This bill aims to enhance the integrity of medical assistance programs in Minnesota by implementing stricter requirements for high-risk provider types. It amends various sections of the Minnesota Statutes, particularly focusing on the roles and responsibilities of "controlling individuals" within licensed programs. Key changes include an updated definition of compliance officers and managerial officials, as well as clarified responsibilities for designated managers to ensure adherence to licensing requirements. The bill also introduces new provisions for provider enrollment and screening, emphasizing the necessity of compliance programs and background checks for high-risk providers. Notably, it replaces references to "256B.04, subdivision 21, paragraph (g)" with "256B.044, subdivision 7, paragraph (b)," indicating a shift in regulatory oversight.

Additionally, the bill categorizes providers into "limited-risk," "moderate-risk," or "high-risk" categories based on federal criteria, granting the commissioner authority to deny incomplete applications and require surety bonds based on risk designation. It outlines procedures for provider revalidation, including a schedule for revalidating different provider types and the authority to suspend or revoke enrollments for non-compliance. The bill establishes 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 addresses payment rates for services to medical assistance enrollees, stipulating conditions for rate increases and monitoring provider shortages, thereby enhancing oversight and accountability in the provider enrollment process.

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