Minnesota's Department of Human Services completed a court-ordered Medicaid provider revalidation on June 1, 2026. Of 5,583 providers spanning 13 high-risk program types, the state revalidated 2,061 (37%) and disenrolled 3,411 (61%). The deadline was midnight Sunday. Families woke up Monday morning to find that their child's ABA therapist, adult day program, or in-home caregiver could no longer bill Medicaid.

About 2,491 providers had incomplete paperwork. Another 916 failed site visits. Some were listed as "pending" when the deadline passed and were disenrolled anyway. Roughly 800 have filed appeals. Some are pursuing legal action.

This is not a Minnesota story. The Centers for Medicare & Medicaid Services (CMS) ordered all 50 states to run the same revalidation process. Minnesota went first. Your state is next.

Who Was Affected

The revalidation targeted 13 "high-risk" Medicaid program types across all 87 Minnesota counties. That includes ABA therapy providers, adult day services, mental health programs, and Integrated Community Supports (ICS) for people with spinal cord injuries and disabilities.

Matthew Barry's daughter was receiving full-time ABA therapy at Superior Steps, an autism treatment facility in Rochester. "We decided to enroll her full-time in ABA therapy, which was transformative for our family," Barry told the Post Bulletin. Superior Steps was disenrolled.

Josh Berg runs Accessible Space Inc., which provides Integrated Community Supports (in-unit assistance for people with spinal cord injuries and disabilities). DHS terminated funding to five of his seven locations. Two got the green light. Five were cut.

Disability advocates worry many legitimate providers were disenrolled because DHS ran out of time to process revalidation applications before the June 1 deadline. Human Services Inspector General James Clark defended the review: "Minnesotans deserve to trust that businesses receiving Medicaid dollars are legitimate and properly credentialed, and that they provide quality care."

Why This Happened

The federal government ordered this. The review was part of "Minnesota Revalidate 2026," an effort to prevent CMS from withholding over $2 billion in annual Medicaid funding. CMS threatened to cut that funding unless Minnesota cleaned up its provider rolls.

Minnesota complied. CMS has now ordered all 50 states to run similar audits of high-risk provider categories. The timeline varies by state, but the process is the same: revalidate or disenroll.

What Families Should Do Right Now

If your child or adult family member receives Medicaid-funded disability services, you need to act today.

Check Your Provider's Medicaid Enrollment Status

Contact your provider directly and ask: "Are you currently enrolled and able to bill Medicaid?" Don't assume they'll notify you if their status changes. In Minnesota, some families found out when services stopped.

If your provider was disenrolled, ask when they expect to complete the appeal or revalidation process. If they can't give you a timeline, start looking for alternatives immediately.

Request Emergency Continuity of Care

If your provider was disenrolled and your child is in the middle of treatment, contact your state Medicaid office and request emergency continuity of care. This allows you to continue receiving services from your current provider while they appeal or while you transition to a new one.

In Minnesota, counties are actively responding to questions from families whose providers were cut. The state created a webpage to connect families to alternative providers. Find out if your state has a similar emergency process.

Search the State Provider Directory for Alternatives

Minnesota DHS created a directory to help families find alternative providers after the disenrollment wave. If your provider was cut, search your state's Medicaid provider directory now. Don't wait until services stop.

Filter by program type (ABA therapy, ICS, adult day services, etc.) and location. Contact at least three alternatives to ask about waitlists, openings, and whether they're accepting new Medicaid clients.

Support Your Provider's Appeal

If your provider was disenrolled due to incomplete paperwork or a failed site visit, they may be appealing. Ask how you can help. Some providers are asking families to submit letters documenting the care they've received and the impact disenrollment would have.

About 800 Minnesota providers have filed appeals. Some are pursuing legal action. Your testimony may strengthen their case.

Find Out When Your State's Audit Is Scheduled

CMS ordered all 50 states to run revalidation audits. Contact your state Medicaid office and ask: "When is the revalidation deadline for high-risk Medicaid providers in our state?" If your state hasn't announced a timeline yet, ask to be notified when one is set.

Don't wait for a notice. Minnesota families received limited warning before the June 1 deadline. The more lead time you have, the more options you'll have if your provider is affected.

What to Watch

Maryland just signed a law intended to reduce administrative Medicaid disenrollment for people receiving services through the state's Developmental Disabilities Administration (DDA). The law takes effect October 1, 2026. That's a response to exactly this problem: erroneous disenrollment caused by procedural failures during revalidation.

If your state is running a similar audit, track whether your legislature is considering protections for beneficiaries. The American Association of People with Disabilities (AAPD) has warned that "despite Congress' promises that people with disabilities will be exempt from these requirements, not all people with disabilities are exempt. Disabled people will lose access to Medicaid."

Minnesota's audit is complete. The next wave is beginning. Check your provider's status today. Don't wait for a notice that may not come until services have already stopped.