Medical assistance prepayment review requirements establishment provision
This bill requires Minnesota's medical assistance program to conduct prepayment reviews of claims from providers designated as high-risk or for specific high-risk services. The commissioner must implement these reviews within 15 days of designation and maintain them for up to 24 months, while ensuring claims are processed according to federal timelines. Providers subject to review can still enroll new clients during the review period, and the commissioner must provide at least 10 days notice before starting any review. Upon ending a review, the commissioner must report to the legislature on any sanctions taken and offer recommendations for modifying or terminating high-risk designations.
Bill status
in committee
1 of 4 stages cleared
Introduction
Mar 2026
Committee Review
Floor Vote
Governor
Introduced Mar 23, 2026
Last action Mar 23, 2026
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
2
Key actions
0
Committee
1
Mar 23, 2026
Committee
Referred to Health and Human Services
upper
Mar 23, 2026
Introduced
Introduction and first reading
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
John Hoffman
DDemocratic-Farmer-Labor
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