Minnesota Minnesota

Minnesota Provider Screening and Enrollment Manual

Minnesota Provider Screening and Enrollment Manual

Existing Minnesota Health Care Program (MHCP) Providers – First Time Access

Revised: January 25, 2023

If you are already an existing enrolled Minnesota Health Care Programs (MHCP) provider, you can use the Minnesota Provider Screening and Enrollment (MPSE) portal to manage your enrollment records. The first time you log in to the MPSE portal, you will be required to update, clarify and enter some of your information in MPSE. This will require you to complete two types of requests: a global request and an enrollment record request. To create a global request, you must have a user role of global provider enroller. To create an enrollment record request, you can have a user role of global provider enroller or enrollment record provider enroller.

If you have more than one enrollment record within your portfolio, you will need to complete an enrollment record request for each of your records to update the information.

The following links provide step-by-step instructions on how to update your information for global and enrollment requests.

  • · Global Request
  • · Enrollment Record Request
  • A video that introduces the MPSE portal is located at the following link.

  • · Introduction to the MPSE Portal
  • Global Request:

    Steps:

  • Step 1. Click Create a New Request.
  • Step 2. Select the request type: Global request.
  • Step 3. Enter the current date in the Request Effective Date box.
  • Step 4. Click Continue.
  • Step 5. On the Manage Profile Identifier page, click Continue.
  • Step 6. On the Manage Organization Information (for organizations) or Manage Individual Information (for individuals) page, complete or update your information. The following information is required to continue:
  • · Legal Name
  • · Fiscal Year End (this always defaults to 12/31)
  • · Ownership Type (organizations only)
  • · Phone Number
  • 6.1. Click Continue.
  • Step 7. On the Manage Enrollment Records page, click Continue.
  • Step 8. On the Manage Owners/Authorized Persons page, information about organization owners, managing employees, credentialing contacts, board members and other authorized persons are required.
  • Individual providers: skip to Step # 10.
  • 8.1. To add an authorized person to your record, click Add a Person.
  • 8.2. On the Manage Owner/Authorized Person Name page, type the name of your owner or authorized person in the First Name, Middle Name and Last Name boxes.
  • 8.2.1 Click Continue.
  • 8.3. On the Manage Owner/Authorized Person Roles page, click Add a Role Type.
  • 8.4. On the Select Owner/Authorized Person Role page, select a Role Type from the drop-down list.
  • 8.4.1 Click Continue.
  • 8.4.2 On the Manage Owner/Authorized Person Role page, complete the information requested. The information that is required depends on the selected role type. The start date is required for all owners and authorized persons.
  • 8.4.3 Click Continue.
  • 8.4.4 On the Manage Owner/Authorized Person Roles page, if this person holds multiple roles, click Add a Role Type and return to step 8.4. Once you are finished adding all role types for this person, click Continue.
  • 8.4.5 On the Manage Owner/Authorized Person Detail page, provide the information requested. Credentialing contacts are not required to provide a residential address. If this owner or authorized person is related to another owner or authorized person for your organization, click on one of the relationship descriptions in the Available Relationship Types box to move it to the Selected Relationship Types box. Type the name of the related person in the Relationship Information box that appears.
  • 8.4.6 Click Continue.
  • 8.5. The Manage Owner/Authorized Person Training Courses page only appears for organizations with enrollment records that require an owner or authorized person to complete training. If this page appears for you, click Add a Course. If this page does not appear, skip to step 8.5.7.
  • 8.5.1 On the Manage Owner/Authorized Person Training Courses page, click Add a Course.
  • 8.5.2 On the Select Owner/Authorized Person Course Name page, select a course name from the drop-down list.
  • 8.5.3 Click Continue.
  • 8.5.4 On the Manage Owner/Authorized Person Training Course page, complete the requested information. Depending on the training course selected, you may be required to upload proof of training.
  • 8.5.5 Click Continue.
