Provider Affiliations


The information in this update has changed. Effective November 5, 2013, the Provider Affiliation list is no longer available in MN–ITS. Provider Enrollment requires providers to use either the Individual Practitioner – MHCP Provider Profile Change Form (DHS-3535) or Organization – MHCP Provider Profile Change Form (DHS-3535A) to keep provider affiliations current. Please use these forms to notify Provider Enrollment of any changes.


August 1, 2012 – MHCP Provider Update MHP-12-09

Effective August 1, 2012, Minnesota Health Care Programs (MHCP) requires hospitals and clinic providers to review their professional affiliations with individual providers and report any changes to the MHCP Provider Enrollment unit. This is in preparation for the Minnesota Electronic Health Records (EHR) Incentive Program (MEIP). MHCP requests that all provider groups review and update their provider affiliations by October 15, 2012.

MEIP Group Affiliations

As part of the MEIP program, all participating providers will be required to attest and meet a minimum Medicaid Patient Volume (MPV) for the reporting period. Eligible Professionals (EPs) affiliated with a clinic or group practice can choose to attest their MPV as a group, as long as the affiliations are correct and current in the DHS provider enrollment system. If you choose the group option, count all encounters associated with the practice in the group’s MPV calculation. This includes encounters by all affiliated providers, even those that are not EPs.

The following Provider Types are Eligible Professionals (EPs) for the MEIP program:

Provider Type Description

Provider Type (PT)

Physicians

20

Nurse Practitioners

65

Clinical Nurse Specialist

68

Physician Assistant

(only when practicing in a FQHC, RHC or IHS that is led by a Physician Assistant)

69

Certified Nurse Midwife

66

Dentist

30


MHCP suggests that individual providers be aware of all of their provider group affiliations and understand whether EPs in those groups are planning to use the group MPV option. MHCP will provide more instructions on submitting MPV information in future communications about MEIP implementation.

Review Affiliations

Follow the instructions below to review the affiliations with your provider record:

1.

Log-in to your MN–ITS account

2.

Select Provider Lists from the left menu

3.

Select MHCP Provider Affiliations List

4.

Use the instructions on the document to find your organization’s information

5.

Review the list of individual professionals affiliated with your agency

6.

Report any changes to provider enrollment


Report Changes

You must report changes in professional affiliations to Provider Enrollment as they occur. Follow the instructions in the table below to report changes in professional affiliations.

If you are:

Complete and Fax to (651) 431-7462

An individual reporting changes about your own affiliation with an organization

Individual Practitioner - MHCP Provider Profile Change Form

An organization reporting the additional or termination of one professional affiliation

Individual Practitioner - MHCP Provider Profile Change Form for that professional

An organization reporting the addition of multiple professional affiliates

  • • Report you are adding members to your group
  • • Complete information about the organization
  • • Spreadsheet with a list of the professional affiliations you are adding and their information
  • An organization reporting the termination of multiple professional affiliates

  • • Report you are terminating member affiliations from your group
  • • Complete information about the organization
  • • Spreadsheet with a list of the professional affiliations and their information

  • Additional Resources


    If you have questions about this information, call the MHCP Provider Call Center at 651-431-2700 or 1-800-366-5411.

    Sign up to receive Provider Updates and other MHCP notices in your e-mail account.


    Rate/Report this page   Report/Rate this page

    Related Pages

    Related Links