group	WORKERS COMP/LIABILITY	N	5
Transamerica Life Ins.	LONG TERM CARE INSURANCE	N	11
Travelers Insurance	WORKERS COMP/LIABILITY	N	5
Tricare West / HealthNet Federal Services	GOVERNMENT -PDGM	N	7
Trustmark	COMMERCIAL INSURANCE	N	8
UCare Connect Plan - Medicaid (PMAP)	MANAGED MEDICAID - PMAP	N	4
UCare Connect Plan + MDCR	MEDICARE ADVANTAGE - PDGM	N	2
UCare Individual & Family Plans	COMMERCIAL INSURANCE	N	8
UCare Individual & Family Plans with Fairview	COMMERCIAL INSURANCE	N	8
UCare- MDCR	MEDICARE ADVANTAGE - PDGM	Y	2
UCare - MSHO (Medicare side only)	MEDICARE ADVANTAGE - PDGM	Y	2
UCare - MSHO (Medicaid side only)	MANAGED MEDICAID - PMAP	N	4
UCare - Medicaid (PMAP, SNBC, MSC+)	MANAGED MEDICAID - PMAP	N	4
UCare - Medicaid HOMEMAKING	MANAGED MEDICAID - PMAP	N	4
UCare - Medicaid RESPITE	MANAGED MEDICAID - PMAP	N	4
UMR	COMMERCIAL INSURANCE	N	8
United Biosource Corporation	SUB-CONTRACT	N	11
United Health Care (UHC) - Commercial	COMMERCIAL INSURANCE	N	8
United Health Care (UHC) - Medicaid (PMAP)	MANAGED MEDICAID - PMAP	N	4
United Health Care (UHC) - Medicare	MEDICARE ADVANTAGE - PDGM	Y	2
United Health Care (UHC) - Secure Horizons/AARP	MEDICARE ADVANTAGE - PDGM	Y	2
Veterans' Administration (VA) - Fargo - Professional	GOVERNMENT - PDGM	N	7
Veterans' Administration (VA) - Fargo - HHA, HMK	GOVERNMENT - FFS	N	7
Veterans' Administration - Minneapolis- Professional	GOVERNMENT - PDGM	N	7
Veterans' Administration - Minneapolis - HHA, HMK	GOVERNMENT - FFS	N	7
Veterans' Administration - Sioux Falls - Professional	GOVERNMENT - PDGM	N	7
Veterans' Administration - Sioux Falls - HHA, HMK	GOVERNMENT - FFS	N	7
Veterans' Administration - St. Cloud - Professional	GOVERNMENT - PDGM	N	7
Veterans' Administration - St. Cloud - HHA, HMK	GOVERNMENT - FFS	N	7
VMS Biomarketing -Cimplicity	SUB-CONTRACT	N	11
Wellcare Health Care	MEDICARE ADVANTAGE - PDGM	Y	2
West Bend Mutual Insurance	WORKERS COMP/LIABILITY	N	5
Western National Insurance	WORKERS COMP/LIABILITY	N	5

📅 Effective: 10.21.2026 | 🛠️ Revised: N/A | ✅ Approved: JFJ