Community First Services and Supports (CFSS) Provider Agency Enrollment Criteria and Forms
Questions and Answers Sessions
We are offering Community First Services and Supports (CFSS) provider agency office hours with live instructors from the Minnesota Health Care Programs policy and enrollment teams. The focus of the sessions will be about CFSS policies, enrollment and the transition to CFSS.
Instructors will answer provider questions in a group setting in the order received but will not answer questions that include provider identifying information. Instructors will give live demonstrations when appropriate.
Go to the CFSS Provider Agency Office Hours webpage to register to attend a session.
How to Enroll
Each provider agency must complete a CFSS enrollment process to provide CFSS services. Each additional business site or location must apply. Your initial CFSS application to enroll with Minnesota Health Care Programs (MHCP) must include all items listed in this section.
Owners and managing employees (individuals directly or indirectly involved in the day-to-day operations of the CFSS business) are required to attend a CFSS Steps for Success workshop before completing the enrollment process.
CFSS provider agencies must follow these steps:
or
Complete the following forms and fax to Provider Eligibility and Compliance at 651-431-7465 along with any other required documents:
Once Provider Eligibility and Compliance has determined you have submitted your initial enrollment application either through MPSE or fax, then all new owners, board members and managers must complete a NETStudy 2.0 background study. All owners, board members and managers must use the agency ID on their background study that Provider Eligibility and Compliance assigns to the agency on their CFSS enrollment record. You will find your agency ID on the letter that notifies you to complete background studies, or it will be on the Facility/Agency Identifier screen in MPSE when it is assigned.
Note: Medicare-certified home health agencies who wish to provide CFSS, follow the enrollment steps in Home Health Agency Enrollment Criteria and Forms.
Review and keep a copy of the MHCP Data Privacy Notice (DHS-6287) (PDF).
We process forms in order of date received. Whether enrolling using the MPSE portal or by fax, allow 30 days for processing. If we need more information to complete your enrollment, we will send a request for more information letter via the U.S. Postal Service (or in your MN–ITS mailbox, if you have access to MN–ITS) telling you what you need to do to complete your enrollment.
Revalidation
MHCP is required to follow the Centers for Medicare & Medicaid Services (CMS) final federal provider screening regulations.
MHCP will notify you when you are due for revalidation. When you are notified, you must submit a revalidation request through the MPSE portal or fax all required forms and documents listed under How to Enroll to Provider Eligibility and Compliance at 651-431-7462.
All new owners, board members and managers must complete a NETStudy 2.0 background study according to Minnesota Statutes, 256B.85, subdivision 10(a)(8). Note: all owners, board members and managers must use the agency ID on their background study that Provider Eligibility and Compliance assigns to your agency for your CFSS enrollment record.
We recommend using the MPSE portal. Follow the instructions in the Revalidation section of the MPSE User Manual to revalidate your record.
To access MPSE, log in to LoginMN (Minnesota’s statewide applications sign on) to access MN–ITS and choose the Minnesota Provider Screening and Enrollment (MPSE) portal link. If you have not registered for MN–ITS access, your registration information will be on your original Welcome Letter. Call the MHCP Provider Resource Center at 651-431-2700 or 800-366-5411 if you do not have your Welcome Letter.
Refer to the PCA to CFSS Revalidation Guide for detailed information and screenshots of the MPSE portal about adding CFSS to an enrollment record due for revalidation.
Refer to Revalidation in the Provider Screening Requirements section of the MHCP Provider Manual for more information about how to complete your revalidation.
Adding CFSS Services to an Active Personal Care Provider Organization Not Due for Revalidation
Actively enrolled personal care provider organizations that have not received a notice to revalidate that are transitioning to CFSS must submit the following before providing and billing for CFSS services:
Submit these using the Minnesota Provider Screening and Enrollment (MPSE) Portal or by fax.
Ensure all provider credentials are updated on provider records, such as, but not limited to, liability insurance, surety bond, fidelity bond, workers compensation or any other required forms.
Reporting Changes
You must report any changes made on a provider record to MHCP Provider Eligibility and Compliance. Refer to Changes to Enrollment in the Enroll with MHCP section of the MHCP Provider Manual for details.
You must also meet ongoing requirements of other state agencies for Minnesota businesses.
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