Review cadence
- Source date
- 2026-07-15
- Claim review
- 2026-07-16 · 22/22
- Proven sweep
- 2026-07-15
- Target
- T2 · biweekly
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Minnesota has 17 community health centers across 104 sites serving 168,801 patients — the #39 FQHC state by patients in the national-breadth layer. As an expansion state, Medicaid anchors the safety net, and H.R. 1 work requirements plus the December 2026 funding cliff are the key risks.
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We keep source date, claim review, and a completed source sweep separate. None of these clocks substitutes for another.
31,230 reported patients
Actual values: 10/12 · source-backed: 8/12
Visible gaps: reported financials, NPPES operator identity, EHR, history.
Hash-pinned review: 2026-07-19 · next 2026-10-17
This public log starts July 14, 2026. Zero logged changes does not mean a page or claim never changed before that date.
2026-07-16 · addition
New tracked MN development added to the state intelligence feed.
2026-07-16 · addition
New tracked MN development added to the state intelligence feed.
2026-07-16 · addition
New tracked MN development added to the state intelligence feed.
2026-07-16 · addition
New tracked MN development added to the state intelligence feed.
2026-07-16 · addition
New tracked MN development added to the state intelligence feed.
2026-07-16 · addition
New tracked MN development added to the state intelligence feed.
2026-07-15 · material correction
Corrected this MN record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this MN record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this MN record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this MN record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this MN record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this MN record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this MN record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this MN record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this MN record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this MN record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this MN record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this MN record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this MN record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this MN record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this MN record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this MN record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
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Minnesota's current health-center picture combines enacted coverage changes, implementation work, direct state support, and federal funding risk. A July 2025 Minnesota Association of Community Health Centers release said 17 community health centers served 160,000 patients and modeled 20,000–40,000 health-center patients losing Medicaid coverage under the new federal law; those are an association forecast, not a measured loss. Governor Tim Walz signed SF4612 on May 26, 2026, including H.R. 1 compliance and state-share investments for Medicaid and SNAP. Minnesota DHS now says work requirements and six-month Medical Assistance renewals begin January 1, 2027, but its cited implementation page publishes no statewide coverage-loss or cost estimate. Separate state support is concrete: MDH's FY2026 FQHC Subsidy notice estimated $39.58 million across 2026–2028, while Minnesota's first-year Rural Health Transformation award totals about $193.09 million and includes FQHC-relevant workforce opportunities. On 340B, MDH found at least $1.34 billion in statewide 2024 net revenue, more than 80% generated by the largest hospitals; safety-net federal grantees generated the least, and the submitted data were not audited.
Patient-weighted across the 17 centers with UDS 2024 data.
Minnesota's Nurse Practice Act defines nurse-practitioner practice to include diagnosing, treating, ordering diagnostic studies, and prescribing, and it includes functioning as a primary care provider within the APRN scope (Minn. Stat. §148.171, subds. 11 and 13; §148.235, subd. 7a). The statute does not impose an ongoing physician supervisory agreement on an experienced licensed NP. It does, however, require a nurse practitioner or clinical nurse specialist qualifying for APRN licensure to complete at least 2,080 postgraduate practice hours under a collaborative agreement in a hospital or integrated clinical setting (§148.211, subd. 1c). Minnesota therefore supports autonomous NP deployment after the statutory transition period; describing every NP as immediately free of collaboration requirements would overstate the law.
Medicaid community-engagement (work) requirements under CMS-2454-IFC (80 hrs/month, full implementation Jan 1, 2027) plus expiry of the enhanced ACA premium tax credits (end of 2025) threaten Minnesota's expansion population and FQHC Medicaid revenue.
Role implications
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Minnesota ranks #39 by FQHC patients, with 17 organizations and 104 sites tied to Medicaid work-requirement exposure.
Use this as the board agenda frame: exposure, owner, decision date, and the first source to recheck.
44.2% Medicaid/CHIP, 30.8% uninsured, and 14.1 points above the expansion peer average.
