ICD-10 Implementation
Overview
Impacts on Chemical and Mental Health Providers
Provider Preparation
CMHS Administration Implementation
Additional Resources
Overview
The Centers for Medicare and Medicaid Services (CMS) mandates all HIPAA entities (providers, payers, health plans,
clearinghouses, and vendors) begin using ICD-10-CM/PCS (International Classification of Diseases - 10th Edition - Clinical
Modification/Procedure Coding System) on transactions for dates of service/inpatient discharge on and after October 1, 2015.
For additional information about ICD-10 and the CMS mandate, review Industry Impacts for Minnesota’s Health Care Providers.
Impacts on Chemical and Mental Health Providers
Reimbursement will be affected
Chemical and mental health service claims submitted for dates of service on or after October 1, 2015, will be denied if they do not
have an ICD-10 diagnosis code covered by Minnesota Health Care Programs (MHCP).
Mental Health Acts - definitions for emotional disturbance and mental illness have changed
2012 legislation authorized deletion of the ICD-9 code ranges from the Adult Mental Health Act’s definition of mental illness and
the Children’s Mental Health Act’s definition of emotional disturbance.
During the assessment process, the Adult and Children’s Mental Health Divisions identified references to ICD in the definitions for:
 Mental Illness in the Adult Mental Health Act
 Emotional Disturbance in the Children’s Mental Health Act
The Minnesota Department of Human Services (DHS) determined these definitions required updating to comply with the ICD-10
mandate. The Chemical and Mental Health Services (CMHS) Administration moved legislation forward during the 2011-2012
Legislative Session. The enacted amendments to the Adult and Children’s Mental Health Acts (M.S. 245.461, subd. 6 and M.S.
245.487, subd. 7) require the Commissioner of Human Services to develop and publish a list of diagnostic codes that define
emotional disturbance and mental illness for the statewide mental health system if there are any changes. With the ICD-10 delay
mandated by Congress in the Protecting Access to Medicare Act of 2014 and confirmed by CMS in the Federal Register, DHS will
continue using current ICD-9-CM code ranges (290.0 to 302.9 and 306.0 to 316.0) through September 30, 2015.
Provider Preparation
MHCP encourages providers to prepare for the transition to ICD-10 as soon as possible. This transition requires more work
than just replacing one code set with another and must be completed by October 1, 2015. The extent and difficulty of the
transition will be unique to each agency, based on organization and size.
Provider next steps:
 Become familiar with ICD-10 coding structure
 Review what is being done by others
 Develop an implementation plan
 Implement the plan
 Have a montetary contingency plan for unexpected delayed payments
 Support post implementation activities
Keep up to date:
Review the MHCP Industry Initiatives ICD-10 page for updates.
Be aware of new Provider Updates and Provider News items regarding ICD-10 implementation.
Sign up to receive MHCP notices in your email account.
Key dates:
September - December 2014
DHS preparation for internal/external testing
Spring 2015
Internal/External testing and training
September 2015
Completion of transition work
October 1, 2015
Compliance with ICD-10 mandate
October – December 2015
Post-implementation support
CMHS Administration Implementation
Transition and implementation
CMHS will provide information about testing with Minnesota Health Care Programs when it becomes available.
Post-Implementation analytics
CMHS will continue to analyze data and provide ongoing support to providers after the ICD-10 transition and implementation.
If you have any questions or concerns, please contact Karry Udvig at karry.udvig@state.mn.us or (651) 431-2330.
Additional Resources
CMS resources:







CMS ICD-10 Information Website
CMS Provider Resources Page, including:
Frequently Asked Questions (FAQ)
Introduction to ICD-10 Documents
Implementation Guides, Timelines, and Checklists
Video Presentations
ICD-10 Final Regulation and Training Page for Medicaid State Agencies
DHS resources:

ICD-10 and DSM-5 Frequently Asked Questions