Your Resource for Waiver and MSHO Programs in Minnesota

Medicaid Waiver programs help people receive long-term care in their homes and communities rather than in institutions or nursing facilities. Prior to 1991, these services were only covered if a person lived in an institution. Federal approval of Medicaid Waiver programs changed that, allowing states to deliver care in community settings.

The goal of waiver programs is always about client outcomes. At APA Medical, we work closely with case managers, physicians, insurance carriers, and clients to achieve those outcomes while navigating the complex regulations that govern these programs.

APA Medical: A resource for waiver billing

Understanding waiver and MSHO programs is essential to ensuring clients receive the products and services they need. That’s why APA Medical offers:

• In-service training for case management groups and individuals (on-site or at your location)
• Paper catalogs for quick product lookup
• An updated website with product listings and additional resources

Our team processes billing for most major insurance plans, including MA (Medical Assistance), Medicare, UCare, Medica, HealthPartners, and Blue Cross. We also work with the following waivers:

• EW (Elderly Waiver)
• CADI (Community Access for Disability Inclusion)
• DD (Developmental Disabilities)
• BI (Brain Injury)
• CAC (Community Alternative Care)
• CDCS (Consumer Directed Community Supports)
• AC Grant (Alternative Care)

Two decades of experience

With more than 20 years of experience in Waiver/MSHO programs, APA Medical can facilitate transactions for products or services that other suppliers cannot bill directly. If waiver billing is available, we can help you secure almost any product or service your client requires.

We work daily with case managers to ensure clients receive the equipment and supplies they need quickly and efficiently.

How APA can help

We often assist with situations like:

• Upgrades: When clients request items not typically covered by insurance (for example, power patient lifters), we help evaluate the need and explore ways to provide them.
• Overages: If clients require more incontinence supplies than what DHS allows, we help identify better-fitting products or find ways to cover the additional quantities.
• Professional services: We can act as an intermediary between providers who cannot bill waiver directly and the waiver program itself.
• Unusual requests: From specialized equipment to unique client needs, we help assess and provide quotes for uncommon items.

Here to support you

At APA Medical, supporting healthcare professionals is one of the things we value most. If you ever have questions about insurance or waiver billing — or simply want to confirm information you’ve received from another provider — our team is here to help.

Call APA Medical at 612-722-9000 or contact us online for assistance with waiver billing, MSHO programs, or any coverage-related questions. We’re ready to help you get the right solutions for your clients.