Revalidation

Revised: April 4, 2024

Overview

Minnesota Health Care Programs (MHCP) notifies providers when it is time to complete revalidation. Revalidation is a process that verifies that enrollment information is current, and credentials and requirements comply with state law.

All providers are required to complete revalidation at least one time every five years. Providers will receive a notice when it is time for revalidation and can expect to receive an initial revalidation notice as soon as 3 ½ years after the most recent revalidation or enrollment date.

To ensure efficient processing of revalidation paperwork for providers that are scheduled for revalidation, wait to send revalidation documents until you receive your initial revalidation notice.

Check the MN–ITS PRVLTR file regularly for important notices, including letters to notify you that you are due for revalidation. If you have not set up a MN–ITS mailbox, MHCP will send your notice of revalidation to the credentialing address listed on your enrollment record.

Steps to Complete Revalidation

Providers use the following steps to complete revalidation for an enrollment record in an organization portfolio or in their own individual portfolio. If you are responding to a revalidation due for an individual provider that is affiliated to an organization, follow the Steps to Update an Existing Organization to Individual Affiliation.

1. Log into the MN–ITS application using an account for which the username shares the NPI or UMPI number listed on the revalidation notice and has a user role of either enrollment record provider enroller or global provider enroller.

2. Click on the link for Minnesota Provider Screening and Enrollment (MPSE) portal in the left-side navigation of MN–ITS. This opens the Manage Portfolio page of the MPSE portal.

3. On the Manage Portfolio page, click the link labeled Manage Enrollment Records Due for Revalidations in the Revalidations section. This will open the Enrollment Records with a Revalidation In-Process page.

Screenshot of Revalidations section in the MPSE portal

4. On the Enrollment Records with a Revalidation In-Process page, review the Revalidations In-Process section for a list of enrollment records with a set revalidation due date.

5. Locate the enrollment record that you are revalidating and click the Create Enrollment Record Request link.

6. This opens the Manage Enrollment Record page. In most cases, an enrollment record selected for revalidation will already exist in the enrollment records list. Select the enrollment record that needs revalidating by clicking Edit in the row next to that enrollment record.

If the enrollment record requiring revalidation is not in the enrollment records list, you will need to add a new enrollment record. This situation is rare and only occurs when DHS makes changes to programs and creates new provider types in the MPSE system. If this applies to you, follow the steps to Add a New Enrollment Record.

7. Go through each section of the selected enrollment record and update information as needed.

· Enrollment Record Information – General information about the enrollment record including phone number, electronic fund transfer information, remittance advice settings, and tribal affiliations

· Addresses – Addresses for physical location, file location, and other mailing addresses

· Provider Identifier – National Provider Identifier (NPI) or Unique Minnesota Provider Identifier (UMPI) number

· Services – Services provided at this location

· Credentials – Licensure, MHCP forms, and other credentials

· Note: even if a provider has already uploaded a particular credential prior to revalidation, they will likely have to upload the same credential again as part of the MHCP revalidation process.

· Fees – Fee payment information for initial enrollment, revalidation, and reinstatement

· Many providers are required to pay a revalidation fee. Find more information about who is required to pay a fee on the Application Fees section of the Provider Manual.

· Site Visits – Site visits performed by Minnesota, another state or Medicare

· Agreements and Addendums – Provider agreements

8. Click on Submit Request in the Right-Side Navigation menu for MHCP to review.

Screenshot of MPSE right-side navigation

If there are errors associated with your request, you will need to resolve these before you can submit the request for approval.

9. Complete the attestations that pop up and click Submit for Approval.

10. We strongly recommend that providers keep a record of the information they submitted. Use the Download All Documents button to download a zip file that contains a summary report of their revalidation and documents uploaded as part of the request. We also encourage providers to submit user feedback by selecting the MPSE Survey link.

11. Click Continue to return to the Manage Portfolio page where you can start additional requests as needed.

Review Ownership Information

As part of the final steps in completing your revalidation, MPSE will require you to update your owner(s) and managing employee(s) information if it is not current. Review the owners and people authorized to act on behalf of owners listed in your portfolio by clicking on the Owners and Authorized Persons link in the Right-Side Navigation. To update ownership information, you will submit a Global Request.

Notes on Completing Your Revalidation:

· Only one enrollment record request per location with a request status of Draft or Pending Review can be made at a time. This means that you may have to create multiple requests when processing your revalidation if you have multiple locations that are due for revalidation.

· Use the Help link in the top-right corner of the MPSE portal page for help with defining specific fields and requirements for the MPSE portal page you are in.

Screenshot of MPSE Help link