Turn the payer mix into scenarios for PPS, 340B, grants, and patient-volume stress.
29 public ATS snapshot rows across 5 sources; largest systems and directory links show where hiring capacity may need verification.
Use the state read to pick roles to watch, openings to save, and retention risks to discuss with managers.
Minnesota combines 168,801 FQHC patients with full practice NP practice context and access pressure from payer mix.
Map the signal to panel access, team-based care, top-of-license planning, and patient-impact follow-up.
MNACHC, state policy context, and the December 31, 2026 CHC Fund cliff define the sources to keep current.
Assign one source owner for state policy, one for federal deadlines, and one for billing/audit implications.
Minnesota has 17 FQHC employers in the directory and 29 public ATS snapshot rows across 5 sources to compare before applying.
Use the state context to choose target employers, tailor proof, and save the next job or resource in My Progress.
29 live FQHC job postings in Minnesota on the national board right now.1 include employer-posted pay.5 verified employer sources; newest review 2026-07-20.
The observation remains unknown until a reproducible source sweep or manual review is completed. No published match does not mean zero layoffs.
The row count describes the official artifact, not a count of FQHC layoffs. · Official source
A ~$660M supplemental framework directs $205M to stabilize Hennepin Healthcare and creates up to a $500M hospital uncompensated-care reserve.
FQHCs are not named beneficiaries; the money protects the hospital referral backstop while health centers absorb front-door demand.
Primary source · as of 2026-07-14
22 primary-sourced findings on Minnesota FQHC policy and financing.Newest item: 2026-09-22
Indian Health Board of Minneapolis lists September 22, 2026, as the opening day for services at its Menaandawiwe Wellness Campus. The operator says the new campus is designed to unite medical, dental, counseling and support, recovery, and traditional health services, following a May 1, 2025 groundbreaking; it separately lists a grand-opening celebration for May 1, 2027.
This is a scheduled opening, not realized access, and the later celebration date is not a second service launch. The page does not establish current construction completion, opening-day service hours, relocation details, staffing or FTEs, exam rooms, appointment or patient capacity, capital cost, funding sources, utilization, wait-time change, or measured outcomes.
Named design and construction partners are not represented as health-care operators.
DHS's current implementation page says adults ages 21–64 who do not live with a child under 19, are not pregnant, are not American Indian or Alaska Native, and do not receive MA based on disability must report qualifying work, school, volunteering, a work program, or an exemption beginning January 1, 2027. The same population moves from annual to six-month renewals that day.
DHS also says Minnesota will use state funding to preserve three months of retroactive coverage through 2027, delaying the federal reduction until January 1, 2028. The cited page publishes no statewide coverage-loss, federal-funding-loss, administrative-cost, or FQHC uncompensated-care estimate.
MDH's page, last updated July 13, 2026, lists a Rural Clinical Fellowship for Advanced Practice Providers and Other Clinicians due July 31; rural FQHCs are among the eligible clinical practice settings, and proposed fellowships may last 12–18 months. A separate technical-assistance vendor solicitation due August 7 may support approximately 125 rural health-care organizations.
Earlier direct grants reserved 5% of Minnesota's first-budget-period Rural Health Transformation award for five eligible rural FQHCs, but that application deadline passed May 26. MDH reports that the full first-period federal award totals $193,090,618.14; the cited page does not publish final FQHC award amounts or recipients.
Winona Radio reported that Minnesota DHS told lawmakers it had five months to revalidate more than 5,000 high-risk Medicaid providers, while most states receive up to two years. Temporary Commissioner John Connolly acknowledged that the process was not perfect and that some legitimate providers temporarily lost payments, disrupting services for some Minnesotans.
The cited report does not state the federal deadline, the amount of federal funding at risk, the number of disenrollments, or whether FQHCs were reviewed, so no FQHC-specific effect is asserted here.
