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 will approve no sooner than the effective date of affiliation to the agency, beginning with the completed date of the PCA’s correctly submitted background study.
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 as the UMPI is used solely for the purpose of the agency to submit claims for reimbursement for paying their individual PCAs for services.
After ensuring the person is qualified to be an individual PCA provider, follow the process below to enroll/affiliate an individual PCA with a PCA provider agency
When processing complete initial enrollment/affiliation requests, MHCP also ensures the individual PCA provider:
MHCP shares enrollment/affiliation information with the MCOs, on a weekly basis.
Upon receipt of all individual PCA enrollment/affiliation requests, MHCP briefly reviews all documentation to ensure receipt of complete requests. MHCP processes only complete requests within 30 days of the receipt of the request.
If a request is incomplete, MHCP will return the request by faxing both the document used during the request and a Request for Resubmission (DHS-5678) form back to the agency fax number provided on the Individual Personal Care Assistant (PCA) Provider Enrollment Application. MHCP will not retain any documentation from an incomplete request. The Request for Resubmission form contains information explaining why the request was incomplete and returned.
Each request, including corrected and resubmitted request is considered a new request and is subject to the same processing timelines (30 days) as an initial request.
Contact the MHCP Provider Call Center after allowing 30 days for processing. Complete the following before calling to verify the status of an Individual PCA affiliation request:
If enrollment documents submitted are not complete & correct and additional info or corrections are requested you must allow up to 30 days from the date the most recent paperwork was sent for processing.
Follow the steps for Initial Enrollment/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) 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