Site visits for all enrolled medical assistance providers required, and medical assistance provider enrollment fees for provider types not previously subject to mandatory site visits established.

This bill requires all medical assistance providers in Minnesota to undergo mandatory site visits and establishes enrollment fees for provider types that were not previously subject to these requirements. The legislation expands the commissioner's authority to conduct background studies, set revalidation schedules ranging from three to five years depending on provider type, and designate certain providers as "high-risk" for additional oversight. Key provisions include the requirement for providers to appoint compliance officers, allow for unannounced inspections, and grant the commissioner power to suspend billing privileges or revoke enrollment for noncompliance without administrative appeal rights. The bill also mandates that providers designated as high-risk may face a 90-day payment withholding period upon initial enrollment.