Community First Services and Supports (CFSS) Provider Agency Enrollment Criteria and Forms
Questions and Answers Sessions
We are offering monthly Community First Services and Supports (CFSS) Provider Agency office hours with live instructors from the 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 application 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 (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. If you have a training certificate that says “PCA Steps for Success,” you must take the CFSS Steps for Success transitional training.
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.
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 an account) 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.
We recommend using the MPSE portal and following the instructions in the Revalidation section of the MPSE user manual to revalidate your record. Log in to your MN–ITS account on the MN–ITS: Home webpage and choose the Minnesota Provider Screening and Enrollment (MPSE) portal link. If you have not registered your MN–ITS account, your login information is 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 (PCPOs) that have not received a notice to revalidate that are transitioning to CFSS must submit the following to bill for 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.
Report this page