1. GOVERNING AGENCIES

Agency: Minnesota Department of Health (MDH)

Role: Regulates nursing care agencies and ensures compliance with state health regulations

Agency: Minnesota Department of Human Services (DHS)

Role: Administers Medicaid and HCBS Waiver programs, including funding for home nursing services

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight and ensures waiver compliance

2. NURSING SERVICE OVERVIEW

Home and Community Nursing Services focus on providing medical and nursing care in home settings. Services are tailored according to the Individual Service Plan (ISP) or Person-Centered Plan (PCP) and may include:

• Skilled nursing care (e.g., wound care, IV therapy)
• Chronic disease management (e.g., diabetes care)
• Medication administration and monitoring
• Health assessments and care planning
• Patient and caregiver education
• Coordination with primary care providers

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Minnesota Secretary of State
• Obtain EIN from the IRS and NPI (Type 2)
• Enroll as a Medicaid provider with the Minnesota Department of Human Services
• Obtain a Comprehensive Home Care License from the Minnesota Department of Health
• Maintain liability insurance and clinical staff documentation

4. MEDICAID PROVIDER ENROLLMENT PROCESS

Step 1: Pre-Application Contact

• Contact the Minnesota Department of Human Services for nursing care provider requirements

Step 2: Application Submission

• Submit business registration, nursing care license, liability insurance, and service descriptions

Step 3: License Verification

• Obtain and verify the Comprehensive Home Care License

Step 4: Approval and Medicaid Number Assignment

• Once approved, receive a Medicaid provider number and authorization to deliver services

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business Name Registration
• IRS EIN Letter
• NPI confirmation
• Comprehensive Home Care License
• Liability insurance certificate

Policy & procedure manual including:

• Nursing assessment and care planning protocols
• Infection control and patient safety measures
• Medication administration and monitoring guidelines
• Documentation of services, health records, and follow-up plans
• Staff training logs and competency assessments

6. STAFFING REQUIREMENTS

Role: Nursing Care Administrator

Requirements: Experience in healthcare administration and home care management

Role: Registered Nurse (RN)

Requirements:

• Nursing degree and active RN license
• CPR and Advanced Cardiac Life Support (ACLS) certification
• Background check and TB clearance

Training Requirements:

• Infection control and safety procedures
• Patient monitoring and emergency response
• Medication administration and documentation
• Communication with healthcare providers and families

7. MEDICAID WAIVER SERVICES

Home and Community Nursing Services in Minnesota are available through:

• 1915(c) HCBS Waiver for the Elderly and Disabled
• Community Access for Disability Inclusion (CADI) Waiver
• Brain Injury (BI) Waiver

Approved providers may deliver:

• Skilled nursing and chronic disease management
• Health assessments and individualized care plans
• Medication administration and patient education

8. TIMELINE TO LAUNCH

Phase: Business Formation

Timeline: 1–2 weeks

Phase: Medicaid Provider Enrollment

Timeline: 60–90 days

Phase: Staff Hiring and Training

Timeline: 30–45 days

Phase: Equipment and Facility Setup

Timeline: 2–4 weeks

9. CONTACT INFORMATION

Minnesota Department of Human Services (DHS)

Website: https://mn.gov/dhs

Minnesota Department of Health (MDH)

Website: https://www.health.state.mn.us

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10. SCOPE OF WORK

• Business registration and licensing assistance
• Medicaid provider enrollment
• Policy & procedure manual for nursing care operations
• Templates for health assessments, care plans, and medication logs
• Website, domain, and email setup
• Staff credentialing and training documentation
• Client intake packet and health monitoring forms
• Risk management and infection control procedures
• Referral networking with healthcare providers and community organizations