Enrollment Record Requests

Revised: January 8, 2024

Overview

Within your portfolio, you can have many different enrollment records. Your enrollment records are specific to practice locations and the types of services you provide at that location. Your enrollment records may each have a different National Provider Identifier (NPI), but all of your enrollment records within one portfolio must have the same Social Security number (SSN) or Federal Employer Identification Number (FEIN) as their Profile Identifier.

Examples:

Organizations: If you have five different practice locations and use the same FEIN for each location, you will have five enrollment records within your portfolio.

If you are an organization and have five different practice locations, but three of them have one FEIN and two of them have a different FEIN, you will have to create two portfolios. One portfolio will have three enrollment records for the locations with the first FEIN and the second portfolio will have two enrollment records with the second FEIN.

Individuals: If you have the credentials to be both a dentist and a physician and want to enroll with Minnesota Health Care Programs (MHCP) as both, you will have one portfolio with two enrollment records, one for each of the services you provide.

You will use the Manage Enrollment Records section of the Minnesota Provider Screening and Enrollment (MPSE) portal to view or change your existing enrollment records. Changes to enrollment records can only be made when a user is in an Enrollment Record Request or a Profile Request.

Portfolio/Profile Information

See Portfolio/Profile Information on the Recurring Items page of the MPSE User Manual. This section is for informational purposes only and cannot be edited.

Provider Enrollment Records

In the Provider Enrollment Record section, you will find information related to your enrollment records. Enrollment records are organized by their current status with MHCP. There are 4 status lists including, Active, Pending, Encounter Only, and Inactive. There is also a list for records currently being modified called Modify Requests.

Each list is organized in columns by the following criteria: Enrollment Record Id, NPI/UMPI, Practice/Provider Name, Unique Display Name, Enrollment Record Type, Encounter Indicator, Address, Status, Revaldiation Due Date, and Actions. You can sort the lists by specific criteria by selecting that criteria in the search bar at the top of each column. If there are no enrollment records in a particular list, the message There are no items in the list to display will appear in the list.

The options available in the Actions column of each list depend on the User Role and if the user is in an Enrollment Record Request. Potential options include, View, Edit, Summary Report, and Delete.

Edit
Click Edit to go to the Enrollment Record Information page. You can navigate through your entire enrollment record and make changes as needed.

View
Click View to go to the Enrollment Record Information page. You can navigate through your entire enrollment record and view your current information. You will not be able to make any changes while in View mode.

Summary Report
Click Summary Report to go to the Summary Report page. From this page, you can view a summarized report of your enrollment record.

Delete
Click Delete to delete your enrollment record. You can only delete enrollment records when they have not yet been approved by MHCP. If you need to terminate an enrollment record, follow the Steps to Terminate an Enrollment Record.

Add a New Enrollment Record

Click Add a New Enrollment Record to go to the Enrollment Record Information page and start the process of creating a new enrollment record.

Continue

Click Continue to go to the next page.