Medicaid providers who have not billed for services in more than a year will be disenrolled from Minnesota’s Medicaid program, as the Minnesota Department of Human Services tightens oversight. 

The first round of disenrollment began Oct. 15, when roughly 800 providers were disenrolled. Impacted providers were certified prior to April 1, 2024, and have not billed since that date. This round of disenrollments does not include 621 inactive housing stabilization services providers because the program is slated to end on Oct. 31.

“We must reduce risk and increase efficiencies wherever we can,” said Temporary Human Services Commissioner Shireen Gandhi. “Taking this first step to streamline the pool of inactive providers will strengthen the integrity of Minnesota’s Medicaid programs and services.”

The action strengthens program integrity by reducing the administrative burden and compliance challenges of overseeing providers who aren’t providing services. The change ensures that Medicaid resources focus on providers who are actively serving members of Minnesota’s public health care programs. 

The move also aligns with Governor Walz’s Executive Order 25-10 directing agencies to take additional steps to continue combatting fraud. The governor ordered DHS to “immediately disenroll all Minnesota Health Care Program enrolled providers who have not billed Medicaid in the last 12 months,” within the bounds of the law. 

Additional rounds of disenrollments will continue.

Inactive providers will be notified of their disenrollment by letter. The letter will include information about how to appeal the decision if they believe it was made in error.