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MN SF3117

MN SF3117
Commissioner of human services revalidation of providers enrolled in Minnesota health programs every three years requirement


summary

Introduced
04/01/2025
In Committee
04/01/2025
Crossed Over
Passed
Dead

Introduced Session

94th Legislature 2025-2026

Bill Summary

A bill for an act relating to human services; requiring the commissioner of human services to revalidate providers enrolled in Minnesota health care programs every three years; amending Minnesota Statutes 2024, section 256B.04, subdivision 21.

AI Summary

This bill modifies Minnesota's health care provider enrollment requirements by reducing the revalidation period from five years to three years for providers participating in Minnesota health programs. The bill requires the Commissioner of Human Services to revalidate providers every three years, with a specific process that includes providing 30-day advance notice of the revalidation due date, instructions, and required materials. If a provider fails to submit all required materials by the due date, they will receive a 30-day notice of deficiency and an additional 30 days to comply. Failure to remedy deficiencies within this timeframe can result in a 60-day termination notice and immediate suspension of billing privileges. The bill also maintains existing provisions allowing the commissioner to suspend a provider's ability to bill for non-compliance, conduct background studies, and take other administrative actions to ensure program integrity. Additionally, the bill preserves requirements for providers to have compliance officers, maintain documentation, and potentially purchase surety bonds depending on their risk designation and Medicaid revenue. These changes aim to enhance oversight and ensure that health care providers participating in Minnesota's medical assistance programs remain current and compliant with state regulations.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Referred to Health and Human Services (on 04/01/2025)

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