---
id: "epm:1.6"
source: "Minnesota Health Care Programs Eligibility Policy Manual"
source_short: "EPM"
publisher: "Minnesota Department of Human Services"
section: "1.6"
title: "Health Care Delivery"
breadcrumb: "1 Minnesota Health Care Programs > 1.6 Health Care Delivery"
effective_date: 2025-07-25
last_modified: 2026-10-03T03:24:35.343847+00:00
version: 1
url: "https://bot-corpus.mn-dhs.online/s/epm/1.6"
official_origin: "https://hcopub.dhs.state.mn.us/epm/1_6.htm"
legal_citations:
  - "Minnesota Statutes, section 256B"
---
# EPM 1.6 Health Care Delivery

Minnesota Health Care Program (MHCP) enrollees must follow guidelines for receiving medically necessary services.

## Managed Care

Most MHCP enrollees receive services from a managed care health plan. The health plan coordinates the services provided. The Minnesota Department of Human Services (DHS) pays a fixed rate in advance for each enrollee.

New enrollees receive information and enrollment forms from the county or tribal servicing agency or MinnesotaCare. People must choose a health plan based on what plans are available in their county of residence.

Detailed information on managed care and managed care exemptions is in the [Prepaid Minnesota Health Care Programs (PMHCP) Manual](http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_016959).

## Fee for Service

Fee-for-service is a method of payment where the medical provider bills MHCP for specific, individual services. Enrollees must use a medical provider enrolled with MHCP, except in special circumstances. A [directory of enrolled providers](http://mhcpproviderdirectory.dhs.state.mn.us/) is available online. See the Medical Assistance and MinnesotaCare Fee-For-Service Member Handbook ([DHS-8646](https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8646-ENG)) for more information.

Additional resources for enrollees include the Medical Assistance Fee-For-Service Flier ([DHS-8573](https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8573-ENG)) and the MinnesotaCare Fee-For-Service Flier ([DHS-8573c](https://edocs.dhs.state.mn.us/lfserver/Public/DHS-8573c-ENG))

## Covered Services

The MHCP Summary of Coverage and Limits ([DHS-3860](https://edocs.dhs.state.mn.us/lfserver/Public/DHS-3860-ENG)) explains covered services and cost-sharing requirements.

## Out of State Services

Enrollees who are temporarily absent from the state may receive MHCP services in a medical emergency. For managed care, enrollees should contact the managed care health plan for these services.

A person who is temporarily living out of the country usually cannot receive MHCP services.

## Membership Card

Each enrollee has a Person Master Index Number (PMI). The PMI is a unique number that verifies MHCP eligibility when obtaining health care services. MHCP enrollees receive a MHCP member card from the Minnesota Department of Human Services. People enrolled in a managed care plan receive a managed care organization membership card in addition to the MHCP member card.

## Legal Citations

- Minnesota Statutes, section 256B