Minnesota realigned SUD treatment to ASAM standards in 2026 — new service types under 245G.07, new 15-minute billing codes, a revenue code identifying the ASAM level on outpatient 837I claims, and daily and weekly hour limits. Here is what changed and how to bill it cleanly.
If you run SUD treatment in Minnesota, 2026 rewired your service definitions and your billing codes at the same time — and it is one of the reasons operators are confused right now. The realignment to ASAM standards is real, and the claim mechanics changed with it. Here is what happened and how to bill it. For the market context, see the Minnesota 245G and DAANES guide.
Minnesota realigned its SUD treatment service types to ASAM standards under Minn. Stat. 245G.07 — replacing the old treatment-service structure with ASAM-aligned service types — and added new billing codes to match. For outpatient programs billing on the 837I institutional claim, each claim now has to carry a revenue code identifying the ASAM level of care. And outpatient payment is capped at 6 hours per day, or 30 hours per week, without prior authorization. See the DHS SUD System Reform page.
The dates matter and they are slightly tangled. The underlying statutes are effective July 1, 2026 or upon federal approval, whichever is later, and DHS set an operational go-live of August 1, 2026. Because parts of the package are gated on federal approval, the responsible move is to confirm the current live status on the DHS SUD Reform page before you rely on any specific element. This is a genuinely high-change area — treat dated details as things to verify, not memorize.
The single most important operational shift is that the ASAM level of care now drives outpatient revenue coding. That closes the distance between clinical assessment and billing: the level you assess and document is the level that has to appear, correctly, on the claim. A gap between the assessed level and the coded claim is now a direct denial risk. Programs that keep the ASAM assessment, the service type, and the claim on one record avoid that gap.
Navix is the operating record designed to structure documentation to support the 2026 ASAM-aligned service types and billing codes, so the assessment, the service, and the claim stay aligned — and CollaborateMD, our RCM partner, processes the MN-ITS claims across Medical Assistance, the Behavioral Health Fund, and commercial payers. When the level of care drives the revenue code, that alignment is where clean payment lives. Confirm current DHS requirements, which are changing through 2026.
See how one record keeps the ASAM level and the claim aligned — schedule a demo, or read about making DAANES a byproduct of documentation.
