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Pulse brief · 2 cited sources · July 10, 2026

Minnesota's high-risk Medicaid revalidation lands in federal court

The state's off-cycle screening of 5,600 providers now runs alongside a home care agency's due process fight over a frozen payment.

Minnesota is running an off-cycle revalidation of Medicaid providers in 13 service areas the state designated high-risk, an effort it calls 'Minnesota Revalidate 2026.' In late January the state Medicaid agency sent revalidation notices to about 5,600 providers, required owners with a 5% or greater interest to undergo fingerprint background checks, and set a May 31 deadline, after which non-compliant providers face deactivation. The push predates an April 23 letter from CMS Administrator Dr. Mehmet Oz asking states to develop and submit a comprehensive two-year provider revalidation strategy. The tightening is now being contested in court: Agape Home Health Services, a Minneapolis home care provider, is challenging a state payment suspension it says cited common ownership with another provider under investigation, Healthy Living Home Health Care, rather than allegations specific to Agape. The Minnesota Attorney General's Office moved the case to federal court after Agape raised a due process claim.

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