On June 29, 2026, Attorney General Keith Ellison joined 24 other attorneys general and two governors in a lawsuit challenging provisions of the June 3 HHS/CMS interim final rule for Medicaid work requirements. The coalition alleges that CMS unlawfully narrowed the exemption for medically frail people and ignored evidence that reporting barriers can cause eligible people to lose coverage.
The Attorney General's release says Medical Assistance covers almost 1.2 million Minnesotans, or about one in five residents; work requirements begin January 1, 2027, and states must notify recipients by August 31, 2026. The release predicts system-wide harm but does not quantify Minnesota coverage losses or assign a specific role or workload to FQHCs.
Sahan Journal reported that Southside Community Health Services planned to begin forensic sexual-assault exams at its new East Lake Street clinic in summer 2026. During clinic hours, patients could make an appointment or walk in; trained nurses from the Hennepin Assault Response Team would perform the exams, and advocates could respond if the survivor wished.
Southside also planned referrals to culturally specific organizations including Phumulani, Esperanza United, and the Minnesota Indian Women's Resource Center. The article says the medical director was unaware of another nonhospital setting in Minnesota offering the exams; it does not establish a verified statewide first or report measured utilization or outcomes.
The University of Minnesota broke ground in May 2026 on a new Community-University Health Care Center building twice the size of the existing clinic. The FQHC served more than 12,000 patients through more than 53,000 visits in 2025.
The project adds exam rooms, dental stations, an on-site pharmacy, physical therapy, and imaging, and the university projects capacity for 36,500 additional visits over the next decade. The $45 million renovation and expansion includes a $20 million University of Minnesota Foundation capital campaign and Twin Cities philanthropic support; construction was expected to finish in July 2027 while the current clinic remained open.
Governor Tim Walz signed SF4612 on May 26, 2026. The Governor's release describes it as the health and human services supplemental appropriations omnibus and identifies H.R.
1 compliance, state-share investments for Medicaid and SNAP, child-care licensing changes, and food-security funding. A May 18 House account recorded prior passage by 108–26 in the House and 35–32 in the Senate and described work requirements, six-month renewals, cost sharing, and shorter retroactive coverage in the conference report.
The Governor's cited signing release does not quantify an FQHC allocation, patient-navigation workload, or coverage loss.
On May 14, 2026, Minnesota House Session Daily reported a roughly $660 million supplemental-budget framework reached the prior evening. The framework called for $205 million in immediate stabilization funding for Hennepin County Medical Center and a reserve of up to $500 million that could include other hospitals dealing with uncompensated care.
It also included human-services technology modernization and fraud measures. The article described a negotiated framework whose details still had to be enacted; it did not identify FQHCs as recipients or connect the reserve to a quantified MinnesotaCare coverage loss.
Open Cities Health Center says its first pharmacy officially opened inside the Dunlap Clinic on April 6, 2026. The co-located service gives patients access to medications where they receive care.
The operator does not publish pharmacy staffing, prescription volume, incremental capacity, utilization, financial results or patient outcomes, so none are asserted.
Sawtooth Mountain Clinic's Oral Health Task Force says that, beginning April 1, 2026, its dental financial-assistance pilot also covers adults ages 27–64. The package covers 90% of the cost of preventive services such as X-rays, exams, and cleanings, plus basic restorative work.
Applicants may submit forms through Sawtooth Mountain Clinic or Grand Marais Family Dentistry and must provide proof of income within 30 days. This confirms an eligibility expansion, not automatic approval, coverage of every procedure, or unrestricted appointment access; the 90% is the stated covered share for listed services, not an observed average saving.
The source does not state the pilot's end date, income threshold, budget, enrollment, visits, wait times, provider staffing/FTEs, appointment capacity, realized savings, or clinical outcomes.
NACHC's current funding page says annual discretionary CHC funding expires September 30, 2026 and mandatory Community Health Center Fund support expires December 31, 2026. It reports $4.6 billion in recent mandatory funding and $1.858 billion in FY2026 discretionary funding; mandatory funding represents about 70% of federal CHC support.
