This bill mandates that all enrolled medical assistance providers undergo site visits and establishes enrollment fees for provider types that previously did not require mandatory site visits. It amends Minnesota Statutes to include new provisions regarding the enrollment and revalidation of providers, including the requirement for high-risk providers to consent to criminal background checks and for the commissioner to conduct unannounced on-site inspections prior to enrollment, re-enrollment, and revalidation. The bill also specifies that the commissioner may withhold payments from high-risk providers for an initial 90-day period upon enrollment.

Additionally, the bill introduces an application fee structure for provider enrollment, which is adjusted annually based on the Consumer Price Index. The fee is set at $532 for 2013, with subsequent adjustments announced in the Federal Register. Certain exemptions from the fee are provided for Medicare-enrolled providers and those required to submit new applications for reenrollment. The bill aims to enhance oversight and compliance among medical assistance providers to prevent fraud and ensure adherence to regulations.

Statutes affected:
Introduction: 256B.04