Minnesota HF3546 establishes program integrity requirements for high-risk provider types under medical assistance, including enrollment moratoriums.

Minnesota HF3546 mandates program integrity requirements for high-risk provider types under medical assistance. The commissioner must designate provider types as "limited-risk," "moderate-risk," or "high-risk" based on federal criteria. For high-risk providers, the commissioner can issue an enrollment moratorium for up to 24 months, conduct prepayment reviews, and require background checks. Providers must permit unannounced on-site inspections and establish compliance programs. The commissioner can withhold payments for high-risk providers for 90 days post-enrollment.

Minnesota HF3546 establishes program integrity requirements for high-risk provider types under medical assistance, including enrollment moratoriums.

Minnesota HF3546 mandates program integrity requirements for high-risk provider types under medical assistance. The commissioner must designate provider types as "limited-risk," "moderate-risk," or "high-risk" based on federal criteria. For high-risk providers, the commissioner can issue an enrollment moratorium for up to 24 months, conduct prepayment reviews, and require background checks. Providers must permit unannounced on-site inspections and establish compliance programs. The commissioner can withhold payments for high-risk providers for 90 days post-enrollment.