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MN HF4258
Bill
Status
3/12/2026
Primary Sponsor
Ben Davis
Click for details
AI Summary
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Requires the commissioner to conduct mandatory unannounced on-site inspections of all medical assistance provider locations prior to enrollment, re-enrollment, and revalidation, expanding beyond the current requirement limited to "moderate" and "high-risk" providers
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Allows the commissioner to designate provider types as "limited," "moderate," or "high-risk" in addition to the federal CMS designations, with the list published in the Minnesota Health Care Program Provider Manual
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Expands provider enrollment application fees to cover provider types not previously subject to mandatory site visits, removing exemptions for individual providers and group practices/clinics billing on behalf of individually enrolled providers
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Maintains the base application fee of $532 (from 2013), adjusted annually by the Consumer Price Index, with fees deposited into the provider screening account in the special revenue fund
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Requires providers to report identified overpayments to the commissioner within 60 days of discovery and make arrangements for recovery
Legislative Description
Site visits for all enrolled medical assistance providers required, and medical assistance provider enrollment fees for provider types not previously subject to mandatory site visits established.
Last Action
Introduction and first reading, referred to Health Finance and Policy
3/12/2026