Minnesota Department of Human Services pausing provider enrollment for 13 Medicaid services
Minnesota Department of Human Services Logo
DULUTH, Minn. — The Minnesota Department of Human Services have announced in a press release that it is set begin a freeze on new provider enrollments in 13 categories of Medicaid services which it deems at a high risk for fraud.
A start date for the freeze is not yet determined, with the pause initially slated to last six months.
“This action is one more step we are taking to disrupt fraudulent billing,” said Temporary Human Services Commissioner Shireen Gandhi in the press release. “We must safeguard Medicaid resources, always mindful that access to these programs is a lifeline for so many Minnesotans.”
As part of the Governor’s Executive Order 25-10 to combat fraud, DHS had already announced two-year licensing freezes on home and community-based services (HCBS) and adult day programs, effectively limiting new provider enrollment in those services. HCBS includes individualized home supports, integrated community supports, and night supervision.
Currently enrolled providers can continue to serve clients in the service areas they are already approved to provide. The department says the will not freeze client enrollment.
The department stated it will issue exceptions to add new providers when needed.
The department is currently finalizing specifics, including how many current applications will accepted.
The 13 categories deemed “high risk” for fraud by the department are: adult companion services, adult day services, adult rehabilitative mental health services, assertive community treatment, community first services and supports, early intensive developmental and behavioral intervention, individualized home supports, integrated community supports, intensive residential treatment services, night supervision services, nonemergency medical transportation services, peer recovery support services and recuperative care.
Housing Stabilization Services was discontinued by the state in Oct. 2025.
The Centers for Medicare & Medicaid Services has additionally directed the state to review enrollment for current providers in identified high-risk categories.
