Minnesota's 245D home and community-based services license comes with strict documentation, EVV, and care plan requirements. In 2026, DHS has tightened several of these standards — and agencies that aren't keeping up risk audits, billing denials, and license suspension.
EVV Is Now Fully Enforced
Electronic Visit Verification (EVV) is no longer optional. Every 245D service that involves a home visit must have GPS-verified clock-in and clock-out recorded at the point of care. DHS can now cross-reference EVV records against billed claims, and discrepancies will trigger manual review. Make sure your caregivers are clocking in from the patient's actual location — not the parking lot.
IAPP Review Timelines Are Strictly Monitored
Individual Abuse Prevention Plans (IAPPs) must be reviewed at least annually — or within 30 days of any significant incident. DHS auditors are checking review dates more closely in 2026. A missed IAPP review is one of the most common reasons agencies receive corrective action plans. Automate your review reminders so nothing slips through.
Authorization Management
Service authorizations must match exactly what's being billed. Rendering services beyond the authorized hours — even by a few minutes — results in claim denial. Agencies need real-time visibility into remaining authorization balances per patient. Infiniti Solution tracks authorizations at the visit level so caregivers and coordinators are always aligned.
Documentation Standards for 2026
DHS now requires that service notes include: the date and time of service, the specific service provided, the caregiver who delivered it, GPS-verified location confirmation, and any observed changes in the patient's condition. Paper-based notes are increasingly difficult to defend in an audit. Digital documentation with automatic timestamps is the safest approach.
What Agencies Should Do Right Now
Audit your EVV compliance rate — it should be 95% or higher. Review all open IAPPs and flag any that are overdue. Reconcile your authorization balances against scheduled visits. Ensure your billing software is applying current DHS rates for each service code. If you're managing any of this manually, now is the time to move to a platform built for 245D.
Infiniti Solution was built specifically for Minnesota 245D agencies. From IAPP tracking and authorization management to GPS-verified EVV and automated DHS billing — everything you need to stay compliant is already built in. Book a free demo to see how we help agencies like yours stay audit-ready year-round.
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