Loading chat...

MN HF4258

Bill

Status

Introduced

3/12/2026

Primary Sponsor

Ben Davis

Click for details

Origin

House of Representatives

94th Legislature 2025-2026

AI Summary

  • 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

  • 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

  • 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

  • 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

  • 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

Committee Referrals

Health Finance & Policy3/12/2026

Full Bill Text

No bill text available