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Cultural Competency


Cultural and linguistic competence is the ability of managed care organizations and the providers within their network, to provide care to recipients with diverse values, beliefs and behaviors, and to tailor the delivery of care to meet recipients’ social, cultural, and linguistic needs. The ultimate goal is a health care delivery system and workforce that can deliver the highest quality of care to every patient, regardless of race, ethnicity, cultural background, language proficiency, literacy, age, gender, sexual orientation, disability, religion, or socioeconomic status.

Section 438.10 of the Managed Care Federal Regulation requires providers who provide health care services to Minnesota Health Care Programs (MHCP) members enrolled in a Managed Care Organization (MCO) must confirm compliance with the requirement of cultural competency training and accessibility for people with disabilities.


  • Identify and complete cultural competency training with your clinic annually.
  • Have one clinic representative complete Fulcrum’s Cultural Competency form for each clinic site which can be found in the newsflash or within Fulcrum Provider Portal.
  • Log onto > Demographic Updates and validate that handicap accessibility, language(s) spoken, specialties (and any other demographic information) are accurate; submit updates if there are changes from what we have listed.

Training Resource

Fulcrum/DHS does not require completion of a specific training course, it is up to the clinic to determine the most appropriate option for you/your staff. Below are a few recommendations that you may choose to utilize:

 Frequently Asked Questions (FAQs)

Please retain proof of training internally. Fulcrum will collect and maintain Culturally Competency form submissions; however, we are not intaking proof of training or certificates at this time.

Training should be completed at the clinic/site level; Cultural Competency form submissions are required for each site/location.

Required for all clinics serving MN Medicaid/Dual business; cultural competency training and form submission is best practice for all states.

Updates should be made on > Demographic Updates. This information should be validated and maintained for all providers regardless of geographic location.

Additional Learning Resources