The Minnesota Department of Human Services (DHS) is proposing the use of the elderly waiver customized living workbook, without the case mix caps or the component rates, as the rate setting methodology for 2013 payments to establishments that

• Have a capacity of six or more residents, AND
• Provide (24 hour) customized living services to clients on the community alternatives for disabled individuals (CADI) and brain injury (BI) waiver programs.

DHS has not indicated what component rates would be used; we expect a more detailed proposal by the end of March. The elderly waiver customized living workbook would replace the draft rate framework of the (BI, community alternative care (CAC), CADI, and developmental disabilities (DD)) Rate Setting Methodology Initiative.

The change was communicated in writing in the EW customized living tools release notes which were sent to county staff on December 15. The update indicates that, “Beginning January 1, 2012, the CL tool will welcome a new group of users. As part of the Disability Services Division’s current rate setting initiatives (RSMI) the CL Tool will be used for all CADI and BI (formerly TBI) CL clients in homes with 6 or more residents.” We believe that statement is inaccurate, because DHS staff have communicated in two recent public forums that full implementation will commence on January 1, 2013. We are working with DHS to get this information clarified. We are still analyzing the impact of this proposal and welcome members to give feedback on it to pmanz@careproviders.org or 952-851-2484.

Phil Manz
952.851.2484
pmanz@careproviders.org

Our Sponsors