Providers and billing organizations doing business with Minnesota Health Care Programs (MHCP) must enroll with MHCP to receive payment for services provided to MHCP members. Learn more about enrolling as a provider for the types of services you want to provide in the Enrollment with MHCP section of the Provider Manual.
Providers must be aware of requirements for their provider type in addition to the information in the Provider Manual Provider Requirements section.
Visit the MHCP Provider Training page to watch our other on-demand videos and to sign up for instructor-led training for all providers and provider specific training sessions.
Electronic funds transfer (EFT) or direct deposit
MHCP recommends all providers sign up to be paid through EFT or direct deposit. EFT payments are a convenient alternative to receiving paper checks and feature many advantages.
EFT payments are:
Faster – You can access your funds quicker. You don’t have to wait for a check to arrive and you don’t have to make a trip to the bank to make a deposit.
Safer – You won’t deal with lost, stolen or misdirected checks.
Easier – You can manage cash flow with less paperwork.
Providers who want to be paid through EFT from MHCP must have an active 10-digit supplier ID and a 3-digit supplier location code assigned from Minnesota Management and Budget (MMB).
To obtain a supplier ID, follow these steps:
Go to Minnesota Supplier Portal website and select “Register for an Account” and register as a “New Supplier,” if you do not already have a supplier ID.
To add or update banking information to an existing supplier ID via the Supplier Portal, refer to Update Supplier Profile or you can submit the MMB EFT Bank Change Request (PDF). If you have questions whether your supplier ID is active for direct deposit, call MMB at 651-201-8106.
The 21st Century Cures Act requires states to enroll all Medicaid providers, both those in Medicaid fee-for-service (FFS) and those in managed care organization (MCOs) networks. Starting July 17, 2023, Minnesota Health Care Programs (MHCP) will start the screening and enrollment process for MCO in-network providers.
Review the following frequently asked questions for additional information.
Q: Why do providers need to enroll with the Minnesota Department of Human Services (DHS) as an MHCP provider?
A: Federal law (the 21st Century Cures Act) requires the state agency (DHS) to enroll and screen all MCO in-network providers. This is also detailed in the 18.104.22.168 “Provider Selection and Enrollment with the STATE” section of DHS managed care contracts.
Q: Who needs to enroll?
A: MCO in-network providers must enroll. Refer to the Enrollment with MHCP manual page for a list of provider types DHS enrolls.
Q: Are currently enrolled FFS providers required to conduct the screening and enrollment process again to provide services for an MCO?
A: No. Providers who are actively enrolled as FFS providers are eligible to contract with the MCOs and will not need to go through the screening and enrollment process again.
Q: Can an MCO in-network provider enroll with MHCP without agreeing to provide services to FFS Medicaid members?
A: Yes. The enrollment process with MCHP allows the provider to choose to provide services to MCO members only or FFS members only, or both.
Q: When can a provider enroll with MHCP?
A: The enrollment processes is expected to start July 17, 2023. Currently, providers do not need to act. However, providers may register for an enrollment training in preparation.
Q: When must a provider enroll with MHCP by?
A: All MCO in-network providers who already have an existing contract with an MCO must enroll by July 15, 2024, except for the following provider types that will require a site visit from DHS:
Provider type 10-Community Mental Health Center
Provider type 11-Rehab Agency
Provider type 46-Day Treatment
Provider type 64O-Private Duty Nurse
Provider type 82-Medical Transportation
These providers in the bulleted list in number 8 must enroll by December 31, 2024. Please note MHCP will conduct an announced site visit within 60 days of the referral date (a letter will be sent) for the providers listed in the bulleted list in number 8. You must complete both the enrollment process and site visit by December 31, 2024.
All new providers who contract with an MCO starting July 17, 2023, will have 120 days to complete their MHCP Enrollment. The MCOs may hold a in-network provider contract with a provider for the 120 days while the provider completes that process.