Minnesota Health Care Programs (MHCP) requires providers to enroll each location that is providing services and receiving reimbursement for the services they provide to MHCP members.
The steps and instructions in this section apply to services for any of the following programs:
To enroll for additional Moving Home Minnesota (MHM) services, see Moving Home Minnesota Provider Enrollment
Follow these steps when enrolling to provide AC, ECS or HCBS services:
All owners and managerial officials must pass the background study for the provider to complete enrollment.
If providing one of the following services, you must complete an assurance statement. You must comply with requirements of the assurance statement to take any action ordered in your notice of background study results, provide continuous direct supervision of each staff person until DHS issues a notice of the study results, maintain employee records, and maintain compliance with the requirements of MN Statutes 245C in the service assurance statement. These services are the following:
Providers approved to deliver and provide any of the following services must initiate a background study for each staff person who will have direct contact with people served by the program. Providers must agree to and comply with all 245C background study requirements as itemized in the service assurance statements. Submit background studies for all employees who will provide direct care to the member for the following services:
You must wait until receiving notice from DHS licensing before allowing the person to provide direct care services to an MHCP member.
Owners and managing employees must complete a background study for the following:
Lead agencies (county and tribal human services) have the following exceptions when completing the enrollment documentation:
HCBS waiver and AC provider locations with registration for either housing with services (HWS) or specialized services must complete steps 1 through 7 above for each HWS or specialized services location.
MHCP requires any providers who want to continue to provide waiver services and receive reimbursement for these services to complete revalidation within every five years. During revalidation, the provider must pay the fees and complete all paperwork requested to continue enrollment.
MHCP will ask you to complete and submit new enrollment forms to report the services you are currently providing and want to continue to provide. You will also need to submit the service credentials to prove your qualifications to provide the services. The forms you will use are the same forms required when completing new enrollment. MHCP will place a revalidation request letter into the PRVLTR folder of the MN–ITS mailbox of the enrollment file being revalidated.
Review the Revalidation subsection in the Provider Screening Requirements section of the MHCP Provider Manual under Provider Requirements for important information about the revalidation process and the impacts to your enrollment with MHCP. The section includes timelines, and providers who do not meet the revalidation timelines will have their enrollment terminated.
MHCP processes new enrollment requests in the order received. We will provide a response within 30 days. Responses include: pending for more information, approval and denial. You must wait until Provider Eligibility and Compliance processes the information to determine if it is complete or filled out correctly.
If MHCP approves the initial enrollment request, the provider applicant will receive a confirmation (welcome) letter, including information about registering for MN–ITS. All HCBS waiver and AC programs providers must register and use MN–ITS for receiving mail and submitting all transactions electronically with MHCP.
Pended and Denial
If MHCP is unable to approve the initial application due to incomplete enrollment application, you will receive a Request for More Information (RFMI) letter via US postal mail. The RFMI will allow you 60 days from the date on the letter to submit the requested information to Provider Eligibility and Compliance. If Provider Eligibility and Compliance does not receive the information by the due date, MHCP will deny your application.
If some information is received but MHCP is unable to approve because other information is still missing or incomplete, MHCP will send a second RFMI and allow the provider an additional 30 days to submit the missing or incomplete information. If information is still missing or incomplete after the 30 day due date, MHCP will deny the application.
To add additional waiver or AC programs services to your current waiver enrollment record:
MHCP will process all requests in the order received and provide a response within 30 days.
You must notify MHCP any time a change occurs. Report any changes by completing the appropriate forms below and faxing to MHCP Provider Eligibility and Compliance at 651-431-7493:
MHCP will process the change information and notify the agency if any more documentation is necessary to continue or maintain enrollment with MHCP in relation to the changes.Report/Rate this page