News and updates

Minnesota Health Care Programs (MHCP)-enrolled providers can currently bill obstetric services either globally (bundled coding) or by component; however, the American Medical Association (AMA) is eliminating the global CPT codes effective Jan. 1, 2027. Providers have until Dec. 31, 2026, to access the global codes.

Global codes bundle all prenatal visits, delivery, and postpartum care into a single claim. Under the new system, each phase of care — prenatal, labor management, delivery, and postpartum — will be billed separately as services are provided. The Minnesota Department of Human Services will follow updated billing guidance from the American College of Obstetricians & Gynecologists (ACOG). 

ACOG recommends providers switch to billing by component for members who begin prenatal care in 2026 and are expected to deliver in 2027. 

• For members who begin prenatal care in 2026 and are expected to deliver in 2027, providers should bill each prenatal visit using the appropriate Evaluation and Management (E/M) code (99202–99499); and append the TH modifier to indicate the visit is for obstetric care. ACOG recommends providers begin this by June 1, 2026, and no later than Sept. 1, 2026.
• Providers can separately bill services that were previously bundled into the global code, including nutrition counseling and other medically necessary services, in the new coding structure. Bill these using the appropriate codes with the E/M visit.

Timeline

• June 1, 2026: Providers are encouraged to begin billing prenatal visits with E/M codes (99202–99499) + TH modifier 
• Sept. 1, 2026: Providers are encouraged to fully transition to using the appropriate E/M codes (99202-99499) + TH modifier.
• Jan. 1, 2027: Global obstetric care services codes are no longer valid. The Minnesota Department of Human Services fully transitions to the new AMA coding methodology. 
• Refer to ACOG Maternity Care Coding Resources for guidance and tools to support this transition. 

For providers who are unable to meet this timeline, ACOG issued the following recommendations for how to continue billing bundled codes in 2026 for pregnant people who are expected to deliver in 2027:

• May 15 to July 14, 2026: Use CPT code 59426 with new delivery only codes to account for anticipated 7 or more prenatal visits 
• July 15 to Sept. 1, 2026: Use CPT code 59425 with new delivery only codes to account for anticipated 4 to 6 prenatal visits
• Sept. 1, 2026, and onward: Full transition to Evaluation and Management (E/M) codes as it is likely obstetric providers will only provide 1 to 3 prenatal visits before delivery

Informational meetings

The Minnesota Department of Human Services will host informational meetings to educate providers on the upcoming coding changes. We invite you to attend one of the following meetings for more information.

• May 14, 2026, from 12:15 to 1 p.m. (central time). Register for the May 14, 2026, meeting. 
• May 21, 2026, from 12:15 to 1 p.m. (central time). This meeting will include an ACOG representative. Register for the May 21, 2026, meeting. 

Future trainings will be provided this summer. 

Call the MHPC Provider Resource Center at 651-431-2700 or 800-366-5411 with questions about this message. (pub. 5/8/26)

Minnesota Health Care Programs (MHCP) requires providers to use modifier GO to indicate occupational therapy services and GP to indicate physical therapy services for fee-for-service claims. GO and GP are used whether the service was provided by a therapist or an assistant. Use modifier U7 when an assistant provides services at any time without the supervising therapist on site. 

You must include appropriate modifiers on the authorization request and claim, and the authorization request and claim must match. Contact the medical review agent Acentra or by calling 866-433-3658 if an authorization is approved and the claim gets denied due to modifiers not matching the authorization.

Authorization requests made to MHCP when a member has third-party liability (TPL) or Medicare must exactly match what was billed or requested through the TPL or Medicare. This includes using modifiers KX, CO and CQ when appropriate. Refer to the TPL and Medicare policy for specific guidelines. Review the Codes and Modifiers section of the Rehabilitation Services section of the MHCP Provider Manual for a full list of modifiers. 

Example of an authorization request
CPT 97161 1 unit GP 5/1/2026 – 6/30/2026
CPT 97110 14 units GP U7 5/1/2026 – 6/30/2026
CPT 97110 4 units GP 5/1/2026 – 6/30/2026
CPT 97140 14 units GP U7 5/1/2026 – 6/30/2026
CPT 97140 4 units GP 5/1/2026 – 6/30/2026

(pub. 5/5/26)

The 2025 legislative session included multiple changes that have a planned effective date of July 1, 2026, which affect all providers of SUD services. The following changes are pending federal approval before becoming effective:

• New types and descriptions for SUD treatment services for all SUD providers
• New billing codes and procedures for outpatient SUD providers

Refer to the Information on 2026 Changes (PDF) listed under the News and Current Reminders heading on the Substance Use Disorder Reform webpage for information about and to prepare for the upcoming planned SUD changes.

