Establishes prepayment review requirements for high-risk medical assistance claims and mandates a report to the legislature.
The bill mandates the Minnesota Department of Human Services to conduct prepayment reviews for medical assistance claims submitted by providers deemed high-risk. These reviews must be implemented within 15 days of a provider type being designated as high-risk and can last up to 24 months. Providers subject to review must comply with federal timely processing requirements.
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