This bill amends various sections of Minnesota Statutes concerning human services, particularly focusing on the enrollment requirements for medical assistance providers. It redefines "controlling individual" to include owners and certain managerial officials while excluding specific entities under certain conditions. The bill updates compliance officer designation requirements and clarifies the responsibilities of managerial staff in overseeing program management. It also modifies annual reporting requirements for the state agency, mandating a comprehensive account of operations and expenditures related to medical assistance, and introduces new provisions for provider enrollment, including screening activities and background studies. Outdated language regarding revalidation processes and compliance programs is removed to enhance oversight and accountability within the medical assistance system.

Additionally, the bill establishes new requirements for Medicaid provider enrollment and revalidation, including the necessity for surety bonds based on Medicaid revenue, with specific amounts set for different revenue thresholds. It categorizes providers into "limited-risk," "moderate-risk," or "high-risk" categories, which will affect their enrollment and compliance requirements. The commissioner is responsible for conducting thorough verifications and unannounced site visits to ensure compliance. The bill also outlines conditions for suspending or terminating provider enrollment and mandates revalidation at least every five years, with more frequent checks for high-risk providers. Furthermore, it modifies criteria for determining provider shortages in Early Intensive Developmental and Behavioral Intervention (EIDBI) services, allowing for exceptions to qualifications if a shortage is identified, while ensuring safety and treatment effectiveness are not compromised.

Statutes affected:
Introduction: 142B.01, 245A.02, 245D.081, 256B.04, 256B.0949