Minnesota providers would record service visits to check health care claims

Providers must use an approved electronic system to record and send visit information. This applies to providers of services covered by electronic visit verification rules. The state must offer a system and data aggregator at no cost; providers pay costs for their own third-party system. If a provider cannot connect a third-party system to the data aggregator, it must use the state system. This section takes effect the day after final enactment.

Providers and workers must record visit information when services are delivered. This applies to providers and workers delivering services subject to electronic visit verification. A visit entered later or edited after the service is not compliant on its own; it must be confirmed and verified under the commissioner's process before it can support a claim.

The commissioner must connect visit data with the Medicaid payment system and use it to help check claims. This applies to services subject to electronic visit verification and to managed care and county-based purchasing plans. Managed care plans and county-based purchasing plans must ensure their visit and claims systems work together by January 1, 2027. This section takes effect the day after final enactment; plan systems must work together by January 1, 2027.