  • 8.5.6 On the Manage Owner/Authorized Person Training Courses page, click Continue.
  • 8.5.7 On the Manage Owner/Authorized Person Background Studies page, click Add a Background Study Type if this person is required to complete a background study. If a background study is not required, skip to step 8.5.13.
  • 8.5.8 From the Select Owner/Authorized Person Background Study Type page, select a background study type from the drop-down list.
  • 8.5.9 Click Continue.
  • 8.5.10 On the Manage Owner/Authorized Person Background Study page, complete the requested information.
  • 8.5.11 Click Continue.
  • 8.5.12 On the Manage Owner/Authorized Person Background Studies page, click Continue.
  • 8.5.13 On the Owner/Authorized Person or Business Residential Properties page, if you are a PCA provider and own, lease or manage residential properties that could be or are used for providing home care services, click Add a Residential Property. If you do not have any residential properties to disclose skip to step 8.6.
  • 8.5.14 On the Owner/Authorized Person or Business Residential Property page, provide the requested information and residential address.
  • 8.5.15 Click Continue.
  • 8.5.16 On the Owner/Authorized Person or Business Residential Properties page, click Continue.
  • 8.6. How to Add a Business
  • 8.6.1 On the Manage Owners/Authorized Persons page, click Add a Business.
  • 8.6.2 On the Manage Owner/Authorized Business page, provide the required information.
  • 8.6.3 Click Continue.
  • 8.6.4 On the Manage Owner/Authorized Business Roles page, click Add a Role Type.
  • 8.6.5 On the Select Owner/Authorized Business Role page, select a role type from the drop-down list.
  • 8.6.6 Click Continue.
  • 8.6.7 On the Manage Owner/Authorized Business Role page, complete the information requested. The information that is required depends on the selected role type. The start date is required for all owners and authorized businesses.
  • 8.6.8 Click Continue.
  • 8.6.9 On the Owner/Authorized Person or Business Residential Properties page, if you are a PCA provider and own, lease, or manage residential properties that could be or are used for providing home care services, click Add a Residential Property. If you do not have any residential properties to disclose, skip to step 8.7.
  • 8.6.10 Complete the Owner/Authorized Person or Business Residential Property Information and the Owner/Authorized Person or Business Residential Address section on this page.
  • 8.6.11 Click Continue.
  • 8.6.12 On the Owner/Authorized Person or Business Residential Properties page, click Continue.
  • 8.7. How to Confirm No Owner
  • 8.7.1 On the Manage Owners/Authorized Persons page, click Confirm No Owner Role.
  • 8.7.2 On the Confirm No Owner Role page, type your name in the Enter your name box.
  • 8.7.3 Enter the current date.
  • 8.7.4 Click Continue.
  • Step 9. On the Manage Owners/Authorized Persons page, click Continue.
  • Step 10. On the Manage Notes page, click Add a Note if you want to attach a note with your request. If you do not
  •   want to add a note, skip to step 12.
  • 10.1. On the Manage Note page, type your note in the Note Text box.
  • 10.2. Use the Upload Note documentation box to upload additional documents if needed (this is not required).
  • 10.3. Click Continue.
  • Step 11. On the Manage Notes page, click Continue.
  • Step 12. Click Submit For Approval.
  • Step 13. Click Continue to return to the home page.
  • Enrollment Record Request

    Steps:

  • Step 1. Click Create a New Request.
  • Step 2. Select the request type Enrollment record request type.
  • Step 3. Enter the current date in the Request Effective Date box.
  • Step 4. Click Continue.
  • Step 5. On the Manage Enrollment Records page, click View/Edit on your enrollment record (if you have more than one
  • enrollment record, you will have to repeat these steps for each enrollment record).
  • Step 6. On the Enrollment Record Information page, verify your enrollment record information and complete any
  • missing required information. The information required on this page is:
  • · Practice Name
  • · Unique Display Name
  • · Enrollment Record Type
  • · Click Select Enrollment Record Type, to identify the specific enrollment record type for this record. If you have different enrollment record types at a single location, you can identify the correct enrollment record type by clicking the Right Side Navigation Bar. This will open the Services and Credentials page that lists the enrollment record type for this location.

