Minnesota Minnesota

Provider Manual

Provider Manual


Past Revalidation Schedule

Revised: November 14, 2025

Overview

To ensure transparency, we are providing past dates of revalidation for specific provider types. Review Revalidation or the current revalidation schedule to learn more.

2022 Initial Revalidation Date

Provider Type

August 15, 2022

  • · Residential and outpatient Substance Use Disorder treatment providers - provider type 62 only
  • August 15, 2022

  • · Home and Community-Based Services providers - provider type 18 with practice name starting with letters U, V, W, X, Y and Z
  • December 28, 2022

  • · Children’s residential treatment centers – provider type 06
  • · Community mental health centers – provider type 10
  • · Targeted case management – provider type 44
  • · Adult day treatment – provider type 46
  • · Intensive residential treatment – provider type 50
  • · Psychiatric residential treatment facility – provider type PR
  • December 28, 2022

  • · Home and Community-Based Services providers - provider type 18 with practice name starting with letters S and T
  • 2023 Initial Revalidation Date

    Provider Type

    November 1, 2023

  • · Financial Management Services - provider type 38
  • · Hospitals - provider type 01
  • · Hospice - provider type 02
  • · Durable Medical Supplies - provider type 76
  • · Transportation providers - provider type 82
  • · Home and Community-Based Services providers - provider type 18 with practice name starting with letter R; and S through Z who previously were not sent a revalidation letter in 2022.
  • November 15, 2023

  • · Early Intensive Developmental and Behavioral Intervention organizations - provider type EI
  • 2024 Initial Revalidation Date

    Provider Type

    January 16, 2024

  • · Home and Community-Based Services providers - provider type 18
  • · Community Health Clinic - provider type 58
  • · Child and Teen Checkups Clinic - provider type 16
  • · Nursing Facility - provider type 00
  • · Public Health Clinic - provider type 57
  • February 15, 2024

  • · Audiologist - provider type 43
  • · Family Planning Agency - provider type 54
  • · Home Care Nurse - provider type 64 (Individuals)
  • · Licensed Dietician or Licensed Nutritionist - provider type 15
  • · Public Health Nursing - provider type 61
  • March 15, 2024

  • · Billing Entity for Physician Group - provider type 49
  • · Federally Qualified Health Center (FQHC) - provider type 52
  • · Independent X-ray - provider type 81
  • · Rehabilitation Billing Entity - provider type 48
  • April 15, 2024

  • · Birthing Center – provider type B1
  • · Home Care Nursing Agency (HCN) Group – provider type 64
  • · Optical Company – provider type 75
  • · Certified Mental Health Rehabilitation Professional – provider type 26
  • May 15, 2024

  • · Certified Nurse Specialist (CNS) – provider type 68
  • · Home and Community-Based Services providers – provider type 18
  • · Independent Laboratory – provider type 80
  • June 15, 2024

  • · Home and Community-Based Services providers – provider type 18
  • · Physician Assistant – provider type 69
  • · Physicians – provider type 20-I
  • · Physician Clinics – provider type 20-O
  • July 15, 2024

  • · Billing Entity for Physician Group – provider type 49
  • · Home and Community-Based Services providers – provider type 18
  • · Individualized Education Program (IEP) Services – provider type 09
  • · Federally Qualified Health Center (FQHC) – provider type 52
  • · Optical Company – provider type 75
  • · Rehabilitation Billing Entity – provider type 48
  • August 15, 2024

  • · Home and Community-Based Services (HCBS) providers – provider type 18
  • · Intermediate Care Facilities (ICF) – provider type 05
  • · Physicians – provider type 20-I
  • · Physician Assistants – provider type 69
  • September 16, 2024

  • · Personal Care Provider Organizations (PCPO) –
  • provider type 38
  • · Early Intensive Developmental and Behavioral Intervention (EIDBI) Organizations – provider type EI
  • · Physicians – provider type 20-I
  • · Renal Dialysis Center – provider type 04
  • October 15, 2024

  • · Home and Community-Based Services (HCBS) providers – provider type 18
  • · Physicians – provider type 20-I
  • · Physician Assistants – provider type 69
  • · Rehabilitation Agency-Medicare Certified – provider type 11
  • November 15, 2024

  • · Substance Use Disorder – provider type 62
  • · Family Planning – provider type 54
  • · Home Health – provider type 60
  • · Physician Clinics – provider type 20-O
  • · Physicians – provider type 20-I
  • · Podiatry Clinic – provider type 36-O
  • · Podiatrist – provider type 36-I
  • December 15, 2024

  • · Certified Nurse Midwife – provider type 66
  • · Dental Clinics – provider type 30-O
  • · Dentist – provider type 30-I
  • · Home and Community-Based Services (HCBS) providers – provider type 18
  • · Optical Company – provider type 75
  • 2025 Initial Revalidation Date

    Provider Type

    January 15, 2025

  • · Home Care Nursing – provider type 64-I
  • · Individualized Education Program (IEP) Services – provider type 09
  • · Physician Assistants – provider type 69
  • · Physicians – provider type 20-I
  • · Public Health Nursing Organization – provider type 61
  • · Rural Health Clinics – provider type 53
  • February 17, 2025

  • · Acupuncturist – provider type AP
  • · Allied Oral Health Professional – provider type 31
  • · Ambulatory Surgical Center – provider type 22
  • · Certified Professional Midwife – provider type C1
  • · Home and Community-Based Services (HCBS) providers – provider type 18
  • March 15, 2025

  • · Certified Registered Nurse Anesthetist – provider type 67-I
  • · Certified Registered Nurse Organizations-provider type 67-O
  • · Chiropractic Group – provider type 37-O
  • · Chiropractic Individuals – provider type37-I
  • · Physician Clinics – provider type 20-O
  • April 15, 2025

  • · Billing Entity for Physician Group – provider type 49
  • · Home and Community-Based Services (HCBS) providers – provider type 18
  • · Physicians – provider type 20-I
  • · Rehabilitation Billing Entity – provider type 48
  • May 15, 2025

  • · Community Mental Health Center – provider type 10
  • · Day Support Services – provider type 19
  • · Dentist – provider type 30-I
  • · Federally Qualified Health Centers – provider type 52
  • · Mental Health Group – provider type 34
  • · Physician Assistants – provider type 69
  • · Public Health Nursing Organizations – provider type 61
  • · Recovery Community Organizations – provider type RC
  • June 15-19, 2025

  • · Certified Registered Nurse Anesthetist (CRNA) – provider type 67-I
  • · Children’s Residential Treatment Facility – provider type 06
  • · Organizations – provider type EI
  • · Hospital – provider type 01
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