Re-instating an inactive affiliation
Follow the steps below to ensure the person meets all of the requirements to be enrolled as an individual PCA.
PCA Enrollment NETStudy
PCA agencies are responsible for the accuracy of their entry when submitting a background study for an individual’s PCA enrollment. The PCA agency must ensure that all of the following are correct:
MHCP requires the individual PCA be qualified through the steps above before starting to provide services. MHCP does not require the individual PCA to have a Unique Minnesota Provider Identifier (UMPI) before providing PCA services. The UMPI is used solely for the purpose of the agency to submit claims for reimbursement for paying their individual PCAs for services.
MHCP will approve the affiliation to the agency using either the date the individual PCA provider clears or receives a set-aside with the agency or the date the individual PCA successfully completes the Minnesota Individual PCA Standardized Training, whichever they complete last.
After ensuring the person is qualified to be an individual PCA provider, follow the process below to enroll or affiliate an individual PCA with a PCA provider agency.
When processing complete initial enrollment or affiliation requests, MHCP also ensures the individual PCA provider:
MHCP shares enrollment/affiliation information with the MCOs, on a weekly basis.
MHCP processes only complete requests within 30 days of receiving the request. Each request, including corrected and resubmitted requests is considered a new request and is subject to the same processing timelines (30 days) as an initial request.
Upon receipt of all individual PCA enrollment or affiliation requests MHCP briefly reviews all documentation to ensure the request is complete. A request is complete when all bolded fields are completed and all documents needed are received. If a request is incomplete, MHCP will return the request by faxing a copy of the request and the Request for Resubmission (DHS- 5678) explaining why it was returned, to the agency using the agency fax number on the application.
If the application is incomplete, MHCP will send back the application with the Request for Resubmission (DHS-5678) to the agency’s MN–ITS mailbox. The unprocessed application and DHS-5678 will be uploaded to the MN–ITS Miscellaneous Received mailbox. MHCP will not retain any documentation from an incomplete request. The Request for Resubmission contains information explaining why the request was incomplete and returned.
Contact the MHCP Provider Call Center after allowing 30 days for processing. Before calling to verify the status of an Individual PCA affiliation request:
If enrollment documents submitted are not complete and correct, and MHCP requested additional information or corrections, you must allow up to 30 days from the date the most recent paperwork was sent for processing.
Follow the steps for Initial Enrollment or Affiliation selecting to reactivate an individual PCA provider with your agency. If the individual PCA provider has maintained continuous employment with your agency, MHCP does not require you to do a new background study prior to reactivation.
Report changes for an individual PCA by completing and faxing the Individual PCA Information Change Form (DHS-5716) (PDF) to Provider Enrollment at 651-431-7462.
Refer to the Helpful Hints letter dated and sent to PCA provider agencies on July 15, 2009, for more information when completing the documents above.Report/Rate this page