  • · Facility Type (required only for some organizations)
  • · Facility Begin date (only if a facility type was selected)
  • · Encounter Indicator
  • · Remittance Sequence
  • · Remittance Media
  • · State Tax ID (organizations only)
  • · Phone Number
  • · The Tribal Information section
  • 6.1. Click Continue.
  • Step 7. On the Manage Physical Address page, verify that your practice address is correct.
  • 7.1. Under Available Address Usage Types, click Practice Location to move it to the Selected Address Usage Types box. Move all Available Address Usage Types that apply to this location to the Selected Address Usage Types box. If your practice location is the same location where you store your files, click File Location from the Available Address Usage Types to move it to Selected Address Usage Types. If your files are stored at a different location, leave File Location under Available Address Usage Types. You will provide the address where the files are stored at a different screen prompt.
  • 7.2. Click Continue.
  • Step 8. On the Manage Mailing Addresses page, click View/Edit to verify the mailing address.
  • 8.1. On the Manage Mailing Address page, review address. If address is correct, click Continue. If incorrect, make changes on this page.
  • 8.2. On the Manage Mailing Addresses page, click Continue.
  • Step 9. On the Manage File Location Address page, enter the address where member files are located.
  • 9.1. Click Continue.
  • Step 10. On the Manage Provider Identifiers page, review your NPI or UMPI.
  • 10.1. Click Continue.
  • Step 11. On the Manage Services page, you can review the services on your record. If under the Service Name category it says, Select Service, click View/Edit to select the correct service.
  • 11.1. Select a Service Name from the drop-down list.
  • 11.2. Click Continue.
  • 11.3. How to add a new service
  • 11.3.1 Click Add a Service.
  • 11.3.2 Select a Service Name from the drop-down list.
  • 11.3.3 Enter a Service Begin Date
  • 11.3.4 Click Continue.
  • 11.4. On the Manage Services page, click Continue.
  • Step 12. Complete any applicable or required service related information on the Manage Service Related Information page. Not all enrollment records will see this page.
  • 12.1. Click Continue.
  • Step 13. On the Manage Additional Enrollment Questions page, answer all questions.
  • 13.1. Click Continue.
  • Step 14. On the Manage Credentials page, you will review and make updates to your credentials if necessary. If any of the credentials under the Credential Name column say Select Credential, click View/Edit. To add a new credential, click Add a Credential. If no credentials are required, click Continue.
  • Step 15. How to Update a Select Credential.
  • 15.1. Select the credential from the list under the Select Credential section.
  • 15.2. Click Continue.
  • Step 16. How to Add a Credential.
  • 16.1. Click Add a Credential.
  • 16.2. On the Select Credential page, select the correct credential.
  • 16.3. Click Continue.
  • 16.4. On the Manage Credential page, provide the requested information. You may be required to upload a copy of your credential.
  • 16.5. Click Continue.
  • 16.6. On the Manage Credentials page, click Continue.
  • Step 17. On the Manage Fees page, click Add Fee Payment Information if you are required to pay an application fee. Click Continue if you are not required to pay a fee.
  • 17.1. On the Manage Fee Information page, enter your payment information.
  • 17.2. Click Continue.
  • 17.3. On the Manage Fees page, click Continue.
  • Step 18. On the Manage Site Visits page, click Add a Site Visit if you have had a site visit completed. If you are not required to have a site visit or it has not yet been completed, click Continue.
  • 18.1. Select DHS or Medicare from the Referred to/Performed by drop-down list to identify who performed your site visit.
  • 18.2. Enter the Completion Date.
  • 18.3. Click Continue.
  • 18.4. On the Manage Site Visits page, click Continue.
  • Step 19. On the Manage Facility/Agency Identifiers, review your facility/agency ID if you have one.
  • 19.1. Click Continue.
