O-11-915 F2F Payer Tipsheet
This tipsheet identifies the Payer Sources and Payer Types that require a Face to Face (F2F) Encounter. Appropriate F2F documents include F2F Visit Documentation and Provider Clinical Encounter Notes (ex. Progress note, Discharge Summary).
A provider Face-to-Face Encounter is a CMS regulation required for initiating home health services.
A provider Clinical Encounter Note must document the face to face or telehealth visit which determined the reason the provider ordered home health services for the client.
Intake must obtain a F2F/Clinical Encounter Note if the following payers are primary OR secondary.
Medicare Face-to-Face Required
| Payer Type | Payer Source |
|---|---|
| Medicare | Medicare NGS |
| Medicare Advantage - PDGM |
Aetna-Allina MDCR-P Aetna- MDCR-P Blue Cross MDCR ADV-P Blue Plus MSHO- MDCR-P Health Partners Journey- MDCR-FFS Humana- MDCR-P Network Health Insurance- MDCR-P Prime West- MDCR-P Quartz- MDCR- FFS SCHA- MDCR-P Ucare- MDCR-All-P United Health Care- MDCR- FFS-P Wellcare Health Care |
| Medicare Advantage FFS | Medica Advantage Solution - MDCR |
Medicaid Face-to-Face Required
| Payer Type | Payer Source |
|---|---|
| Medicaid |
Best Care- FI Consumer Choice/Accra-FI Consumer Directions Inc Mains'l Services Inc-FI MN DHS- Medicaid MN DHS- Medicaid-HMK-Respite MRCI Worksource- FI Orion ISO- FI Partners in Community Supports/PICS- FI |
| Managed Medicaid - PMAP |
Blue Plus PMAP- MSHO- MA- Amerigroup Bridgeview Company Health Partners PMAP Health Partners- PMAP- HMK Hennepin Health- PMAP Medica Minnesota Care- PMAP Medica PMAP Prime West- PMAP Prime West- PMAP HM SCHA- PMAP SCHA- PMAP- HM Ucare- PMAP Ucare- PMAP- HMK-Respite United Health Care- PMAP |
Managed Medicaid MSHO Payers
| Payer Type | Payer Source |
|---|---|
|
Medica MSHO Health Partners MSHO |
MDCR F2F required if client meets MDCR criteria |
📅 Effective: 10.20.2026 | 🛠️ Revised: N/A | ✅ Approved: JS