Page posted: 3/13/26
Page updated: 8/12/26

Note: On March 31, 2026, DHS updated the title of this page from 2026 Disability Waiver Rate System (DWRS) rate remediation to 2026 Medicaid Management Information System (MMIS) rate remediation plans because lead agencies must complete rate remediation using MMIS, not the DWRS rate calculation tool in MnCHOICES.

Lead agencies and providers must plan to remediate rates in MMIS for 15 DWRS framework services with start dates of Jan. 1, 2026, or later.

Centers for Medicare & Medicaid Services (CMS) approval

On March 25, 2026, DHS received CMS approval to use the 2026 component values included in both the Feb. 6, 2026, and March 6, 2026, MnCHOICES releases. As of April 1, 2026, we began implementing the framework rate inputs, component values and family residential service (FRS) provision changes on a rolling schedule based on the person’s waiver renewal or the person’s change in need or service. For more information, refer to the March 31, 2026, eList announcement.

Affected services

The following DWRS framework services will require rate remediation for service start dates between Jan. 1, 2026, and March 31, 2026, calculated in MnCHOICES without using an amended framework to manually adjust the final rate:

· Adult day services – 15 minute.

· Adult day services – daily.

· Day support services.

· Prevocational services – 15 minute.

· Prevocational services – daily.

· Employment services (i.e., employment support, employment exploration, employment development).

· Individualized home supports (IHS) with family training – 15 minute.

· IHS with training – 15 minute.

· IHS with training – daily.

· IHS without training.

· Night supervision.

· Positive supports (i.e., professional, analyst and specialist).

· FRS, including FRS, adult daily; FRS, child daily and FRS, adult, life sharing daily.

· Community residential services.

· Integrated community supports (ICS).

Note: Employment support services is the only service with a slightly lower remediation rate.

DHS will not require rate remediation for:

· Adult day bath.

· Customized living (CL).

· 24-hour CL.

· Any of the above 15 framework services that have a DHS-approved exception rate.

· Framework rates with service start dates between Jan. 1, 2026, and March 31, 2026, calculated using the DHS-provided amended framework to manually adjust the final rate in MnCHOICES.

Lead agency actions

For services starting between Jan. 1 and March 31, 2026

Lead agencies must:

· Continue to use the amended frameworks.

· Manually adjust the rate in MnCHOICES

For services starting April 1, 2026, or later

Lead agencies must:

· Use MnCHOICES to calculate all rates.

· Implement the FRS tiered rates at the person’s waiver renewal and/or if the person has a change in service (i.e., change in condition, change in service provider). Refer to DHS – Family residential, life sharing tiered rates FAQ.

For more information, refer to the direction on 2026 DWRS framework rates and service changes section of DHS – DWRS frequently asked questions.

MMIS rate remediation plans

In May and June 2026, DHS sent lead agencies rate remediation workbooks with detailed instructions. The remediation workbooks included:

· Affected MMIS service lines.

· Current rates in MMIS.

· Corrected rates to authorize in MMIS starting with June 1, 2026, or later end dates the lead agency used to split the lines based on their capacity and the providers’ National Provider Identifier (NPI) revalidation status.

· The difference between the billed unit rate and the corrected unit rate.

· A template for lead agencies to complete and give to providers to communicate their preferred rate remediation options.

Claim voids information for providers

Providers will have up to a year from the service date or six months from the billed date to complete claim voids for rates they want to rebill at the amended rate. DHS will not require forced claim voids for under-billed rates.

For information about claim voids, refer to MHCP Provider Manual – Billing policy overview – Claim voids.

Rates remediation webinar

DHS hosted a rates remediation webinar for lead agencies on May 4, 2026. The webinar covered the following topics:

· Background information explaining the need for remediated rates.

· Identification of rate remediation plan documents sent to lead agencies.

· Rate remediation demonstration.

· Role clarification for lead agencies, providers and DHS.

· Remediation completion timelines.

· Workflow Q&A.

For a recording of the webinar, refer to Minnesota DHS YouTube – Webinar: DSD Fiscal Rate Remediation Walkthrough 5/4/26.