Frequently asked questions for Hennepin Health SNBC plan members who joined April 1, 2025.
September 2023
Substance Use Disorder (SUD) residential treatment programs must enroll as 1115 demonstration project providers obtaining 245G licensure by Jan. 1, 2024, or claims will be ineligible for payment.
SUD providers
The Minnesota Department of Human Services (DHS) has provided the guidance below for providers requiring Jan. 1, 2024 and Jan. 1, 2025 enrollment in the 1115 Demonstration. Per DHS, the Centers for Medicare and Medicaid Services (CMS) uses 1115 SUD Demonstrations to expand access to high quality, clinically appropriate SUD treatment using American Society for Addiction Medicine (ASAM) levels of care.
The following SUD providers are required to enroll in the 1115 Demonstration by Jan. 1, 2024:
The following SUD providers are required to enroll in the demonstration by Jan. 1, 2025:
Tribally licensed providers may elect to participate in the demonstration. These enrollment requirements are according to Minnesota Statute 256B.0759, subdivision 2. Providers may email 1115demonstration.dhs@state.mn.us with questions or to request assistance in completing the enrollment application.
Hennepin Health monitors updates to the DHS PECD website to update internal programming for new SUD providers and provider locations who have completed provider certification under the federal demonstration waiver. Hennepin Health regularly secures reports based on the effective dates and adjusts claims for those who qualify for 1115 waiver demonstration rates.