MN HF3546

Requires the Commissioner of Human Services to designate Medical Assistance provider types as "limited-risk," "moderate-risk," or "high-risk" based on federal Medicare criteria, with mandatory enrollment moratoriums and prepayment claims review for high-risk providers within 15 days of designation

Establishes new provider revalidation schedules: every 5 years for standard providers, every 3 years for personal care assistance agencies, CFSS providers, and early intensive developmental and behavioral intervention (EIDBI) agencies

Creates mandatory compliance officer requirements for enrolled providers licensed under chapters 245A (human services), 144A (home care), or 144G (assisted living), with duties including developing compliance policies, training staff, and reporting overpayments within 60 days of discovery

Authorizes the commissioner to withhold payments from high-risk providers for 90 days upon initial enrollment, require surety bonds of $100,000 or 10% of prior year Medicaid revenue, and conduct unannounced on-site inspections of moderate and high-risk providers

Requires the commissioner to report to legislative committees within 60 days of ending any provider enrollment moratorium or prepayment review, including sanctions imposed and recommendations for modifying or terminating high-risk services