Video & Transcript Research : 'revalidation'
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MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 4/13/26
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- some services, enhanced prepayment review of fee-for-service claims, and the work underway now to revalidate
- claims, and the work underway<00:03:33.000>
now <00:03:33.400>to <00:03:33.560>revalidate - <00:03:34.400>
approximately underway now to revalidate approximately underway now to revalidate - <01:13:45.080>
or <01:13:45.600>uh choosing to kind of be revalidated or uh choosing - to kind of be revalidated or uh the<01:13:45.840>
impact <01:13:46.320>of <01:13:46.600
MN
Minnesota 2025-2026 Regular Session
Committee on Commerce and Consumer Protection - 03/12/26
Commerce and Consumer Protection
Transcript Highlights:
- Uh, number one, they're going through the process of revalidating providers.
- , they're going through the process one, they're going through the process of<00:15:47.120>
revalidating - <00:15:48.800>
Basically of revalidating providers. Basically of revalidating providers. - The Department of Human Services is looking at moratoriums and the revalidation process.
- 34.960>
moratoriums, Services is looking at moratoriums, Services is looking at moratoriums, revalidation
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 3/2/26
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- <00:03:31.000>
It's Right now, we're in the process of inspecting and revalidating each of - Um, such as prepayment review of claims, disenrolling inactive providers, revalidation and increased
- That means we do enhanced background studies and more frequent site visits and enrollment and revalidation
- Deputy Commissioner Connolly said this, but NEMT services are part of our revalidation efforts between
- efforts between now and the revalidation efforts between now and the end<00:15:27.320>
of <00:
Summary:
The committee met on March 2 and approved the February 23 minutes after a quorum was reached. The main presentation was from the Department of Human Services on non-emergency medical transportation (NEMT), a federally required Medicaid benefit that helps Minnesota Health Care Program enrollees get to medically necessary appointments. DHS said the program served more than 250,000 people in 2025 at a cost of $127 million, with participation up about 14% over five years, and described the seven transportation modes, provider enrollment requirements, STS certification, background checks, prior authorization rules, and planned transitions to a single administrator for parts of the program in 2026 and 2027.
DHS officials emphasized fraud prevention efforts, saying NEMT is one of the agency’s high-risk Medicaid services. They described enhanced prepayment review, provider revalidation and site visits, removal of inactive providers, and a provider moratorium in metro counties. Inspector General James Clark said the governor’s anti-fraud proposal would add pre-enrollment risk assessments, more staffing and technology, and electronic visit verification. He also noted that about 80% of NEMT spending is in managed care and that managed care organizations have their own compliance and special investigations units.
Committee members raised concerns about fraud, oversight, and privatization. Chair Robbins questioned DHS about the absence of the commissioner and the program’s use of brokers, citing past concerns and asking about the vendor MTM’s history; DHS said the RFP for the new broker had closed and the vendor selection was still underway. Representative Pinto questioned why oversight is outsourced to managed care organizations and suggested bringing more oversight back in house. MTM representative Phil Stahlberger defended the company’s record, said the Missouri dispute was about contract terms from about 15 years ago, and said MTM currently works in Minnesota counties and many other states, with on-site reviews, trip verification, and complaint review processes. No further votes or final actions on the NEMT policy were taken in the portion provided.
MN
Transcript Highlights:
- High-risk providers have more scrutiny; they have a revalidation process that occurs every three years
- <00:20:10.120>
process <00:20:10.400>that they have a revalidation process that they - have a revalidation process that occurs<00:20:10.840>
every <00:20:11.039>three <00:20: - 00:20:22.960>
can <00:20:23.679>enhance <00:20:24.080>the <00:20:24.240>revalidation - we can enhance the revalidation we can enhance the revalidation schedules<00:20:26.280>
um
Summary:
The committee heard a presentation from DHS on its early intensive developmental and behavioral intervention (EIDBI) study and related licensing proposal. Christy Grom explained that EIDBI is a Medical Assistance state plan service for children and young adults under 21 with autism or related conditions, and that DHS’s multi-phase evaluation included standards review, community engagement, and a comparison with other states. She said the service is important but that DHS identified gaps in oversight, including stretched clinical supervision, providers affiliated with many centers, out-of-state providers, and rapid growth in enrollment that has outpaced current monitoring capacity.