Email questions about this message to sud.direct.access.dhs@state.mn.us or contact the Minnesota Department of Human Services policy area that oversees your program type. (pub. 5/5/26)

All Early Intensive Developmental and Behavioral Intervention (EIDBI) provider agencies that have not yet submitted a provisional license application must submit an application immediately to remain enrolled and eligible to provide EIDBI services through Minnesota Health Care Programs (MHCP).

Deadline: May 31, 2026
Your agency must submit a complete provisional license application on or before May 31, 2026. Failure to meet this deadline will result in termination from being an enrolled MHCP EIDBI provider agency effective June 1, 2026.

If your agency is terminated:

• You must immediately cease providing all EIDBI services through MHCP of June 1, 2026
• You must not bill MHCP for any EIDBI services provided on or after June 1, 2026
• Claims submitted for dates of service on or after June 1, 2026, will be denied and subject to recoupment

No exceptions or extensions will be granted.

Required Action

• Verify whether your agency has submitted a provisional license application
• If you have not submitted an application, create a Provider Hub account and submit your application immediately to ensure it is received by the deadline

Agencies that fail to submit a provisional license application by May 31, 2026, will not be authorized to operate or receive reimbursement through MHCP for EIDBI services beginning June 1, 2026. Additionally, failure to comply with this requirement will result in enforcement action, including termination of enrollment and recovery of funds for noncompliant billing.

Submit your provisional license application now to avoid disruption to your agency’s operations and services.

Contact the MHCP Provider Resource Center at 651-431-2700 or 800-366-5411 if you have questions about this message. Contact DHS EIDBI Licensing at 651-431-6500 or eidbi.licensing.dhs@state.mn.us if you have questions about submitting an application for a provisional license. (pub. 5/1/26)

The Minnesota Department of Human Services has sent providers who completed the April 21-22, 2026, Waiver and Alternative Care (AC) Resources and MN–ITS Training session their certificates of completion. 

We sent the certificates to providers’ MN–ITS mailbox for the national provider identifier (NPI) providers used to register for the training. Providers who completed the entire training should receive their certificate in their MN–ITS mailbox under “Miscellaneous Received” in the PRVLTR folder by the end of the business day April 28, 2026.

Call the MHCP Provider Resource Center at 651-431-2700 or 800-366-5411, option 4, if you have questions about this message. (pub. 4/29/26)

The Minnesota Department of Human Services (DHS) has sent providers who attended the entire Community First Services and Supports (CFSS) Steps for Success workshop on March 25-27, 2026, their certificates of completion. 

We sent the certificates to the email address the attendee used at the time of registration for the March CFSS Steps for Success workshop. Providers who completed the entire training should have received their certificate by the end of the business day April 23, 2026. 

Call the Minnesota Health Care Programs Provider Resource Center at 651-431-2700 or 800-366-5411 with questions about this message. (pub. 4/23/26) 

The Minnesota Department of Human Services has approved an update to the list of cost-effective generic medications that may be dispensed in a quantity sufficient for a 90-day supply to fee-for-service Medical Assistance members as of April 24, 2026. Dispense of a 90-day supply is not mandatory. All medications not found on this list continue to be limited to a maximum of a 34-day supply per Minnesota Statutes 256B.0625, subdivision 13(b). Refer to the 90 Day Supply Prescription Drug List under Forms and Documents on the Minnesota Medical Assistance Portal for the updated list. (pub. 4/22/26)

The Minnesota Department of Human Services has contracted with Myers and Stauffer, LC, a national certified public accounting firm, to conduct pharmacy surveys to establish and maintain the Minnesota Actual Acquisition Cost (MNAAC) program.

