The 80% EVV threshold has been live since July 1, 2026
Minnesota's EVV requirements moved to their second phase on July 1, 2026: providers must reach at least 80% compliance on all visits billed, up from the 50% threshold that took effect on January 1, 2026. HHAeXchange enrollment was required alongside that first deadline, regardless of payer.
The awareness-only review period ended in December 2025. Formal corrective action notices began in April 2026, and the escalation path from there runs through claim recoupment to payment suspension. DHS expects providers to monitor their own compliance percentage and correct problems before the state has to intervene.
Why Minnesota is different
Most home care software is written for a national average and then configured for a state. Minnesota providers feel the gap in four specific places.
245D is licensing, not a service category. Minnesota splits 245D into basic and intensive support services. Residential services — group homes, adult foster care, integrated community supports — fall under the intensive side, which carries a heavier documentation load than most new operators expect when they get their license.
Two regulators can cover one resident. MDH licenses assisted living under Chapter 144G. DHS licenses 245D. Operators holding both answer to two agencies for people who may live in the same building, under two different documentation standards.
CFSS is not renamed PCA. Community First Services and Supports under Minn. Stat. § 256B.85 replaced Personal Care Assistance, with billing moving to CFSS codes on October 1, 2024. The delivery models and the service delivery plan work differently.
EVV runs through a single state aggregator. HHAeXchange is Minnesota's designated aggregator. Being enrolled and being compliant are not the same thing, and the state expects data on every visit — including the non-compliant ones.
The Minnesota compliance calendar
| When | What changed |
|---|---|
| October 2024 | CFSS billing codes replace PCA (Minn. Stat. § 256B.85). |
| Oct–Dec 2025 | DHS reviews EVV data without consequence — the awareness-only period. |
| January 1, 2026 | First EVV threshold: 50% of all visits billed. HHAeXchange enrollment required. |
| April 2026 | DHS begins issuing formal corrective action notices. |
| July 1, 2026 | Threshold rises to 80% of all visits billed. Currently in force. |
Dates reflect Minnesota DHS guidance as of August 2026. Confirm current requirements against DHS before you act on them.
Find your license
Every Minnesota service line runs on one flat fee per agency with unlimited staff accounts. Pick the one that matches your license.
245D group homes & adult foster care
Resident records, DSP scheduling, eMAR, EVV, training documentation and 24-hour incident reporting on form DHS-5148 — built around what a DHS licensor asks to see.
144G assisted living
MDH licenses assisted living under Chapter 144G. If you also hold 245D, you answer to two regulators for the same residents — this page covers running both without duplicate records.
CFSS & personal care
The agency-provider and budget models, the service delivery plan, T1019 billing, and the EVV obligation that applies to both.
EVV and HHAeXchange
The 80% threshold, what the six required data elements are, how visits reach the aggregator, and how to see your own compliance percentage before DHS does.
Skilled home health
OASIS-E2 as of April 1, 2026, PDGM scoring at the point of care, 837I claims and one-click ADR packaging for Medicare-certified agencies.
eMAR
Timestamped medication administration with an audit trail, for group homes and assisted living operators still running paper MARs.
Minnesota compliance reading
245D documentation requirements: the 2026 checklist
What a Minnesota DHS licensor typically asks to see, in the order they tend to ask for it.
MN 245D fire drill compliance — quarterly drill log requirements
Quarterly drills are among the most commonly cited 245D survey findings. What to record and why.
EVV cheat sheet: aggregators and the six elements
The six data elements every verified visit must carry, and what happens to the ones that fail.
Common questions from Minnesota providers
What is the current Minnesota EVV compliance threshold?
As of July 1, 2026, providers must reach at least 80% compliance on all visits billed, up from the 50% threshold that took effect on January 1, 2026. DHS began issuing formal corrective action notices in April 2026, and the escalation path runs through claim recoupment to payment suspension.
Do I have to enrol with HHAeXchange?
HHAeXchange is Minnesota's state-designated EVV aggregator, and enrollment was required alongside the first deadline regardless of payer. Enrollment with the aggregator and having an EVV system that feeds it are two separate requirements — plenty of providers are enrolled and still below the compliance threshold.
We hold both a 144G and a 245D license. Does that need two systems?
No. A lot of Minnesota operators hold a 144G assisted living license from MDH and a 245D HCBS license from DHS, sometimes for people living in the same building. Sothcare runs both documentation sets on one login rather than making you keep two records for one resident.
Is CFSS just PCA with a new name?
No, and treating it that way is where most software falls down. Community First Services and Supports under Minn. Stat. § 256B.85 replaced PCA, with billing moving to CFSS codes on October 1, 2024. The service delivery plan, the two delivery models and the breadth of covered services all work differently.
How much does it cost for a Minnesota provider?
$199 per month flat for group home and assisted living, $399 for non-medical personal care, $519 for Medicare-certified skilled home health — per agency, with unlimited staff accounts and no per-claim fees. A one-time implementation fee applies and varies by service line; we quote it before you commit.
Are you actually used in Minnesota?
Yes. Minnesota is where Sothcare is based and where our workflows were built first — the 245D documentation set, HHAeXchange submission, EUMR and VAMRA incident reporting, and CFSS billing were all written against Minnesota rules rather than adapted from another state.
Bring your hardest Minnesota workflow to the demo
20 minutes, founder-led, on the live product. Ask about your EVV percentage, your 245D file, or the resident who sits under both licenses.
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Regulatory detail on this page reflects Minnesota DHS and MDH guidance as of August 2026. Requirements change — confirm current rules with your licensor before relying on this summary. Sothcare's documentation and workflow software supports your compliance program; it does not replace your licensing policies, your legal advice, or your clinical judgment.