Minnesota Minnesota

Minnesota Provider Screening and Enrollment Manual

Minnesota Provider Screening and Enrollment Manual

Mailing Address

Revised: January 18, 2024

Manage Mailing Address

Overview

The mailing address is the address where you would like Minnesota Health Care Programs (MHCP) to send your mail via the United States Postal Service (USPS). MHCP can send any of the following types of correspondence to your mailing address if you did not elect to send them to your physical address:

  • · 1099
  • · Correspondence
  • · Credentialing
  • · Authorizations
  • · Paper check
  • · Remittance advice
  • You can have up to two mailing addresses for each enrollment record.

    Use this page to manage your mailing addresses for your enrollment record. You can only edit the information on this page if you are in an MPSE Request.

    Portfolio/Profile Information

    See Portfolio/Profile Information on the Recurring Items page of the Minnesota Provider Screening and Enrollment (MPSE) User Manual.

    Enrollment Record Information

    This is a recurring section that appears on multiple MPSE pages for informational purposes only. See Enrollment Record Information on the Recurring Items page of the MPSE User Manual.

    Mailing Addresses

    Your mailing addresses are displayed in the Mailing Addresses section. If no mailing addresses have been added or this is a new enrollment record, this section will not have any information to display.

    To view specific details of the information provided in the section, go to the Manage Mailing Address page.

    View/Edit
    Click View/Edit to go to the Manage Mailing Address page. From this page, you can view and edit your mailing address information. To have the View/Edit option, you must be in an MPSE Request.

    Delete
    Click Delete to delete your mailing address.

    View
    Click View to go to the Manage Mailing Address page. From this page, you can view your mailing address information. You will not be able to make any changes while in view mode.

    Add a Mailing Address

    Click Add a Mailing Address to go to the Manage Mailing Address page.

    Continue

    Click Continue to save your changes and go to the next page.

    Cancel

    Click Cancel to go back to the previous page.

    Manage Mailing Address

    Overview

    On this page, you can add a new mailing address or make changes to an existing mailing address.

    Portfolio/Profile Information

    See Portfolio/Profile Information on the Recurring Items page of the Minnesota Provider Screening and Enrollment (MPSE) User Manual.

    Enrollment Record Information

    This is a recurring section that appears on multiple MPSE pages for informational purposes only. See Enrollment Record Information on the Recurring Items page of the MPSE User Manual.

    Attention

    Type the name of a person or business entity that you would like your mail addressed to in the Attention field. It is optional to type information in this field; you can leave this field blank.

    Street Address 1

    Type the street address of your mailing location in the Street Address 1 field.

    Street Address 2 Type

    Select your address type from the Street Address 2 Type drop-down list. Street address type is required if you have typed information into the Street Address 2 Data field. If you have not typed data in the Street Address 2 Data field, do not select a Street Address Type 2.

    The options you can select are:

  • · Suite
  • · Unit
  • · Lockbox
  • · Mailstop
  • · Dept.
  • · Room
  • · PO Box
  • · Tribal PO Box
  • · Apt.
  • · Lot
  • · Trailer
  • Street Address 2 Data

    Type your street address data in the Street Address 2 Data field. For example, if you selected PO Box as your street address 2 type, you would type your PO Box number in the Street Address 2 Data field.

    Only type information in this field if you selected a street address 2 type.

    City

    Type the city of your mailing address in the City field.

    State

    Select the state of your mailing address in the State drop-down list.

    Zip Code

    Type the 5-digit zip code of your mailing address in the ZIP Code field.

    Available Address Usage Types and Selected Address Usage Types

    Use the Available Address Usage Types box to select which types of correspondence should be sent to your mailing address. Only usage types that have not been added to the Selected Address Usage Types box on the Manage Physical Address page or to a different mailing address will appear in this box.

    The Selected Address Usage Types box shows the types of correspondence that MHCP will send to this mailing address based.

    To designate which types of correspondence you would like sent to this mailing address, you must move the usage type from the Available Address Usage Types box to the Selected Address Usage Types box. To move usage type from one box to the other box, click the name of the usage type.

    Continue

    Click Continue to save your changes and go to the next page.

    Cancel

    Click Cancel to go back to the previous page.

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