  • Step 20. On the Manage Agreements/Addendums page, click Add Agreement/Addendum.
  • 20.1. Select your Agreement/Addendum from the drop-down list.
  • 20.2. Complete your agreement or addendum and upload it in the Upload Agreement/Addendum Documentation box.
  • 20.3. Type your Digital Signature and Signers Title.
  • 20.4. Enter the Signature Date.
  • 20.5. Click Continue.
  • 20.6. On the Manage Agreements/Addendums page, click Continue.
  • Step 21. If you have limiting caseload information, review your information on the Limiting Caseload page.
  • 21.1. Click Continue.
  • Step 22. On the Manage Notes page, if you would like to add a note to your enrollment record request, click Add a Note. If you do not want to add a note, click Continue.
  • 22.1. Enter your note in the Note Text box.
  • 22.2. Upload documentation if applicable (this is not required).
  • 22.3. Click Continue.
  • 22.4. On the Manage Notes page, click Continue.
  • Step 23. On the Manage Enrollment Status page you can review your enrollment status. You cannot make any changes on this page. Click Continue.
  • Step 24. On the Right Side Navigation Bar, click Owners/Authorized Person.
  • 24.1. On the Manage Owners/Authorized Person page, if you are required to add a credentialing contact or managing employee it will display under the Required but Missing Role Types section. To add the missing roles follow steps 24.2 through 24.24. If you do not have any required missing roles, skip to step 25.
  • Note: The owners and authorized persons or businesses may not appear in your record yet if your submitted global request has not been reviewed and approved by Provider Eligibility and Compliance.
  • 24.2. Click Add a Person.
  • 24.3. Enter the person’s name.
  • 24.4. Click Continue.
  • 24.5. On the Manage Owner/Authorized Person Roles page, click Add a Role Type.
  • 24.6. Select a Role Type from the drop-down list.
  • 24.7. Click Continue.
  • 24.8. Enter the Start Date of this role for this authorized person.
  • 24.9. Select the Enrollment Record associated with this role for this person.
  • 24.10. Click Continue.
  • 24.11. On the Manage Owner/Authorized Person Roles page, click Continue.
  • 24.12. Complete the Manage Owner/Authorized Person Detail page.
  • 24.13. Click Continue.
  • 24.14. The Manage Owner/Authorized Person Training Courses page only appears for organizations with enrollment records that require an owner or authorized person to complete training. If this page appears for you, click Add a Course. If this page does not appear, skip to step 24.18.
  • 24.15. On the Manage Owner/Authorized Person Training Courses page, click Add a Course.
  • 24.16. On the Select Owner/Authorized Person Course Name page, select a course name from the drop-down list.
  • 24.17. Click Continue.
  • 24.18. On the Manage Owner/Authorized Person Training Courses page, click Continue.
  • 24.19. On the Manage Owner/Authorized Person Background Studies page, click Add a Background Study Type if this person is required to complete a background study. If a background study was not required, skip to step 24.22.
  • 24.20. From the Select Owner/Authorized Person Background Study Type page, select a Background Study Type from the drop-down list.
  • 24.21. Click Continue.
  • 24.22. On the Manage Owner/Authorized Person Background Studies page, click Continue.
  • 24.23. On the Owner/Authorized Person or Business Residential Properties page, if you are a PCA provider and own, lease or manage residential properties that could be or are used for providing home care services, click Add a Residential Property. If you do not have any residential properties to disclose, skip to step 24.25.
  • 24.24. On the Owner/Authorized Person or Business Residential Property page, provide the requested information and residential address.
  • 24.25. On the Owner/Authorized Person or Business Residential Properties page, click Continue.
  • Step 25. From the Right Side Navigation Bar, click Submit Request.
  • 25.1. Click Submit for Approval.
  • 25.2. Click Continue to return to your home page.
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