This bill mandates that all enrolled medical assistance providers undergo site visits and establishes enrollment fees for provider types that were not previously subject to mandatory site visits. It amends Minnesota Statutes 2024, section 256B.04, subdivision 22, and Minnesota Statutes 2025 Supplement, section 256B.04, subdivision 21. Key provisions include the requirement for the commissioner to conduct unannounced on-site inspections of all provider locations prior to enrollment, re-enrollment, and revalidation. Additionally, the bill introduces a new requirement for high-risk providers to consent to criminal background checks and establishes a surety bond requirement for durable medical equipment suppliers based on their Medicaid revenue.

The bill also modifies the application fee structure for provider enrollment, adjusting the fee based on the Consumer Price Index and specifying that certain providers, such as those already enrolled in Medicare, may be exempt from the fee. The language regarding the Centers for Medicare and Medicaid Services (CMS) has been updated to reflect the commissioner's authority in determining provider risk levels and conducting inspections. Overall, the bill aims to enhance oversight and compliance among medical assistance providers in Minnesota.

Statutes affected:
Introduction: 256B.04