Minnesota DHS says it completed a review of nearly 5,600 high-risk Medicaid providers, with some providers facing disenrollment over incomplete paperwork.
DHS review completed
The Minnesota Department of Human Services said it completed a comprehensive review of nearly 5,600 Medicaid providers delivering high-risk services on May 31. DHS said the review was completed on time after five months of work.
According to DHS, providers were required to show they met heightened legal and eligibility standards to operate and serve vulnerable people. DHS said the review is a key part of Minnesota’s plan to prevent the federal government from withholding up to $2 billion from the state’s Medicaid program.
Provider notices and appeals
DHS said some providers received disenrollment notices because their paperwork and documentation submissions were incomplete. The department said the required paperwork was a critical part of the review process.
According to DHS, many providers have appealed their disenrollment notices. DHS said providers that appeal can continue billing Medicaid while their appeals are pending, which the department described as supporting continuity of care.
Possible changes in access
DHS said some provider disenrollments will mean that some Minnesotans need to change how they access Medicaid services. The department said more than 1 million Minnesotans rely on Medicaid providers for lifesaving and life-affirming care.
The DHS bulletin did not identify the types of services affected by individual disenrollments in the source extract. It also did not say how many providers received notices or how many appeals had been filed.
Other Medicaid items in the bulletin
The DHS bulletin also said eight sites were selected for the first phase of a Medicaid reentry demonstration. DHS further reported that a public comment period was open for Early Intensive Developmental and Behavioral Intervention licensing standards.
What this means for Minnesota patients
For people trying to find treatment locally, Medicaid provider enrollment changes may affect how some services are accessed. The directory lists 136 published clinics in Minnesota.
This is general information, not medical advice.
More Minnesota reporting on access & coverage.
This report is educational and is not medical advice. Coverage, availability and eligibility can change; verify details with the named source or your care team.