Individual to Organization Affiliations
Revised: July 25, 2023
Overview
An individual provider who wishes to affiliate with an organization to provide Minnesota Health Care Programs (MHCP) services will create an individual to organization affiliation request in the Minnesota Provider Screening and Enrollment (MPSE) portal. The majority of affiliation requests are completed by organizations using the Organization to Individual Affiliations process. Individual providers are encouraged to connect with the organization they are requesting to affiliate with prior to making an affiliation request to ensure the organization is aware and approves.
· Use the Steps to Add a New Individual to Organization Affiliation if the organization is not currently affiliated to the Individual’s enrollment record and needs to be. · Use the Steps to End an Existing Individual to Organization Affiliation if the organization is currently affiliated to the individual’s enrollment record and that affiliation needs to be ended:
Steps to Add a New Individual to Organization Affiliation
1. Click the Create a New Request button at the bottom of the Manage Portfolio page in the MPSE portal. This is the page you will be on when you log into MPSE from MN–ITS.2. Select Individual to organization affiliation request. 3. Enter a Request Effective Date. The Request Effective Date is the date you want MHCP to consider your request in effect. 4. Click Continue.5. This will bring you to the Manage Enrollment Record page. Click Edit in the row for the enrollment record that you wish to add the affiliation to.6. Using the Right-Side Navigation, click on Individual to Organization Affiliations.7. Click Create New Affiliation at the bottom of the page.8. Enter in the National Provider Identifier (NPI) or Unique Minnesota Provider Identifier (UMPI) for the organization being affiliated to and click Search.9. Carefully review the search results to identify the practice location you are requesting to affiliate with. Many organizations will have practice locations that share NPI numbers so review the Address Column of the search results to ensure you select the correct practice location.10. Once you find the practice location, click Select in the appropriate row.11. Enter in the Start Date and click Continue. The End Date will only be added during a request to end the affiliation and should not be entered at this time.12. If you need to add additional affiliations, repeat Steps 7-11. 13. Use the Right-Side Navigation to click Submit Request.14. Complete the attestation by checking the attestation box and click Submit for Approval.15. Click Continue to return to the Manage Portfolio page.
Steps to End an Existing Individual to Organization Affiliation
1. Click on the Create a New Request button at the bottom of the Manage Portfolio page of the MPSE portal. This is the page you will be on when you log into MPSE from MN–ITS.2. Select Individual to organization affiliation request. 3. Enter a Request Effective Date. The Request Effective Date is the date you want Minnesota Health Care Programs to consider your request in effect. 4. Click Continue.5. This will bring you to the Manage Enrollment Record page. Click Edit in the row for the enrollment record you want to end an affiliation to.6. Using the Right-Side Navigation, click on Individual to Organization Affiliations.7. Click View/Edit in the User Actions column for the affiliation you want to end.8. Enter in an End Date and click Continue. 9. If you need to end additional affiliations, repeat Steps 7 and 8. 10. Use the Right-Side Navigation to click Submit Request.11. Complete the attestation by checking the attestation box and click Submit for Approval.12. Click Continue to return to the Manage Portfolio page.
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