This bill amends various sections of Minnesota Statutes concerning human services, particularly focusing on due process procedures for home and community-based residential services. It introduces new subdivisions that exempt certain individuals and entities from specific regulations related to medical assistance payments, clarifying that the medical assistance program is not subject to certain sanctions. The bill also revises sanctions and recovery procedures, detailing conditions under which the commissioner can impose monetary recovery and sanctions, and establishes processes for withholding or reducing payments in cases of credible fraud allegations or criminal convictions. Additionally, it mandates the suspension or termination of participation in the program for individuals or entities excluded from Medicare, ensuring proper notice is provided within five days.

Further amendments require the commissioner to notify affected parties within five days of any payment withholding, allowing them to submit written evidence in response. Payments will be forfeited upon a criminal conviction related to health services, regardless of the amount involved. The bill also mandates that entities regularly check an exclusion list of individuals or entities convicted of crimes related to medical assistance services, with penalties for non-compliance. It clarifies the immunity for good faith reporters of suspected fraud and ensures the confidentiality of their identities during investigations. All provisions are set to take effect the day following final enactment.

Statutes affected:
Introduction: 245.095, 256B.064