DHS’s main recommendation was to create a provisional license for EIDBI in Chapter 245A as an immediate step, with later work toward full licensing standards. The proposal would let DHS identify controlling individuals, disqualify ineligible people, investigate maltreatment, suspend or revoke licenses, require background studies and qualifications before service delivery, move EIDBI providers into a higher-risk category for revalidation, and make DHS the lead investigative agency for maltreatment. DHS also recommended statutory standards for supervision, caseloads, training, and documentation, while emphasizing the need to balance oversight with continued access to services. Grom said the provisional licensure proposal is part of the governor’s budget and that DHS hopes to begin implementation in 2025, with a possible full license start date in 2028.
Testifiers then spoke in support of EIDBI while urging the committee to preserve access and include more community input. Ana Hagi Muhammad, a parent of three autistic children and a Somali community advocate, said EIDBI has been beneficial for her family and that community organizations serving Somali families have not been sufficiently engaged in DHS’s process. Ana Muhammad, a Black mother of a young autistic child, said ABA has helped her son with communication, self-regulation, and independence, and asked that discussions reflect the diversity of family experiences. Committee members asked testifiers to keep remarks brief and to identify which modality they use, and the chair indicated the committee would continue hearing from additional testifiers before further discussion.
TX
Bills:
HB 660, HB 4845, HB 3902, HB 5396, HB 4615, HB 1825, HB 1403, HB 4336, HB 4585, HB 4371, HB 863, SB 1589, HB 5223, HB 3195, HB 2734
Keywords:
child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation
TX
Bills:
HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734
Keywords:
child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation
KY
Kentucky 2025 Regular Session
House Standing Committee BR Sub. on Health & Family Services (2-26-25)
Transcript Highlights:
- Providers have to revalidate every five years.
- 10:12.959>
to period so like they providers have to period so like they providers have to revalidate - :14.240>
years <00:10:15.079>um <00:10:15.360>also <00:10:15.640>if revalidate - every five years um also if revalidate every five years um also if they<00:10:15.880>
have <00 - change, renewing licensing or certification, updating any information they have, and then the revalidation
Summary:
The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations.
Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends.
Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.
MN
Minnesota 2025 1st Special Session
House Human Services Finance and Policy Committee 4/9/25
Human Services Finance and Policy
Transcript Highlights:
- This proposal requires revalidation every three years instead of every five years for high-risk providers
- <00:42:52.960>
This <00:42:53.280>proposal revalidation visits. - This proposal revalidation visits.
- This proposal requires<00:42:54.520>
revalidation <00:42:55.520>every <00:42:55.920> - three<00:42:56.240>
years requires revalidation every three years requires revalidation every
Bills:
HF2434
MN
Minnesota 2025 1st Special Session
Committee on Health and Human Services - 04/09/25
Health and Human Services
Transcript Highlights:
- increase the frequency<01:00:16.079>
of <01:00:16.480>provider <01:00:17.040>revalidation - frequency of provider revalidation frequency of provider revalidation visits.<01:00:19.119>
This - This proposal requires revalidation<01:00:21.760>
visits <01:00:22.400>every <01:00:22.799 - >
3 <01:00:23.119>years revalidation visits every 3 years revalidation visits every 3 years
MN
Minnesota 2025-2026 Regular Session
Human Committee Meeting - 2026-04-08
Human Services Finance and Policy
Transcript Highlights:
- earlier this morning, to pass provisional licensure and the path to full licensure, and we are revalidating
- We're in the process of Minnesota revalidation, and those will be completed by the end of May, including
MN
Minnesota 2025-2026 Regular Session
Fraud Committee Meeting - 2025-07-08
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- EID providers will be required to revalidate their Medicaid enrollment every three years instead of every
- We now have background checks of owners and the ability to do site visits and revalidation more frequently
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/18/26
Health and Human Services
Transcript Highlights:
- Section 9 contains revalidation language that was current in paragraphs B and C.