NACHC says short-term funding can cause health centers to consider service reductions, pause workforce recruitment, or delay projects. Those are national risk statements, not documented outcomes for Minnesota, and the page does not support the prior Minnesota patient count or claim that cuts are certain.
Open Door Health Center's February newsletter set March 24, 2026 as the service-start date for its Shakopee location in the Scott County Integrated Health Center, and its current operator page confirms the site is open and accepting appointments. The site offers primary medical care, preventive and restorative dental care, behavioral-health counseling, and insurance-enrollment assistance at 1617 Weston Court.
The operator publishes no measured patient volume, incremental capacity, staffing total, utilization or outcomes for the new site.
Native American Community Clinic's 2025 Impact Report, published March 9, 2026, says it served 4,400 patients in 26,000 visits, with 74% identifying as Native American. It reports 431 patients served through medication for opioid use disorder (MOUD); 64% of patients who began services in 2025 remaining in regular care; 1,220 street-outreach visits; 64 community members trained in overdose response; and 437 incarcerated relatives receiving peer-recovery and cultural-care services in the Hennepin County Jail.
These are operator-reported annual counts: the report does not define unique versus repeat outreach visits, the denominator or follow-up window for the 64% figure, MOUD modality, jail-service intensity, a comparator, audit methods, or clinical outcomes such as reduced overdose, mortality or sustained remission.
MDH's February 27, 2026 report aggregates covered-entity submissions for calendar year 2024. It found at least $1.34 billion in statewide net 340B revenue, likely an undercount by an unknown amount because of office-administered-drug reporting challenges.
The largest 340B hospitals generated more than $1 billion and more than 80% of the statewide total; safety-net federal grantee clinics—including FQHCs, look-alikes, and Tribal health centers—generated the least net revenue. Reported operating costs were about $165 million.
MDH warns that the submissions were not audited or otherwise verifiable and that the report does not show how net revenue was used or measure patient or health-system effects. The cited report does not support the prior claim of an April 2026 Senate enforcement battle.
AHA News reported that on February 17, 2026, the Minnesota Court of Appeals affirmed a lower-court decision and held that Minnesota's 340B contract-pharmacy law is not preempted by federal law. The court also rejected PhRMA's extraterritorial-regulation and Minnesota Single Subject and Title Clause arguments.
This source establishes the appellate outcome but does not call the contract-pharmacy law first in the nation or describe Minnesota's separate covered-entity reporting requirement, so those additions are omitted.
Minnesota DHS confirms that MinnesotaCare eligibility ended at the close of December 31, 2025 for adults 18 and older who had not shown an immigration status. Children younger than 18 without documented status remain eligible, and qualifying pregnant people remain eligible for Medical Assistance regardless of immigration status.
DHS directs people needing care after coverage loss to Minnesota Health Centers, which provide care regardless of ability to pay. The current source does not quantify how many adults lost coverage, how many will use health centers, or any resulting uncompensated-care cost, so the prior 16,500-person claim is removed.
MDH published this Notice of Grant Opportunity on September 26, 2025. The statutory formula allocates funds among eligible FQHCs and look-alikes in proportion to patient discounts reported in UDS, subject to 5% and 30% award bounds.
The notice estimated $13.193 million in year one, $13.194 million in year two, and $13.193 million in year three—a $39.58 million total—with 19 estimated awards each year and no match requirement. The project period is January 1, 2026 through December 31, 2028.
The letter-of-intent and application deadlines were October 10 and November 21, 2025; the cited notice does not publish final recipients or prove that awards were executed.
Minnesota Community Care's current English discount application, revised August 20, 2025, bases eligibility on family size and income under the federal poverty guidelines. It lists category A–D initial fees of $40–$70 for medical and behavioral care and $50–$80 for selected dental care, with $0 initial fees for HealthStart school-based and homeless-care programs.
MCC says an average visit costs $270, people above 200% of the poverty guideline are ineligible, approval lasts six months, and uninsured patients outside or declining the program must pay $250 before medical or dental services. These figures are a fee schedule, not realized bills: total responsibility can include 25%–75% of charges or deductibles and all coinsurance, some services are excluded, and the source reports no enrollment, discounted visits, collection rates, uncompensated care, savings or outcomes.
