|
Date: April 2, 2026
To: Lead agency staff and other interested parties
From: DHS Aging and Adult Services and Disability Services divisions
Purpose: To inform lead agencies about off-cycle provider revalidation for 13 high-risk service areas
Contact: Submit questions about revalidation using the Minnesota Revalidate feedback form.
The Minnesota Department of Human Services (DHS) is currently revalidating all enrolled Medicaid provider organizations that deliver high-risk services via off-cycle revalidation. Off-cycle revalidation is a review of a provider’s enrollment that occurs outside the standard revalidation cycle. This revalidation will occur for the following high-risk services:
- Adult Companion Services
- Adult Day Services
- Adult Rehabilitative Mental Health Services (ARMHS)
- Assertive Community Treatment (ACT)
- Community First Services and Supports (CFSS)
- Early Intensive Developmental and Behavioral Intervention (EIDBI)
- Individualized Home Supports
- Integrated Community Supports (ICS)
- Intensive Residential Treatment Services (IRTS)
- Night Supervision Services
- Nonemergency Medical Transportation Services (NEMT)
- Peer Recovery Services
- Recuperative Care
Purpose
DHS is taking this action, known as Minnesota Revalidate 2026, because the federal Centers for Medicare & Medicaid Services (CMS) instructed DHS to revalidate all provider organizations that deliver high-risk Medicaid services. The deadline for DHS to complete the revalidation is May 31, 2026. Minnesota Revalidate 2026 is an important part of the CMS-approved corrective action plan (CAP) to protect billions of dollars in Medicaid funding.
DHS actions
Since Jan. 26, 2026, DHS has been contacting enrolled providers via MN–ITS mailboxes (or U.S. mail only when specifically requested). DHS has also reached out by telephone if providers have not responded to the written requests to revalidate.
As of April 2, 2026, hundreds of providers have not responded to DHS’ outreach efforts. As a result, DHS will start sending disenrollment notifications to non-responsive providers.
DHS has also posted information and resources, including frequently asked questions on the revalidation process, background studies, site visits and more. Check the Minnesota Revalidate 2026 webpage for updates.
Provider actions
A provider has 60 days from the date of the disenrollment letter to appeal it.
If a provider does not complete or pass the revalidation process, it may lead to service disruptions, especially for people whose housing is connected to the service.
Lead agency actions
DHS is developing a process to inform counties and Tribal Nations about provider disenrollments that will support continuity of care and resource planning. DHS will share additional information in an AASD/DSD eList and other existing communications channels once it is available. Lead agencies can also attend a virtual meeting from noon to 1 p.m. Tuesday, April 7, to ask questions and learn more about revalidation.
More information
For information about the department’s program integrity response, refer to the DHS Program integrity webpage.
Visit CBSM – What's new often for a list of policies/pages we've recently updated
in the Community-Based Services Manual.
|