- Section<00:57:00.960>
nine <00:57:01.600>contains <00:57:02.160>revalidation Section - nine contains revalidation Section nine contains revalidation language<00:57:03.680>
that <00:
MN
Minnesota 2025-2026 Regular Session
Human Committee Meeting - 2025-04-09
Human Services Finance and Policy
Transcript Highlights:
- services delivered to Minnesotans, and expanding oversight to increase the frequency of provider revalidation
- This proposal requires revalidation every three years instead of every five years for high-risk providers
Bills:
HF2434
OK
Oklahoma 2026 Regular Session
Civil Judiciary REVISION 2: Links added Apr 2nd, 2026 at 10:30 am
Civil Judiciary
Transcript Highlights:
- We're just revalidating that that's still the intent of the state of Oklahoma.
Bills:
SB504, SB844, SB1209, SB1266, SB1303, SB1448, SB1496, SB1595, SB1597, SB1655, SB1679, SB1621, SB1716, SB1769, SB1827, SB1876, SB1944, SB2072, SB2084, SB2104, SB2112, SB2170, SB2180, SB2182
Keywords:
charitable organizations, donor restrictions, endowment gifts, Safeguarding Endowment Gifts Act, Oklahoma, donor rights, charitable contributions, forcible entry, detainer, trial period, legal notices, housing law, SB1266, notary public, notaries, legal advice, unauthorized practice of law, misdemeanor, Secretary of State, appointment revocation
MN
Transcript Highlights:
- specifying that DHS has maltreatment investigative authority for EIDBI, providing resources to revalidate
- companies, providing resources for more fraud investigators and provider enrollment screening and revalidation
- 43.079>
providing <00:55:43.480>resources <00:55:43.920>to <00:55:44.079>revalidate - eidbi providing resources to revalidate eidbi providing resources to revalidate agencies<00:55:45.240
- companies, providing resources for more fraud investigators and provider enrollment screening and revalidation
Summary:
The Human Services Committee met on January 22, 2025, to focus early in session on waste, fraud, abuse, and program integrity in Minnesota human services programs. The chair said taxpayers expect funds to reach people in need and asked the Office of the Legislative Auditor (OLA) to present on resources, progress, and possible solutions. Members also asked the auditors to note where the legislature or agencies had already taken action to address prior findings.
OLA staff summarized recent reports on grants management and oversight. They said noncompliance with grants policies has been pervasive across agencies, including problems at DHS in conflict-of-interest documentation and pre-award financial reviews. In one DHS review, 30 of 41 grant reviewers had missing or incomplete conflict forms, and 20 of 57 grants lacked required financial review documents; the issues affected about $11.5 million in grant funding. OLA said DHS spent more than $400 million in grants to nonprofit organizations from 2018 to 2022, and they identified broader factors affecting compliance such as inconsistent funding for grants administration, ad hoc training, inconsistent data systems, and limited enforcement authority. They noted 2023 legislative changes that allowed agencies to retain some grant funding for administration and directed an assessment of a statewide grants management system, and they said OGM training and staffing have increased, though training is still not required for all staff.
