This bill aims to strengthen program integrity requirements for high-risk medical assistance providers in Minnesota by amending various sections of the Minnesota Statutes. Key changes include updating the definitions of "controlling individuals," compliance officers, and managerial officials, while clarifying the responsibilities of designated managers in ensuring compliance with licensing requirements. The bill introduces new provisions for provider enrollment and screening, emphasizing the necessity of compliance programs and background checks for high-risk providers. It also replaces references to specific statutory sections, reflecting a shift in regulatory oversight, and mandates unannounced inspections of high-risk providers to enhance accountability and prevent fraud.

Additionally, the bill establishes a framework for categorizing providers into risk levels and requires enrollment for each service location, allowing the commissioner to deny incomplete applications. It outlines revalidation procedures, including consequences for non-compliance, and grants the commissioner authority to suspend or revoke enrollments for high-risk providers. The bill also introduces a six-year statute of limitations for monetary recovery actions related to surety bonds and mandates that enrolled providers designate a compliance officer. Furthermore, it includes provisions for increasing payment rates for certain services and outlines the responsibilities of agencies providing Early Intensive Developmental and Behavioral Intervention (EIDBI) services, ensuring adherence to regulations and maintaining treatment effectiveness.

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