MHCP covers the recuperative care health services rate and recuperative care facility rate.

Facilities and providers must ensure they are providing services only within their scope of practice. Providers can start offering recuperative care health services only after their MHCP enrollment has been approved.

MHCP covers the following recuperative care health services at a bundled rate. Services provided within the bundled payment may include but are not limited to:

  • Basic nursing care including monitoring physical health and pain level
  • Wound care
  • Medication support
  • Patient education
  • Immunization review and update
  • Clinical goals development for the recuperative care period and discharge plan
  • Care coordination including initial assessment of medical, behavioral and social needs
  • Care plan development
  • Support and referral assistance for legal, housing, transportation, case management and community social services
  • Support and referral assistance for health care benefits, health and other eligible benefits
  • Care plan implementation follow-up and monitoring
  • Medical, social and behavioral (counseling and peer support) services that can be provided in the recuperative care setting
  • Community health worker services (Minnesota Statutes, 256B.0625, 43.25 subdivision 49. 43.26)

The recuperative care facility covers costs for all items listed in Recuperative Care Facility Services Requirements including the room and board daily rate.

Note: Recuperative care is focused on the member’s physical medical condition. The member must receive services for the physical medical condition listed in the referral for recuperative care services. Additionally, services must occur on consecutive days.

Noncovered Services

  • Behavioral services that are greater than what can be managed within the enrolled MHCP recuperative care facility.
  • Services for a member who is not independent with activities of daily living. For example, the member would not be covered for recuperative care services if they are unable to stand or independently use the bathroom.
  • Any recuperative care health services that are provided in a facility that is not enrolled with MHCP as a recuperative care facility.