Finding the right Minnesota Health Care Programs (MHCP) provider phone number can be crucial for healthcare providers and recipients alike. This guide outlines how to connect with MHCP for enrollment, billing, and general inquiries. We’ll cover key aspects of the enrollment process, important contact information, and frequently asked questions.
Understanding MHCP Enrollment
Enrolling with MHCP is essential for providers to receive reimbursement for services rendered to eligible recipients. The process involves several steps:
Verify Eligibility and Exclusion Lists
Before enrolling, providers must:
- Check Exclusion Lists: Ensure neither the provider nor any employees are on federal or state exclusion lists maintained by the Office of Inspector General (OIG). These lists identify individuals and entities barred from participating in federal healthcare programs.
- Meet Requirements: Fulfill all licensing, certification, and other requirements specific to the service type. Requirements vary based on the provider’s profession and the services offered.
Obtain a Provider Identification Number
- National Provider Identifier (NPI): Most providers need an NPI, a unique 10-digit identification number, obtained through the National Plan and Provider Enumeration System (NPPES).
- Unique Minnesota Provider Identifier (UMPI): Certain provider types, such as home and community-based services providers, may not require an NPI. MHCP will assign a UMPI if an NPI is not applicable.
Submit Enrollment Documents
Providers can enroll through two methods:
- Minnesota Provider Screening and Enrollment (MPSE) Portal: Online enrollment through the MPSE portal offers a streamlined process with built-in guidance.
- Fax: Complete required documents and fax them to the MHCP Provider Eligibility and Compliance division. Email submissions are not accepted.
Minnesota Health Care Programs Provider Phone Number and Contact Information
While specific provider phone numbers may vary based on the inquiry, the primary contact point for MHCP is the DHS-MHCP Provider Call Center:
- Phone Number: Contact the MHCP Provider Resource Center. This resource will direct you to the appropriate contact number based on your specific needs.
Other Important Resources:
- MPSE Portal: https://mn.gov/dhs/partners-and-providers/policies-procedures/minnesota-health-care-programs/provider/mpse/ – For online enrollment and managing enrollment information.
- MN–ITS: https://mn-its.dhs.state.mn.us/GatewayWebUnprotected/index.faces – For eligibility verification, claim submission, and other transactions.
Key Considerations for Providers
- Application Fees: Some provider types require a non-refundable application fee.
- Electronic Funds Transfer (EFT): MHCP encourages EFT or direct deposit for faster and more secure payments. Providers need a supplier ID and location code from Minnesota Management and Budget (MMB) to utilize EFT.
- Managed Care Organization (MCO) Providers: Providers participating in MCO networks must enroll with both DHS and the specific health plan.
- Enrollment Changes: Providers are responsible for keeping their enrollment information current, including changes in address, services offered, and ownership.
Conclusion
Navigating the MHCP system can be complex. Utilizing online resources like the MPSE portal and MN–ITS, and contacting the appropriate MHCP provider phone number can significantly simplify the process. Staying informed about enrollment requirements and procedures ensures timely processing and reimbursement for healthcare services. Remember to always consult the official MHCP website and resources for the most up-to-date information.
