§ 256B.0646 — Minnesota Restricted Recipient Program; Personal Care Assistance Services
Plain-Language Summary
Allows the commissioner to place a Medical Assistance recipient in the restricted recipient program if their use of personal care assistance services involves abusive or fraudulent billing. Restricted recipients must use a designated provider agency and get a new assessment.
256B.0646 MINNESOTA RESTRICTED RECIPIENT PROGRAM; PERSONAL CARE ASSISTANCE SERVICES.
(a) When a recipient’s use of personal care assistance services or community first services and supports under section 256B.85 results in abusive or fraudulent billing, the commissioner may place a recipient in the Minnesota restricted recipient program under Minnesota Rules, part 9505.2165. A recipient placed in the Minnesota restricted recipient program under this section must: (1) use a designated traditional personal care assistance provider agency; and (2) obtain a new assessment under section 256B.0911, including consultation with a registered or public health nurse on the long-term care consultation team pursuant to section 256B.0911, subdivision 15, paragraph (b), clause (2).
(b) A recipient must comply with additional conditions for the use of personal care assistance services or community first services and supports if the commissioner determines it is necessary to prevent future misuse of personal care assistance services or abusive or fraudulent billing. Additional conditions may include but are not limited to restricting service authorizations for a duration of no more than one month and requiring a qualified professional to monitor and report services on a monthly basis.
(c) A recipient placed in the Minnesota restricted recipient program under this section may appeal the placement according to section 256.045.
History:
1Sp2019 c 9 art 2 s 118; 2022 c 98 art 17 s 9
History: History: 1Sp2019 c 9 art 2 s 118; 2022 c 98 art 17 s 9