Beginning Jan.  1, 2027, Minnesota fee-for-service Medical Assistance is required to incorporate MNAAC into drug ingredient cost reimbursement algorithms (Minnesota Statutes, 256B.0625, subdivision 13e). All Minnesota Health Care Programs enrolled pharmacies will be included in the initial survey beginning in July 2026, and will be selected to complete ongoing quarterly surveys at least once per calendar year thereafter. Participation is mandatory, and sanctions may be applied to non-respondent pharmacies (Minnesota Statutes, 256B.0625, subdivision 13e(i)). Information sessions will begin in June 2026. 

Contact Myers and Stauffer via e-mail at pharmacy@mslc.com for more information. (pub. 4/22/26)

We revised this message with an updated application deadline of July 1, 2026, and that providers should refer to the “TMaH Model Changes_April 2026” document sent to the TMaH list serv for important updates. 

The Minnesota Department of Human Services invites you to apply for the Transforming Maternal Health Model (TMaH). TMaH is a new value-based payment model from the Centers for Medicare & Medicaid Services (CMS) designed to address gaps in maternal health access, quality, and whole-person care through Medicaid. CMS awarded 15 states in 2025, including Minnesota through the Office of the Medicaid Medical Director. The model will pilot in Hennepin County. 

We will accept applications online (Apply to participate in TMaH) now through July 1, 2026.

Providers should also refer to the “TMaH Model Changes_April 2026” document sent to the TMaH listserv for important updates. 

TMaH providers receive the following: 

• Technical assistance and training 
• Provider Infrastructure Payments to prepare for value-based payment transformation 

With options for contract renewal for:

• Provider Infrastructure Payments
• Upside-only performance incentives 
• Value-based payment (VBP) transformation 

This value-based payment model will change the way organizations are paid for certain perinatal MA patients. 

In a landscape where maternal health gaps are widening for some Minnesotans and we are facing unprecedented policy and funding changes, we must be strategic with our collaboration, initiatives, and practice. Through TMaH, we aim to bring people together to transform access, quality, and delivery of whole-person maternal care in Hennepin County. 

Note, CMS guidance on the proposed VBP strategy is still being finalized, and changes may occur from initial proposals. We have shared Minnesota’s feedback on the proposed strategy through our cooperative agreement with CMS. Further CMS guidance will likely address this feedback and the pending unbundling of the global maternity rate (to occur Jan. 1, 2027).

Visit the Minnesota Transforming Maternal Health Model webpage to learn more about applying, eligibility requirements, and the model. (pub. 4/1/26, rev. 4/22/26)

ICF/DD providers should check their MN–ITS mailboxes for a memo titled “April 21, 2026, payment” dated April 17, 2026. (pub. 4/21/26)

Minnesota Health Care Programs (MHCP) updated coverage criteria for insulin infusion pumps under the Diabetic Equipment and Supplies section of the MHCP Provider Manual. 

Insulin infusion pumps are covered for members with insulin-dependent diabetes and who demonstrate poor glycemic control despite monitoring of blood glucose levels. MHCP removed requirements for c-peptide or beta cell testing, self-testing of four times per day, and self-injections of three times per day. Refer to the Covered Services for complete coverage criteria. 

These changes in coverage criteria impact the coverage criteria of external insulin infusion pumps. External insulin infusion systems are covered for members who meet criteria for insulin infusion pumps and whose medical needs cannot be met without an external system. Documentation must articulate why insulin infusion pumps do not suffice for medical necessity and why the tubeless option is required. 

Refer to the Diabetic Equipment and Supplies section of the MHCP Provider Manual for coverage information. Call the MHCP Provider Resource Center at 651-431-2700 or 800-366-5411 with questions about this message. (4/21/26) 

The Minnesota Department of Human Services is experiencing a backlog in processing provider enrollment requests, which includes new enrollments, re-enrollments and updates to enrollment information. The department is responding to a federal directive to complete a critical, statewide provider revalidation effort of 13 identified high-risk services and provider types.

Due to this critical Minnesota Revalidate 2026 initiative, we are processing enrollment requests outside of the standard 30-day processing timeframe. Once we have completed the revalidation initiative by May 31, 2026, we will work to resolve the enrollment backlog. 

We appreciate providers’ patience as we prioritize this work. We will post additional updates as they become available.

Contact the Minnesota Health Care Programs Provider Resource Center at 651-431-2700 for any questions you have. (pub. 4/16/26)

We revised this message to include that providers should check their MN–ITS mailbox for the “Update on takeback error” provider memo sent on April 14, 2026, for an important update.

