How to become a Medicaid provider in Minnesota
To bill Minnesota Medicaid, enroll through Minnesota Provider Screening and Enrollment (MPSE) portal, run by None named — Minnesota DHS enrolls providers itself. The process has 5 steps, listed below with the documents the state asks for.
- Enrollment portal
- Minnesota Provider Screening and Enrollment (MPSE) portal
- Steps
- 5
- Documents
- 5
- Plans listed
- 8
On this page
Minnesota Medicaid enrollment at a glance
To bill Minnesota Medicaid, enroll through Minnesota Provider Screening and Enrollment (MPSE) portal, run by None named — Minnesota DHS enrolls providers itself. The process has 5 steps, listed below with the documents the state asks for.
- Program
- Minnesota Health Care Programs (MHCP) — Medical Assistance and MinnesotaCare (Minnesota DHS)
- Enrollment portal
- Minnesota Provider Screening and Enrollment (MPSE) portal
- Fiscal agent
- None named — Minnesota DHS enrolls providers itself (MPSE/MN-ITS)
- Application fee
- DHS's Minnesota Revalidate 2026 FAQ refers to a revalidation fee that applies to some providers. Federal rule (42 CFR 455.460): the state must collect the CMS application fee from institutional providers that are newly enrolling or re-enrolling; individual physicians and non-physician practitioners are exempt, as are providers already enrolled in (or that already paid the fee to) Medicare or another state's Medicaid/CHIP. CMS set the fee at $750 for calendar year 2026.
- Fingerprinting
- Minnesota runs background studies through NETStudy 2.0; DHS's revalidation FAQ covers when fingerprints are needed for high-risk revalidation. Federal rule (42 CFR 455.434, 455.450(c)): providers the state places in the 'high' categorical risk level, and anyone owning 5% or more of such a provider, must submit fingerprints for a criminal background check.
- Site visit
- As part of Minnesota Revalidate 2026, DHS does unannounced site visits for high-risk services, including at locations where providers had never had one before. Federal rule (42 CFR 455.432, 455.450(b)-(c)): the state must do site visits before and after enrollment for providers in the 'moderate' or 'high' risk levels, and any enrolled provider must allow unannounced on-site inspections.
- Revalidation
- Under the federally directed 'Minnesota Revalidate 2026' effort, providers of 13 services designated high risk had to complete an off-cycle revalidation by May 31, 2026; those who did not got disenrollment notices, with appeal rights. Notices arrive in the MN-ITS mailbox and providers revalidate in MPSE. Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at least once every 5 years.
- Provider manual
- Provider manual
Steps
- Read the 'Enrollment with MHCP' section and provider-type requirements in the MHCP Provider Manual
- Register with the MPSE portal (through LoginMN) and submit the enrollment application
- Upload required documents and complete NETStudy 2.0 background studies where required
- Complete any unannounced site visit and pay any fee required for the provider type
- Choose to serve fee-for-service members, MCO members only, or both; then contract with each MCO
Documents the state asks for
Joining managed-care plan networks
- Credentialing
- Since July 17, 2023, DHS screens and enrolls MCO in-network providers as the 21st Century Cures Act requires; providers can enroll for MCO members only, fee-for-service only, or both, and providers already enrolled for fee-for-service need not re-enroll to contract with MCOs. Contracting and credentialing with each MCO remain separate. Centralized credentialing: no (shared state screening/enrollment, plan-by-plan credentialing).
- Plans (state list)
- Blue Plus
- HealthPartners
- Hennepin Health
- Itasca Medical Care
- Medica
- Medica One Health Plan
- PrimeWest Health
- South Country Health Alliance
Frequently asked questions
How do I become a Medicaid provider in Minnesota?
To bill Minnesota Medicaid, enroll through Minnesota Provider Screening and Enrollment (MPSE) portal, run by None named — Minnesota DHS enrolls providers itself. The process has 5 steps, listed below with the documents the state asks for.
Is there an application fee to enroll in Minnesota Medicaid?
DHS's Minnesota Revalidate 2026 FAQ refers to a revalidation fee that applies to some providers. Federal rule (42 CFR 455.460): the state must collect the CMS application fee from institutional providers that are newly enrolling or re-enrolling; individual physicians and non-physician practitioners are exempt, as are providers already enrolled in (or that already paid the fee to) Medicare or another state's Medicaid/CHIP. CMS set the fee at $750 for calendar year 2026.
How often must Minnesota Medicaid providers revalidate?
Under the federally directed 'Minnesota Revalidate 2026' effort, providers of 13 services designated high risk had to complete an off-cycle revalidation by May 31, 2026; those who did not got disenrollment notices, with appeal rights. Notices arrive in the MN-ITS mailbox and providers revalidate in MPSE. Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at least once every 5 years.