This bill modifies the medical assistance provider enrollment requirements in Minnesota, particularly for high-risk providers and certain home and community-based services. It includes technical corrections and updates the definition of "controlling individual" and the responsibilities of managerial staff in licensed programs. A significant change is the update of the compliance officer designation, ensuring that compliance officers are tasked with developing policies to adhere to medical assistance laws and prevent inappropriate claims submissions. The bill also establishes a structured enrollment process for providers, requiring high-risk providers to consent to criminal background checks and obtain surety bonds, while emphasizing compliance with licensing requirements and corrective actions.

Additionally, the bill introduces new qualifications for home and community-based service providers, mandating individual enrollment with Minnesota health care programs for staff providing direct contact services starting January 1, 2027. It outlines specific documentation requirements for service delivery, including maintaining accurate records and using an electronic visit verification system. The bill also enhances documentation and billing requirements for adult day services, specifying detailed record-keeping and compliance with program requirements. Overall, these amendments aim to improve oversight, accountability, and quality in the delivery of health care services while ensuring compliance with federal standards.

Statutes affected:
Introduction: 142B.01, 245A.02, 245D.081, 256B.073, 256B.0949, 256B.4912