Revised: January 23, 2024
How to Enroll
Your initial personal care provider organization (PCPO) or personal care assistance (PCA) Choice or fiscal management service (FMS) application to enroll with Minnesota Health Care Programs (MHCP) must include all items listed in this section.
Owners, managing employees and qualified professionals are required to attend PCA agency training before completing the enrollment process. Any additional business sites or locations must also submit a complete application.
PCPO and PCA Choice Enrollment
PCPO and PCA Choice providers must follow these steps:
In the Enrollment Records section, you will click Add a New Enrollment Record at the bottom of the page. This will take you to the Enrollment Record Information page where you will use the drop-down list labeled Enrollment Record Type to select Personal Care Provider Organization (PCPO)- 38-O. Additionally, when you get to the section titled Services, make sure to add PCA Choice or Personal Care Provider Organizations (PCPO) or both.
or
Complete the following and fax to Provider Eligibility and Compliance (PEC) at 651-431-7465 along with any required documents.
Please note: Medicare-certified home health agencies may submit the Organization – Provider Enrollment Application (DHS-4016A) (PDF) if also doing services other than PCA. If providing PCA services through the enrolled home health agency, the agency must also follow steps 2-3 of the enrollment process listed on this page.
FMS Enrollment
FMS providers must follow these steps:
or
Complete the following and fax to Provider Eligibility and Compliance (PEC) at 651-431-7465 along with any required documents.
Processing Timeline
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 U.S. mail (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 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 Revalidation in Provider Screening Requirements under Provider Basics in the MHCP Provider Manual for important information, including timelines, the revalidation process and impacts to your enrollment. Providers who do not meet the revalidation timelines will have their enrollment terminated.
Reporting Changes
You must report any changes made on a provider record to MHCP Provider Eligibility and Compliance.
Report changes in ownership 30 days in before they become effective and submit new copies of all enrollment documents, a new screening fee payment, and a signed copy of theProvider Entity Sale or Transfer Addendum (DHS-5550) (PDF).
Refer to Changes to Enrollment in the Enroll with MHCP section of the MHCP Provider Manual for details.
Report this page
