Minnesota's 2026 SUD rules, and the EHR that keeps up.
Minnesota realigned SUD treatment to ASAM standards in 2026, with new service types, 15-minute billing codes, and 837I revenue codes by level of care, on top of the standing DAANES reporting requirement. Navix is the operating record designed to make that reporting a byproduct of clinical work, and CollaborateMD, our RCM partner, processes the MN-ITS claims across payers.
Last verified: August 19, 2026 · sources belowLicensing, DAANES, and the 2026 realignment.
SUD treatment programs are licensed under Minn. Stat. chapter 245G, and withdrawal management under chapter 245F. To be paid, a program enrolls as an MHCP provider and in DAANES, and submits claims electronically through MN-ITS across Medical Assistance, the Behavioral Health Fund (program OO), and MinnesotaCare.
DAANES is non-negotiable
Every SUD client must be entered in DAANES for each admission episode regardless of funding source. A provider does not receive reimbursement unless DAANES requirements are met, with data collected at admission, a six-month review for opioid treatment clients, and discharge.
The 2026 ASAM realignment
The 2026 changes replace the old treatment-service structure under 245G.07 with ASAM-aligned service types, add new 15-minute billing codes for counseling, psychoeducation, and recovery support, and require outpatient 837I claims to carry a revenue code identifying the ASAM level of care. The statutes are effective July 1, 2026 or upon federal approval, whichever is later, with a DHS operational go-live of August 1, 2026. Confirm current status on the DHS SUD Reform page before relying on any dated detail.
Three moving parts, one deadline season.
- DAANES entry for every admission episode, regardless of funding — no DAANES, no reimbursement
- The 2026 ASAM-aligned service types, new 15-minute billing codes, and 837I revenue codes by level of care
- Documentation that has to satisfy 245G licensing and produce clean MN-ITS claims across MA, the Behavioral Health Fund, and MinnesotaCare
The 2026 realignment landed on top of DAANES and multi-payer billing all at once, and operators are still working out the new codes and level-of-care revenue requirements. The goal is documentation that produces both the DAANES record and the correct claim without a second pass.
Compliant once. Reported and billed from the same record.
Navix is the EMR your team works in, designed to structure documentation to support DAANES reporting and the 2026 ASAM-aligned service types and billing codes, so state reporting is a byproduct of clinical work rather than a separate job. CollaborateMD, our RCM partner, processes the MN-ITS claims across Medical Assistance, the Behavioral Health Fund, and commercial payers.
Because the ASAM level of care now drives outpatient revenue coding, keeping the assessment, the service type, and the claim on one record reduces the coding errors that cause denials. Confirm current DHS requirements against the state's own materials, which are actively changing through 2026.
Straight answers.
What are the Minnesota 2026 SUD changes?
Minnesota realigned its SUD treatment service types to ASAM standards under Minn. Stat. 245G.07, added new procedure and billing codes, and, for outpatient programs billing on the 837I institutional claim, requires a revenue code identifying the ASAM level of care on each claim. 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. Confirm current federal-approval and live status on the DHS SUD Reform page.
What happens if I don't enter a client in DAANES?
You will not be reimbursed. A provider does not receive payment as a SUD treatment provider unless DAANES requirements are met, and every SUD client must be entered for each admission episode regardless of funding source. DAANES data is collected at admission, a six-month review for opioid treatment clients, and discharge.
What is 245G compliance?
Minn. Stat. chapter 245G is the licensing chapter for SUD treatment programs, governing assessment, treatment planning, staff qualifications, documentation, and service delivery. Withdrawal management programs are licensed separately under chapter 245F. The 2025 legislation amended 245G.07 to restructure services around ASAM criteria.
How do I get paid for SUD services in Minnesota?
Enroll as a Minnesota Health Care Programs (MHCP) provider and in DAANES, then submit electronic claims through MN-ITS for members under Medical Assistance, the Behavioral Health Fund, or MinnesotaCare. Outpatient payment is capped at 6 hours per day or 30 hours per week without prior authorization. CollaborateMD, Navix's RCM partner, processes those claims across payers.
How does Navix fit Minnesota's requirements?
Navix is your operating EMR, designed to structure documentation to support DAANES reporting and the 2026 ASAM-aligned service types and billing codes, so the state reporting is a byproduct of clinical work rather than a second job. CollaborateMD processes the MN-ITS claims across Medical Assistance, the Behavioral Health Fund, and commercial payers.
Related.
See Navix on the 2026 Minnesota rules.
We will walk the path from clinical documentation to the DAANES record and the MN-ITS claim, on a real chart.
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