To enroll to provide HCBS waiver and/or AC programs services follow the steps below:
All owners and managerial officials must pass the background study in order for the provider to complete enrollment.
Also if providing one of the services below, assure and comply with assurance statement requirements to take any action ordered in notice of background study results, provide continuous direct supervision of each staff beginning January 1, 2014, until DHS issues a notice of the study results maintain employee records, maintain compliance with the requirements of MS 245C in the service assurance statement:
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 persons 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 recipient for the following services:
You must wait until receiving notice from DHS licensing before allowing the person to provide direct care services to the MHCP recipient.
Owners and managing employees must complete background study for the following:
HCBS waiver and AC provider locations with registration for either Housing with Services (HWS) or Specialized Services must complete steps 1-4 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 on or after 1/1/2014 to complete a record review.
During the review process, providers complete and submit the forms listed below to report the services they are currently providing or want to continue to provide and submit the approved service credentials as proof they are qualified to provide the service.
Record Review Documentation
To complete the record review, complete and fax the following forms to MHCP Provider Enrollment at 651-431-7462:
The lead agencies (county/tribal human services) have the following exceptions when completing the record review:
Use Public 5 to report:
Counties and tribes do not need to list the county board members yet do need to list the managing employees involved when completing the review for the human services offices. Managing employees are limited to the services the county is enrolling.
MHCP processes new enrollment requests in the order received. MHCP processes the request and provides a response within 30 days. Responses include: pending for more information, approval and denials. You must wait until Provider Enrollment 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 MNITS. All HCBS waiver and AC programs providers must register and use MNITS for receiving mail and submitting all transactions electronically with MHCP.
To add additional waiver/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.
MHCP requires waiver and AC programs service providers to notify MHCP any time a change occurs. Report any changes by completing the appropriate forms below and faxing to MHCP Provider Enrollment at 651-431-7462:
MHCP will process the change information and notify the agency if any further documentation is necessary to continue or maintain enrollment with MHCP in relation to the changes.Report/Rate this page