The Minnesota Department of Human Services learned on April 6, 2026, that several ICF/DD providers received remittance advices indicating takeback amounts.

After researching the issue, we determined that an error occurred during entry of the 2026 minimum daily operating rates. This error incorrectly identified overpayments, which triggered takebacks.

Providers should check their MN–ITS mailbox for the “Update on takeback error” provider memo sent on April 14, 2026, for an important update. (pub. 4/8/26, rev. 4/15/26)

The Minnesota Department of Human Services has sent providers who completed the April 7-8, 2026, Waiver and Alternative Care (AC) Resources and MN–ITS Training session their certificates of completion. 

We sent the certificates to providers’ MN–ITS mailbox under the national provider identifier (NPI) providers used to register for the training. Providers who completed the entire training should receive their certificate in their MN–ITS mailbox under “Miscellaneous Received” in the PRVLTR folder by the end of the business day April 15, 2026. 

Call the MHCP Provider Resource Center at 651-431-2700 or 800-366-5411, option 4, if you have questions about this message. (pub. 4/15/26)

The Minnesota Department of Human Services discovered that the claims system incorrectly denied some chiropractic claims, due to age limitations for members receiving the benefit. 

We have reprocessed these claims and the adjustments will appear on affected providers’ April 21, 2026, remittance advice. 

Call the Minnesota Health Care Programs Provider Resource Center at 651-431-2700 or 800-366-5411 if you have questions about this message. (pub. 4/15/26)

Minnesota Health Care Programs has identified an issue with the way MN–ITS is counting physical therapy (PT) and occupational therapy (OT) member visits. Some claims are incorrectly denying for exceeding the maximum number of visits billed, however the system is not counting visits correctly. Providers do not need to do anything further at this time, we will reprocess claims billed after Jan. 1, 2026, after the system is fixed.

Providers can continue to submit authorization requests for PT and OT services even if they do not know how many visits a member has used. Providers may also submit authorization requests retroactively after we update MN–ITS. We will publish a message on this webpage after we update MN–ITS.  

Call the Minnesota Health Care Programs Provider Resource Center at 651-431-2700 or 800-366-5411 if you have questions about this message. (pub. 4/10/26)

The Behavioral Health Administration (BHA) and Health Care Administration (HCA) of the Minnesota Department of Human Services have been working on updates to NPI enrollment for school personnel and CPT code billing process for schools. The following webinars will outline known pathways for implementation, clarify existing guidance, and provide updates on progress.

BHA and HCA will host two webinars on the following dates: 

• Monday, April 13 at 3 p.m. during the School Mental Health Services Office Hours: Webex Meeting link
• Wednesday, April 15 at 3 p.m. during the CPT Open Office Hours: Microsoft Teams Meeting Link

We encourage schools and school districts to attend to hear the latest updates and ask questions. (pub. 4/9/26)

EIDBI provisional license applications are due in the Provider Hub by May 31, 2026. EIDBI agencies that have not submitted an application by this date must not provide and bill for services to Minnesota Health Care Programs (MHCP) members and will be terminated as an MHCP-enrolled provider effective June 1, 2026.

How do I complete the provisional license application?
The individual who will serve as the authorized agent for the EIDBI agency should create a Provider Hub account. The authorized agent will use their account to access the provisional license application in the Provider Hub.

What is an authorized agent?
The authorized agent is the person the EIDBI agency designates as one of its controlling individual (as defined in Minnesota Statutes, 245A.02, subdivision 3b). The authorized agent is responsible for communicating with Minnesota Department of Human Services Licensing Division.

You can find more information about the authorized agent’s role on Page 2 of the Pre-Licensing Application Checklist (DHS-8818) (PDF).

How do I create a Provider Hub account?

• Visit the Provider Hub login screen.
• Review the Create a New Provider Hub Account article if you need help creating an account.

More information
Refer to the following resources for more information about the EIDBI provisional license.

• EIDBI licensing webpage 
• EIDBI licensure frequently asked questions (FAQs) webpage
• EIDBI Provisional License Application Now Available email to enrolled EIDBI agencies Jan. 22, 2026
• Provider Hub EIDBI Licensing Learning Library webpage

(pub. 4/9/26)

Registration to virtually attend the 2026 Medicaid in Education spring forum on April 28, 2026, hosted by the Minnesota Department of Education and Minnesota Department of Human Services, is now open. 

