Medicaid

How to Get Credentialed with Minnesota Medical Assistance in Minnesota

Network: Open
30-90 Days

Quick Overview

Timeline

30 - 90 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Minnesota-Specific Requirements

Minnesota Medicaid (Medical Assistance / MinnesotaCare) enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the Minnesota DHS (Department of Human Services) provider enrollment portal. (3) Submit application with MN state license, proof of malpractice insurance, and required documentation. (4) Background check including state NETStudy 2.0 and federal criminal history is required for all providers. Minnesota operates managed care through 8 health plans covering the majority of enrollees. Behavioral health providers accepted include LPCC, LICSW, LMFT, and Licensed Psychologist with active Minnesota licensure. Revalidation is required every 5 years.

Medicaid Information — Minnesota

Agency: Minnesota Department of Human Services

Program: Medical Assistance / MinnesotaCare

Portal: https://mn.gov/dhs/partners-and-providers/

Phone: 1-651-431-2700

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Minnesota.

2

Prepare Your Application

Complete Minnesota Medical Assistance's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Minnesota Medical Assistance.

4

Track & Follow Up

Credentialing typically takes 30-90 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

Minnesota Health Care Programs Provider Enrollment

Required
Online Open →

Contact Information

Provider Enrollment

National

1-651-431-2700

General Provider Inquiries

National

1-651-431-2700

Quick Links

Provider Portal

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Other Payers in Minnesota

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Blue Cross and Blue Shield of Minnesota UnitedHealthcare Community Plan TRICARE
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