Provider signature requirements for HCBS members support plans

By August 1, 2026: All providers billing for HCBS services must implement mandatory support plan signature procedures in their billing and clinical workflows. (1) Establish internal process requiring providers to sign all member support plans before service delivery and maintain current signed copies in records. (2) Update encounter forms, service authorization templates, and billing system documentation requirements to flag unsigned plans as a claims submission blocker. (3) Train billing team, providers, and administrative staff on signature compliance requirements and timely return procedures. (4) Review current member files and obtain retroactive signatures for any active members as needed before the effective date. (5) Implement monthly compliance audits to verify signed support plan documentation before claims submission. Consequences: Claims lacking required provider signatures will be denied or subject to payment takebacks from the Minnesota Department of Human Services.