245D license in Minnesota: who needs one and how to apply
245D license guide for Minnesota HCBS providers: which waiver services need one, basic vs intensive support, application steps, fees, and the 2026-2027 pause.
Updated September 3, 2026
245D software
245D documentation that a licensor can read in the order the statute lists it.
Service recipient records under § 245D.095, support plan addenda under § 245D.071, incident timelines under § 245D.06, and staff training under § 245D.09, with the deadlines tracked and the claims built from the record.
- Basic support services
- Intensive support services
- Individualized home supports
- Day services and community residential settings
A 245D licensing review is a document review. The licensor opens the service recipient record, checks the CSSP addendum dates, reads the progress reviews, samples incident reports against their 24-hour and 5-working-day clocks, and pulls staff files for orientation and annual training. Most correction orders are missed dates and missing pages, not bad care.
Trustora's 245D module keeps every one of those documents in a dated file and tracks the deadline that goes with it. Service notes require the fields that support the waiver claim, and the claim itself is checked against the service agreement before it goes to MN-ITS.
Built on the rules
What 245D software has to enforce in Minnesota
The requirement, where it comes from, and how Trustora handles it. The guides further down explain each rule in detail.
| Requirement | Source | In Trustora |
|---|---|---|
| Preliminary CSSP addendum within 15 days; assessment and full addendum within 60 days for intensive services | Minn. Stat. § 245D.071 | Deadlines start at service initiation and appear as gap-day alerts before they pass |
| Progress review meetings at least annually or within 30 days of a written request | Minn. Stat. § 245D.071, subd. 5 | Review schedules follow the support plan; reports are dated and attached to the record |
| Report incidents to the legal representative and case manager within 24 hours | Minn. Stat. § 245D.06, subd. 1 | Incident entries start the applicable clocks and log who was notified, when, and how |
| Emergency use of manual restraint: written report in 3 calendar days, internal review in 5 working days | Minn. Stat. § 245D.061 | Each step in the chain is tracked to completion with its date |
| Orientation within 60 days of hire and annual training on the required topics | Minn. Stat. § 245D.09, subd. 4 and 5 | Staff files record each topic, date, trainer, and competency evidence, with expiration alerts |
What is included
245D software features
Service recipient record
Admission information, rights acknowledgement, abuse prevention plan, support plan and addendum, assessments, medication records, and discharge summary in one dated file.
Support plan addenda and outcomes
Person-centered outcomes, supports, and risk plans with the 15-day, 60-day, and review deadlines tracked.
Incident and restraint timelines
Incident categories from § 245D.02 with automatic clocks, pattern views by person and site, and corrective action tracking.
Staff training and background studies
Orientation topics, annual training, competency evidence, and NETStudy 2.0 results, with scheduling blocks when a requirement lapses.
Medication administration records
Orders, authorizations, administrations, refusals, and errors documented per § 245D.05.
Waiver claims
Service notes become 837P lines checked against the service agreement, with EVV for services that require it.
FAQ
245D software: common questions
- What 245D documents does Trustora manage?
- The service recipient record under § 245D.095, the coordinated service and support plan addendum and outcomes under § 245D.071, progress review reports, incident and emergency manual restraint reports under §§ 245D.06 and 245D.061, medication administration records under § 245D.05, and the staff orientation and training records under § 245D.09.
- Does Trustora track 245D deadlines automatically?
- Yes. The 15-day preliminary addendum, the 60-day assessment and full addendum, progress review dates, the 24-hour incident notification, the manual restraint reporting chain, and the 60-day orientation window are tracked with gap-day alerts before a deadline passes.
- Can Trustora handle both basic and intensive support services?
- Yes. The record applies the planning and training rules that match the service type, so an agency that provides both keeps two sets of timelines straight in one system.
- Does 245D require EVV?
- Some 245D services delivered in the home, such as individualized home supports, are in scope for Minnesota EVV. Trustora's caregiver app captures those visits and sends them to HHAeXchange, while services that are not EVV services are documented with service notes.
- Is new 245D licensing paused?
- As of September 2026, DHS has a moratorium on new HCBS 245D licenses that is expected to run through December 31, 2027, and 245D services are among those affected by the January 27, 2026 enrollment freeze. Existing license holders continue to serve clients and must keep their records and revalidation current.
Guides
The rules behind 245D waivered services, explained
245D documentation checklist: support plans, reviews, and records
245D documentation checklist for Minnesota HCBS providers: the service recipient record, support plan addendum timelines, progress reviews, and retention.
Updated September 3, 2026
245D incident reporting: what to report and the timelines
245D incident reporting in Minnesota: § 245D.06 incident definitions, the 24-hour report, emergency manual restraint timelines, MAARC, and DHS notices.
Updated September 5, 2026
245D training requirements: orientation and annual topics (245D.09)
245D training requirements under Minn. Stat. § 245D.09: orientation within 60 days, the 72-hour maltreatment rule, annual topics, and the training record.
Updated September 5, 2026
The most common 245D licensing citations and how to avoid them
245D licensing citations: the record, training, incident, medication, and rights findings DHS licensors cite, the statute behind each, and how to fix them.
Updated September 11, 2026
What is 245D? Minnesota's home and community-based services standards
What is 245D? An explanation of Minnesota's HCBS Standards: who needs the license, basic vs intensive services, license holder duties, and DHS enforcement.
Updated September 10, 2026
Also for Minnesota agencies