Leaf Health MN | 245D Compliance & Designated Manager Services Minnesota
Minnesota 245D Compliance

Keep your license.
Pass your DHS review.
Serve your clients.

Fractional Designated Manager and 245D compliance consulting for licensed HCBS providers in Minnesota — so you can focus on care, not paperwork.

245D Compliance Review DHS Aligned
Designated Manager on file
MN Stat. 245D.081 Subd. 3
Policies & Procedures current
Reviewed against 2025 DHS standards
Staff training documented
245D.09 Subd. 4–5 compliant
Individual service files complete
Person-centered plans on file
Incident reporting procedures
DHS reporting timelines met
Annual review schedule active
60-day & annual reviews tracked
⚖️ 245D Licensed & Compliant
📋 DM Qualifications Met — MN Stat. 245D.081
🏥 12+ Years Healthcare Operations Experience
📍 Minnesota-Based Company
🔒 HIPAA-Aware Operations
The challenge you face

Running a 245D program is harder than it should be

DHS holds you to exacting standards — while you're already stretched managing staff, clients, and billing.

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Correction orders that won't go away

A single DHS inspection can trigger a correction order that follows your agency for years — affecting your reputation and your license renewal.

Not enough time to stay fully compliant

Between managing staff, clients, and billing, keeping every file, form, and requirement DHS-ready is a full-time job on its own — and something always slips.

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Difficulty keeping up with DHS changes

Regulations, bulletins, and expectations shift constantly. Staying on top of every update — and knowing how it affects your agency — is nearly impossible to do alone.

Services & Pricing

Compliance support that fits your agency

Per-client monthly pricing that scales with your operation — built for small and mid-size 245D providers.

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Peace of Mind
Remote DM of Record
$499/client/mo
Minimum 2 clients · Month-to-month, cancel anytime
  • Qualified DM on file with DHS
  • Quarterly file review
  • DHS correspondence support
  • License renewal guidance
  • Email & phone support
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🏝️
Total Freedom
White-Glove Operations Support
$1,899/client/mo
Minimum 2 clients · For owners who want true passive income
  • Everything in Fully Covered
  • Staff training coordination
  • Licensing review preparation
  • Staff competency assessment support
  • Monthly operations report
  • AI-assisted compliance automation included
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When you need help fast

Urgent & rapid-response support

Facing a DHS review, a correction order, or a deadline? These focused engagements get you back on solid ground — available standalone or alongside any retainer plan.

ServiceWhat's includedPrice
Audit & Inspection Readiness BundleBest ValueFull compliance audit, gap report, corrective action plan, mock review, file prep, and staff briefing — everything you need to walk into a DHS inspection with confidenceStarting at $2,500
Corrective Action ResponseWritten DHS response, remediation plan, and documentation package to close an open correction orderStarting at $1,200
Policy & Procedure ManualCustom-built to your operations — not a generic template that fails under DHS scrutinyStarting at $2,000
How it works

From first call to audit-ready in 30 days

1

Free Consultation

We review your current compliance posture, DM situation, and any open DHS matters. No charge.

2

Proposal & Engagement

You receive a clear scope, retainer tier recommendation, and service agreement within 48 hours.

3

Onboarding & Audit

We access your files, review against 245D standards, and deliver a gap report with priorities ranked.

4

Ongoing Partnership

Monthly reviews, DHS correspondence, incident support, and audit readiness — continuously.

Why Leaf Health MN

Qualified. Experienced. Built for this.

Our Designated Manager meets every statutory requirement under MN Statute 245D.081 — and brings 12+ years of real-world healthcare operations experience right here in Minnesota.

  • Supervisory experience in human services programs — meets 245D.081 Subd. 3 DM qualification requirement
  • Background in healthcare administration including Medicaid waiver billing and HCBS operations
  • Finance and operations expertise — FP&A, bookkeeping, compliance documentation systems
  • Experience building internal policy, procedure, and quality assurance frameworks
  • Minnesota-based company with 12+ years of experience in healthcare operations, compliance, and human services
$0
Cost of a missed DHS correction order Not really — violations carry fines and can trigger license suspension. Don't find out the hard way.
2yr
DHS moratorium on new 245D licenses Through end of 2027. Your existing license is your competitive asset — protect it.
12+
Years of Minnesota healthcare experience Deep familiarity with DHS expectations, MHCP billing, and HCBS operations — not a generalist consultant learning on your dime.
Common questions

What providers ask us

Yes. Minnesota statute 245D.081 requires that a Designated Manager be designated — it does not require that person to be a full-time employee. A qualified fractional or contracted DM who meets the education and experience requirements satisfies the statute. We can discuss the arrangement and documentation specifics during your free consultation.
Absolutely. Many providers use us as a compliance partner alongside their internal DM — for audit prep, corrective action response, policy updates, or as a backup DM during staff transitions. Our à la carte services are designed for exactly this situation.
We prioritize correction order situations. Contact us immediately and we'll schedule a call within 24 hours. Our Corrective Action Response service covers a written DHS response, remediation plan, and the documentation package to close the order — starting at $1,200.
Yes — Leaf Health MN is a Minnesota company. We serve 245D providers across the state, primarily remotely via video call, secure document sharing, and phone. This keeps our overhead low and your costs down, without sacrificing responsiveness or local expertise.
Regulatory monitoring is part of every retainer plan. We track DHS bulletins, statutory changes, and MN Rules chapter 9544 updates, and notify you of anything that affects your operations. Retainer clients get updated policy guidance at no extra cost.
Most 245D consultants offer training courses and generic policy templates. We offer something different: a contracted Designated Manager who takes on DM-of-record responsibility, custom P&P manuals built around your actual operations, and 12+ years of hands-on healthcare compliance experience. We work with a small number of providers so each client gets real attention — not a course login.
Your staff don't need to learn any new software. When an incident occurs or a medication is administered, they fill out a simple form on their phone or computer — plain language, no jargon. Our automated system structures that input into a DHS-compliant document, flags any missing required fields, and routes it to your DM for review before anything is submitted. Staff training reminders and MAR alerts are sent automatically by text or email so nothing falls through the cracks. Everything is human-reviewed — the automation handles the formatting and follow-up, your DM handles the judgment calls.
Get started

Free 30-minute compliance consultation

Tell us about your agency and we'll be in touch to schedule a call.

Book Your Free Consultation

No commitment. We'll review your situation and recommend the right level of support — or tell you honestly if you don't need us.

Your information is never shared.