Minnesota Minnesota

MN–ITS User Manual

MN–ITS User Manual

Provider Lists

Posted: February 9, 2024

Provider Lists are downloadable Excel spreadsheets made available to MN–ITS users and contain Minnesota Health Care Programs (MHCP)-enrolled provider information.

Steps to view the Provider Lists in MN–ITS:

  • 1. Log into MN–ITS. You must be enrolled with MHCP and have a registered MN–ITS mailbox.
  • 2. Select Provider Lists on the left-side navigation.
  • 3. Select one of the following lists (except the Personal Care Assistance (PCA) Providers A – Z) from the middle of the screen:
  • · FQHC/RHC Carve Out List
  • · Health Care Homes
  • · ICF/DD Providers (for Day Training and Habilitation (DT&H) Day Services Claims)
  • · Moving Home Minnesota
  • · Ordering/Prescribing Providers
  • · Personal Care Assistance (PCA) Providers A - Z
  • · Practitioner Affiliations A - Z
  • · Referring Providers
  • · Telemedicine/Telephonic Telemedicine Providers
  • Providers can use the Minnesota Provider Screening and Enrollment (MPSE) portal to review and make affiliation requests.

    FQHC/RHC Carve Out List

    List is used by managed care organizations (MCOs) and identifies MHCP-enrolled federally qualified health centers (FQHC) and rural health clinics (RHC) for the managed care carve-out claims process. MCOs can use the list to identify if the FQHC/RHC provides medical, dental or pharmacy services.

    Columns C – E identifies if medical services, dental services, or pharmacy services are provided. An entry of Y stands for yes and an entry of N stands for no. An entry of Y will also be highlighted in green.

    Column O displays the FQHC/RHC carve-out status begin date.

    Column P displays the FQHC/RHC carve-out status end date, or if 12/31/3001 is displayed, the status does not expire.

    An additional key for the spreadsheet can be found on the Notes tab.

    The list is updated monthly.

    Health Care Homes

    List of MHCP-enrolled hospitals, physicians (individuals or clinics), nurse practitioners and physician assistants who have been certified to be health care home providers.

    Column H displays the date the individual or organization was affiliated as a health care home provider.

    The list is updated weekly.

    ICF/DD Providers (for DT&H Claims)

    List of all MCHP-enrolled and active intermediate care facility for persons with developmental disabilities (ICF/DD).

    The list is updated monthly.

    Moving Home Minnesota

    List of all MHCP-enrolled and active waiver providers who provide Moving Home Minnesota (MHM) services.

    The list is updated weekly.

    Ordering/Prescribing Providers

    List of all MHCP-enrolled providers who can order or prescribe services. These providers include physicians, dentists, optometrists, nurse practitioners, nurse midwives, clinical nurse specialists and physicians assistants.

    Column K displays the specialty code. Specialty code PN will display when the services were provided under COVID-19 policies which have ended.

    Column N displays the enhanced services begin date.

    Column O displays the enhanced services end date. If the date displays 12/31/3001, the status does not expire except those with specialty code (column K) PN.

    The list is updated monthly.

    Personal Care Assistance (PCA) Providers A – Z

    List of all MHCP-enrolled and affiliated individual PCA workers and direct support workers (DSW).

    The list is used to verify

  • · an individual PCA worker or DSW’s affiliation with a PCA organization or Financial Management Services (FMS) organization and
  • · the individual PCA worker or DSW’s qualification for the enhanced rate.
  • Agency Affiliation
    Take the following steps to verify a worker is affiliated with a PCA or FMS organization.

    Steps to view data in MN–ITS:

  • 1. Log into MN–ITS. You must be enrolled with MHCP and have a registered MN–ITS mailbox.
  • 2. Select Provider Lists (Individual PCAs) on the left-side navigation.
  • 3. Select Personal Care Assistance (PCA) Providers A-Z from the middle of the screen.
  • 4. The data will open in Excel format with columns C, D and E used to show the affiliation data.
  • 5. Column C – PCA or FMS organization name
  • 6. Column D – Date the worker became affiliated with the organization
  • 7. Column E – Date the worker affiliation ended or is set to end, or if 12/31/3001 is displayed, the worker’s affiliation does not expire
  • Enhanced Rate
    Take the following steps to verify that a worker is qualified for the enhanced rate.

    Steps to view data in MN–ITS:

  • 1. Log into MN–ITS. You must be enrolled with MHCP and have a registered MN–ITS mailbox.
  • 2. Select Provider Lists (Individual PCAs) on the left-side navigation.
  • 3. Select Personal Care Assistance (PCA) Providers A-Z from the middle of the screen.
  • 4. The data will open in Excel format with columns F, G and H used to show the enhanced rate data.
  • 5. Column F – “P2 – Enhanced Rate” will display if the worker has completed training and the rate is on file
  • 6. Column G – Date the worker qualifies for the enhanced rate
  • 7. Column H – Date the enhanced rate qualification has ended, is set to end, or if 12/31/3001 is displayed, the worker’s eligibility does not expire
  • If you notice enhanced rate training data is not showing for your staff but the staff have reported taking the course to be qualified, submit the Individual DSW Information Change Form (DHS-5716) (PDF). Check the box titled “DSW completed the Qualified Enhanced Rate training” and fill in the training completion date and training expiration date (if applicable). In addition, include the staff’s completion of training confirmation letter.

    A Provider Eligibility and Compliance specialist will review the DHS-5716 and, if applicable, add to the record. You will not receive a confirmation notice after the record has been updated. Confirmation will be done using the Personal Care Assistance (PCA) Providers A – Z spreadsheet in MN–ITS.

    The list is updated weekly.

    Practitioner Affiliations A – Z

    List of all MHCP-enrolled individual providers who are affiliated with an organization except individual PCA workers and direct support workers.

    Column G displays the individual’s affiliation date with the organization.

    Column H displays the individual’s affiliation end date with the organization. If the date displays 12/31/3001, the affiliation does not expire.

    The list is updated weekly.

    Referring Providers

    List of all MHCP-enrolled and active individual providers except individual PCA workers and direct support workers.

    Referring providers are also known as rendering or treating providers.

    The list is updated weekly.

    Telemedicine/Telephonic Telemedicine Providers

    List of all MHCP-enrolled and active providers who can provide telemedicine.

    The list is updated weekly.

    Report this page