MN SF4071

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 the list published in the Minnesota Health Care Program Provider Manual

Mandates that when a provider type is designated high-risk, the commissioner must issue an enrollment moratorium (stopping new applications for up to 24 months) and establish prepayment review of fee-for-service claims within 15 days of designation

Establishes revalidation schedules requiring all providers to revalidate at least every five years, with personal care assistance agencies, CFSS providers, and EIDBI agencies required to revalidate every three years

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 payments, and conduct unannounced on-site inspections

Requires the commissioner to notify affected providers and legislative committee chairs at least 10 days before implementing a moratorium or prepayment review, and to submit a report within 60 days of ending these measures that includes sanctions imposed and recommendations for modifying high-risk services