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Committee lays over bill to recodify Medicaid sanction rules and add expedited review
Summary
House File 4068 reorganizes and updates statutory language governing Medicaid (MA) sanctions and, with an A1 amendment, adds an expedited administrative-review process, 90-day review milestones, and legislative notification requirements; witnesses said the changes add needed due process for providers affected by temporary payment withholds.
Chair Noor moved House File 4068 and asked nonpartisan staff to summarize the bill, which recodifies and reorganizes statutes governing Minnesota Medicaid sanctions (including 256B.064), updates terminology, and clarifies how withholding, suspension and termination authorities apply to MA programs.
The A1 amendment was presented to add a mechanism for an entity subject to a temporary payment withhold to request an expedited administrative-law-judge review; it also requires the commissioner to review sanctions at least every 90 days and…
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