Minnesota’s 245D license governs home- and community-based services (HCBS) providers. Beyond program compliance, 245D agencies bill Minnesota Health Care Programs (MHCP), must keep auditable financial records tied to service documentation, and are subject to DHS reviews that reconcile what you billed against what you actually delivered. Clean, service-linked bookkeeping is what keeps those reviews uneventful.
245D is the Minnesota licensing framework for HCBS providers — services like in-home and community supports funded through Medicaid waivers. It sets standards for how services are delivered, documented, and billed.
245D services are billed to Minnesota Health Care Programs (MHCP) in service units. Each billed unit needs to trace back to authorization and to documentation that the service was actually provided.
The costly finding is billing that can’t be tied to documentation — that leads to recoupment (paying money back), sometimes with interest. Reconciling billing to documentation to deposits every month is the cheapest insurance against it.
NavSuccess does this for home care & healthcare agencies — see DHS & Medicaid reconciliation.
The Minnesota Department of Human Services (DHS) licenses and reviews 245D providers; billing runs through MHCP.
Billed services that aren’t supported by documentation, duplicate billing, or units billed beyond authorization.
Reconcile monthly so every dollar billed ties to a service record and a deposit — don’t reconstruct it under an audit deadline.
Book a free 30-minute consultation. We’ll look at where your books and compliance stand and show you exactly what we’d take off your plate.