Refer to the following for event and registration details. 

• Date and time: Tuesday, April 28, from 9 a.m. to 12:15 p.m.
• Event format: This is a hybrid event; however, in person registration has reached capacity. We encourage you to join us virtually.
• Virtual attendance registration: Participants must register to attend this event. In person registration is now full; however, virtual registration remains open. Submit the online form 2026 Medicaid in Education Spring Forum Registration to virtually attend. A meeting link will be sent to all virtual participants as the event date approaches.
• Location: The main presentation will be held at the Best Western Kelly Inn in St. Cloud

After registering, we will email more details on the agenda and additional announcements. Email Sandra Mikulsky at sandra.mikulsky@state.mn.us with any questions. (pub. 4/8/26)

Minnesota Health Care Programs (MHCP) has updated our system to ensure certain state-administered NEMT and ambulance transports to and from nursing facilities are processed correctly when the member’s Living Arrangement (LA) code was not updated by the county within 30 days of the transport. This update, which was successfully tested and verified to ensure it functions as intended, removes previous billing barriers for transport occurring between the following:

• Hospitals to nursing facilities
• Nursing facilities to hospitals
• Nursing home to nursing home transfers

MHCP will automatically reprocess claims dating back to Jan. 1, 2025, that were denied due to LA code discrepancies. We reprocessed denied claims; and reprocessed claims will appear on the April 7, 2026, remittance advice. Additionally, we will update the MHCP Provider Manual to reflect these changes.

We remind providers that all transports must meet the documentation requirements listed in State-Administered NEMT under NEMT Services in the MHCP Provider Manual; and documentation must be made available to the Minnesota Department of Human Services when requested. 

Call the MHCP Provider Resource Center at 651-431-2700 or 800-366-5411 if you identify any qualifying claims that were not reprocessed or have questions about this message. (pub/ 4/7/26)

The Minnesota Department of Human Services received the Centers for Medicare & Medicaid Services (CMS) approval for disability waiver amendments on March 25, 2026. Review the Disability Services Division (DSD) eList, Disability waiver amendments approved by CMS, for information about implementation of changes, summary of changes and clarifications. 

We also received CMS approval to use the 2026 component values included in both the Feb. 6, 2026, and March 6, 2026, MnCHOICES releases. Review the 2026 MMIS rate remediation plans for information about remediation plans to correct service rates for lead agencies and providers. Providers will have up to a year from the service date to complete claim voids for rates they want to rebill at the correct rate. DHS will not require forced claim voids for under-billed rates. 

Send rates-related questions to dsd.rates@state.mn.us and use the DSD Contact Form for other questions regarding this message. (pub. 4/6/26)

We revised this message to explain this review process occurs post-payment and is separate from the pre-payment program integrity review process. The Minnesota Department of Human Services (DHS), in partnership with the Centers for Medicare & Medicaid Services (CMS) may be reaching out to certain providers to request additional documentation to support specific claims that providers submitted to DHS or a health plan for payment. 

If your organization receives this notice, that means that a claim submitted by or on behalf of you or your organization has been identified for review. The notice will reference the claim under review. DHS will complete the review and we will transmit all responsive documents to CMS.

This review process will occur post-payment and is part of the Department’s response to the $259 million CMS Medicaid funding deferral. It is separate from the pre-payment program integrity review that Governor Walz ordered. 

What to do if you receive this request?
Identify the claim immediately and prepare the requested documentation. Your organization will have 15 days from the date of the DHS notice to submit documents.

What is DHS requesting?
All relevant documents that support the payment of the claim in question, including doctor authorizations, assessment notes, units billing, billing records, time schedules and so forth. All providers that participate in Minnesota Health Care Programs are required to maintain records that fully disclose the extent of services provided for a period of five years, and to make that documentation available to DHS upon request. 

We will provide further instructions about which documents are needed and how to submit the documentation. If you have any reason to believe you will not have the documents by the deadline, immediately contact the source listed in the notice. 

Am I allowed to release this documentation to DHS?
Patient authorization is NOT required for the release of the requested documentation. CMS and DHS will remain in compliance with the Privacy Act and regulations. No reimbursement can be made for the cost of record reproduction or mailing. Providing medical records for Medicaid and CHIP beneficiaries does not violate the Health Insurance Portability and Accountability Act (HIPAA).