Patients should confirm current eligibility and charges with MCC.
In a July 3, 2025 advocacy release issued when the federal bill passed Congress, MNACHC said Minnesota's 17 community health centers served 160,000 patients, including 80,000 Medicaid patients. Its more specific forecast was that Medicaid eligibility and benefit changes would cause 20,000–40,000 health-center patients—12%–24% of all patients served—to lose Medicaid coverage, with revenue reductions of up to 22%.
Those figures are the association's prospective model, not a measured disenrollment count. The cited release does not support the later-added 50,000–70,000 expansion-enrollee estimate or an August 2026 systems deadline, so both are omitted.
This source is dated March 4, 2025, not 2026. It reports that HF1005, as amended, would require DHS to implement higher rates recommended by the state's outpatient-services rate study.
The proposal would phase in selected mental-health and physician-service increases beginning in 2026, additional adult community behavioral-health increases in 2027, and behavioral-health-home and fee-for-service inpatient mental-health increases in 2028. The committee laid the bill over for possible omnibus inclusion and no fiscal note was provided.
The article quotes lawmakers and a family-physician representative, but it does not identify FQHC testimony, quantify an FQHC deficit, or establish that the proposal became law.
Minnesota DHS lists the Federally Qualified Health Center Unified Health Network among 25 delivery systems participating in Integrated Health Partnership contracts. Together, the 25 participants serve more than 530,000 Minnesota Health Care Programs members.
The IHP model includes a non-risk-bearing Track 1 and a shared-risk Track 2; both receive population-based care-coordination payments and must design a health-equity intervention. The cited page does not state how many FQHC organizations belong to the network, identify its track, report network-specific savings, or support the prior $26 million figure.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | Resilience | District |
|---|---|---|---|---|---|---|
| West Side Community Health Services, Inc. Saint Paul | 31,230 | 18 | 42.8% | $49M | Watch | MN-04 |
| Hennepin County Minneapolis | 24,622 | 10 | 41.72% | $1.6B | Stable | MN-05 |
| Cook Area Health Services, Inc. Cook | 13,628 | 11 | 15.4% | $19M | Stable | MN-08 |
| Regents of the University of Minnesota Minneapolis | 11,909 | 2 | 33.37% | — | Exposed | MN-05 |
| Southside Community Health Services Inc. Minneapolis | 11,778 | 3 | 39.51% | $13M | Exposed | MN-05 |
| Lake Superior Community Health Center Duluth | 10,692 | 15 | 7.73% | $14M | Watch | MN-08 |
| Universal Medical Services Inc. Minneapolis · Look-Alike | 8,134 | 3 | 10.22% | $7M | Exposed | MN-05 |
| Neighborhood Healthsource Minneapolis | 7,712 | 4 | 36.66% | $9M | Watch | MN-05 |
| Open Door Health Center Mankato | 7,555 | 3 | 22.75% | $9M | Exposed | MN-01 |
| Open Cities Health Center, Inc. Saint Paul | 7,064 | 4 | 41.14% | $9M | Watch | MN-04 |
| District | Representative | Sites |
|---|---|---|
| MN-05 | Ilhan Omar | 39 |
| MN-04 | Betty McCollum | 24 |
| MN-08 | Pete Stauber | 20 |
| MN-07 | Michelle Fischbach | 9 |
| MN-01 | Brad Finstad | 4 |
| MN-02 | Angie Craig | 3 |
Minnesota ranks #39 by FQHC patients and #32 by organization count among the 57 national-breadth jurisdictions. All 17 centers depend on the federal Community Health Center Fund, authorized only through December 31, 2026.
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FQHC data from the HRSA bulk-sites file + UDS 2024 + IRS 990. State policy profile via NACHC/KFF/AANP. Intelligence items cite primary sources. Federal items apply to all states; state items are Minnesota-only. Updated 2026-06-30.