The Financial Audit Division then discussed the senior nutrition program at DHS, which delivered about 3.1 million meals to more than 40,000 participants in 2022 through the Minnesota Board on Aging, area agencies, service providers, and subcontractors. The audit found nine findings across documentation, monitoring, contract oversight, participant recertification, and data quality. Examples included service providers failing to recertify participants or recording inaccurate data, the Board on Aging not performing monitoring visits since 2017 or financial reconciliations in 2022, and area agencies failing to complete required site visits. Survey results also suggested participant database inaccuracies. OLA recommended stronger monitoring, clearer procedures, and more reliable data to ensure services reach intended recipients. No formal votes or committee actions were taken in the portion of the meeting provided.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/25/26
Human Services Finance and Policy
Transcript Highlights:
- whether that's working with the financial um, case workers who are continuing to do um, like a revalidation
- whether that's working with the financial um, case workers who are continuing to do um, like a revalidation
- continuum, whether that's working with the financial, case workers who are continuing to do, like, a revalidation
Keywords:
senior nutrition, older adults, aging services, home-delivered meals, congregate dining, meal delivery, grocery delivery, food insecurity, nutrition support, area agencies on aging, Minnesota Board on Aging, human services, special revenue fund, nonprofit grants, SNAP outreach, medically tailored meals, rural nutrition, food access, transportation services, elderly
NH
New Hampshire 2026 Regular Session
House Health, Human Services and Elderly Affairs (02/18/2026)
Health, Human Services and Elderly Affairs
Transcript Highlights:
- thankfully not the case, the provisions such as premiums, work requirements, and more frequent revalidation
- will have a yet to frequent revalidation will have a yet to be<01:49:47.840>
determined <01:49 - So, meet the work requirements, helping them to know when they're up for revalidation, get the paperwork
- ,<01:51:06.639>
get <01:51:06.800>the they're up for revalidation, get the they're - up for revalidation, get the paperwork<01:51:07.360>
together, <01:51:07.600>and <01:51:
MN
Transcript Highlights:
- We are currently, to your specific question about site visits, in the process of revalidating 5,800 providers
- We are currently, to your specific question about site visits, in the process of revalidating 5,800 providers
- visits, we are currently in the process visits, we are currently in the process of<00:52:00.160>
revalidating - > 5,800<00:52:02.560>
providers <00:52:03.280>in <00:52:03.400>the of revalidating - 5,800 providers in the of revalidating 5,800 providers in the high-risk<00:52:04.000>
services
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 7/8/25
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- /c><00:09:07.519>
standards <00:09:08.160>are EIDBI providers will be required to revalidate - We have the ability to do, uh, site visits and revalidation more frequently.
- have the ability to do uh site visits have the ability to do uh site visits and<01:32:28.800>
revalidation - <01:32:31.360>
In and revalidation more frequently. In and revalidation more frequently.
MN
Minnesota 2025-2026 Regular Session
Human Committee Meeting - 2026-04-09
Human Services Finance and Policy
Transcript Highlights:
- Likewise, I think the bill also extends the training for any employees and also existing during the revalidation
- existing for any employees and also existing during<01:21:16.880>
the <01:21:17.080>revalidation - <01:21:18.760>
Uh during the revalidation process. Uh during the revalidation process.
Keywords:
human services, community support, integrated care, disability services, stakeholder consultation, homeless youth, grants, funding, Minnesota, mental health, substance use disorder, education, workforce development, licensure, direct care services, healthcare, long-term care, personal care assistants, employment support, medical assistance
Summary:
The Human Services Finance and Policy Committee approved the April 8, 2026 minutes and then heard House File 1767, as amended by the DE4 amendment. Representative Garande explained that the bill, originally intended to codify Integrated Community Supports (ICS), was being redirected because of concerns about fraud vulnerability and program integrity. The DE4 would create a smaller legislative study group to redesign ICS, pause DHS changes for about six months while the group develops a transition plan, continue DHS fraud investigations and enforcement, and ultimately terminate ICS as currently structured.
Testimony in support came from Mr. Buck and Zania Harut of the Residential Providers Association of Minnesota, both of whom argued that ICS is unstable, inconsistently implemented, and in need of a new statutory foundation. They said the current system mixes different service models under one rate framework, lacks clear codification, and has shifting policy guidance that creates compliance problems for providers and risks to people receiving services. They emphasized that the bill would preserve oversight and enforcement while allowing time to build a replacement service with clearer rules, documentation standards, and guardrails.
Members asked about effects on counties, providers, data, audits, and fraud enforcement. Representative Curran and Mr. Berg said the bill would not change funding structures or DHS’s existing authority to audit, request documentation, investigate fraud, or sanction bad actors, and that the study group would use existing data to identify where problems are concentrated. Vice Chair Gillman supported the study-group approach as a bipartisan, public process and raised concerns about whether the bill would prevent DHS from acting on known fraud; Curran responded that the language was intended to preserve those enforcement actions. The discussion ended without a final vote on the bill in the portion provided, beyond adoption of the DE4 amendment.