What will happen if I don’t submit the requested documents by the due date?
If you fail to deliver the requested documentation or contact us by the due date, you may lose future payment while we recoup any overpayment cited for this claim. Failure to maintain these records or make these records available to DHS upon request may result in further action, including but not limited to, recovery of an overpayment, imposition of a temporary payment withhold or enrollment termination. (Reference Minnesota Statutes, 256B.064) (pub. 3/31/26) (pub. 3/31/26, rev. 4/2/26)  

Minnesota Health Care Programs members on the Alternative Care (AC) program are no longer eligible to receive Personal Care Assistance (PCA) services effective 11:59 p.m., March 31, 2026.  These members must have transitioned to Community First Services and Supports (CFSS) or an alternative service. Providers may review the March 10, 2026, DSD eList for the lead agency’s guidance to end all PCA services on March 31, 2026.

Providers who still have members on the AC program with approved PCA service authorizations on their service agreements extending past March 31, 2026, must contact the member’s case manager to transition their PCA services. Providers must work with case managers to transition members to CFSS, another AC service or informal supports to meet the member’s personal care needs. 

Call the MHCP Provider Resource Center with any questions about this message at 651-431-2700 or 800-366-5411. (pub. 4/1/26)

Minnesota Health Care Programs (MHCP) discovered an Equipment and Supplies claim error. Claims billed with codes T4541 and T4542 (small and large sizes of disposable underpads) were paid in error by exceeding 100 units without authorization. Effective March 1, 2025, the quantity limits for T4541 and T4541 are up to 100 units per month before authorization is required. 

We have reprocessed claims that were paid in error with dates of service from March 1, 2025, through March 5, 2026. The reprocessed claims will appear on the March 24, 2026, remittance advice. 

Refer to the Incontinence Products section of the MHCP Provider Manual for coverage information. Contact the MHCP Provider Resource Center at 651-431-2700 or 800-366-5411 with questions about this message. (pub. 3/26/26)

The Minnesota Department of Human Services has sent providers who completed the March 18-19, 2026, Waiver and Alternative Care (AC) Resources and MN–ITS Training session their certificates of completion. 

We sent the certificates to providers’ MN–ITS mailbox under the national provider identifier (NPI) providers used to register for the training. Providers who completed the entire training should receive their certificate in their MN–ITS mailbox under “Miscellaneous Received” in the PRVLTR folder by the end of the business day March 24, 2026. 

Call the MHCP Provider Resource Center at 651-431-2700 or 800-366-5411, option 4, if you have questions about this message. (pub. 3/25/26)

The Minnesota Department of Human Services has learned that some providers have received text messages from vendors about provider revalidation. 

To clarify, the department has not authorized any vendors to assist with the Revalidate Minnesota 2026 initiative, and does not use text messaging to communicate with providers. 

The department communicates with providers through Provider news and updates, MN–ITS mailbox, email or U.S. Postal Service. If you are uncertain about the legitimacy of a provider revalidation request, call the Provider Resource Center at 651-431-2700 or 800-366-5411. (pub. 2/10/26)

Beginning Feb. 9, 2026, the focus of the daily Minnesota Provider Screening and Enrollment (MPSE) portal technical assistance sessions will change slightly. 

Each daily session will be held from 1 to 1:30 p.m. on the Microsoft Teams platform. The focus during the daily sessions will be as follows: 

• Mondays, Wednesdays and Fridays: Questions related to completing off-cycle revalidation navigation for high-risk providers using MPSE
• Tuesdays and Thursdays: General navigation questions about using MPSE

There is no fee or registration required for each session and the link to join is the same for each session. Find the link to join the daily technical assistance session on the MPSE portal training webpage. (pub. 2/6/26)

Home and Community-Based Services (HCBS) waiver and Alternative Care (AC) programs provider organizations who have enrolled with Minnesota Health Care Programs (MHCP) on or after January 1, 2014, are required to have an owner or managing employee who is assigned as the designated biller to complete the Waiver and AC Resources and MN–ITS Training. The designated biller must complete the training within six months of new enrollment. If there is not a certificate of training on file, the designated biller will need to complete this training and submit the training certificate to MHCP before revalidation can be completed. 

To find a list of services exempt from the training, refer to the HCBS Waiver and AC Training Requirements in the MHCP Provider Manual. 

We added additional training sessions in March and April. Review the Waiver and AC Resources and MN–ITS Training webpage for the list of dates and times.

Call the MHCP Provider Resource Center at 651-431-2700 or 800-366-5411, option 4, if you have questions about this message. (pub. 2/5/26)

The EIDBI provisional licensing application is now live in the Provider Hub. Review the Provider Hub message emailed to EIDBI agencies to learn about the Provider Hub and application, including help and resources to guide you through the application process. 

EIDBI provisional license applications are due in the Provider Hub by May 31, 2026. EIDBI agencies that have not submitted a provisional license application by May 31, 2026, will be disenrolled from Minnesota Health Care Programs for providing EIDBI services. (pub. 1/27/26)

The Minnesota Department of Human Services has formally appealed and requested a hearing on the decision by the Trump Administration to withhold over $2 billion in annual Medicaid funding for Minnesota. 

It is important for everyone to know that there have been no changes to funding at this time. Providers should continue to bill as usual. You will continue to be paid for eligible services you provide Medicaid enrollees under state law.

Refer to the Federal Medicaid funding update to learn more. (pub. 1/23/26)

Minnesota Department of Human Services is aware that some CFSS service providers are experiencing a claims processing issue. Claim adjustment reason code CO 273 is appearing on some remittance advices. Claims with this adjustment code indicate the authorization has been exceeded, resulting in a denial or partial payment. 

We identified the issue impacting fee-for-service agreements in both the CFSS budget model and agency model. The issue occurs even when authorizations for these claims still show available funds or units on the service lines for the procedure codes being billed. We are working to resolve this issue. We will update providers when we have more information to share. 

Contact the Minnesota Health Care Programs Provider Resource Center at 651-431-2700 or 800-366-5411 if you have questions about this message. (pub. 12/23/25)

Minnesota Health Care Programs (MHCP) has opened registration for the 2026 dates for the Community First Services and Supports (CFSS) Steps for Success workshops. The three-day workshop sessions will be held: 

• March 25-27, 2026 
• June 24-26, 2026 
• September 23-25, 2026 
• December 2-4, 2026 

After a workshop session fills, MHCP will remove it as a selection from the online registration system. We will close unfilled workshop sessions at 8 a.m. seven business days before the workshop begins. The workshop will continue to be online-only and sessions will begin promptly at 8:30 a.m. and end at 4:30 p.m. 

If you have any questions, call the MHCP Provider Resource Center at 651-431-2700 or 800-366-5411. (pub. 11/26/25)

On July 4, 2025, President Trump signed the Federal Reconciliation Bill (H.R.1) into law. This new law brings changes to Medicaid, a federal health insurance program called Medical Assistance in Minnesota. All states must implement the changes in the law, which include additional requirements for eligibility. 

Nothing has changed yet. The first changes won’t take effect until fall 2026. This gives Minnesota Department of Human Services time to review the details, get more information from the federal government, and communicate the changes clearly to Minnesotans. 

We recently published our What the new federal budget law means for Medicaid webpage with resources and information: a timeline, details about the coming changes and how they may affect the people you serve, and a partner toolkit to help communicate clearly and accurately to impacted Medical Assistance enrollees. 

We will add more content as we get more guidance from the federal government, so check the webpage often. (pub. 10/21/25) 

We recommend providers check their MN–ITS mailbox regularly for important correspondence from Minnesota Health Care Programs (MHCP). MHCP delivers the following provider information electronically to each provider’s MN–ITS mailbox account. 

• Provider news and updates
• Enrollment letters
• Medical, dental and service authorization letters
• Remittance advices

Providers are required to verify member eligibility. Use MN–ITS or call the automated Eligibility Verification System at 651-431-2700 or 800-366-5411 option 1. Review the Verifying MHCP Eligibility in MN–ITS and Understanding Eligibility Results in MN–ITS videos for more information.

The department is launching a new e-newsletter for providers titled MHCP Provider Connect: A weekly roundup of news, updates and reminders to keep Minnesota Health Care Programs providers informed of developments at the Minnesota Department of Human Services. Our goal is help keep you aware of changes that impact your work and the communities we serve together. Sign up for email alerts on the Email Updates webpage to have these emails sent directly to your inbox.