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Minnesota Department of Human Services Community-Based Services Manual (CBSM)
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Financial management of the DD Waiver

Page posted: 12/30/08

Page reviewed: 12/2/15

Page updated: 3/15/17

Legal authority

Federally approved DD Waiver Plan, Minn. Stat. § 256B.092, Minn. Stat. §256B.0916, subd. 12

Budget overview

Each calendar year, DHS gives lead agencies a DD Waiver budget to manage waiver authorizations and spending. DHS includes home-care costs for waiver participants in the lead agency's budget.

Budget management requirements

Lead agencies have requirements to both:

  • • Assure access to waivers
  • • Limit overspending.
  • For more information, see the budget requirements section on CBSM – Financial management of the waivers – overview.

    New enrollment

    When it enrolls a new recipient, the lead agency must choose if the person will start the DD Waiver with new resource allocations or use service optimization.

    New resource allocations

    DHS awards new resources to lead agencies that use diversion and conversion allocations. DHS allocates new DD diversion allocations to lead agencies each January. Total lead-agency allocations change based on the number of people who receive services. Lead agencies can view their DD Waiver allocations in the Waiver Management System.

    Diversion

    Lead agencies use a diversion to serve an eligible person without decertifying an ICF/DD bed.

    Conversion

    DHS will award a lead agency a funded conversion allocation when:

  • • A person exits an existing ICF/DD bed to receive home and community-based services in the community, and
  • • DHS decertifies the ICF/DD bed that the person vacated and removes the bed from the statewide ICF/DD system.
  • Service optimization

    Lead agencies may serve additional enrollees without a new resource diversion or conversion allocation. This is called service optimization. Lead agencies do not receive additional funding through service optimization.

    Short-term admission to an ICF/DD

    Lead agencies must allow a person to return to the DD Waiver when he/she is discharged from the DD Waiver for short-term admission to an ICF/DD. For more information, see CBSM – Short-term admission to an ICF/DD from the DD Waiver.

    Annual enrollment period

    The lead agency annual enrollment period runs from Sept. 1 through Nov. 30 each year. During this time, a lead agency must use the Waiver Management System to:

  • • Verify people who exit the DD waiver
  • • Refill vacancies with people currently on service optimization.
  • This maintains a lead agency's enrollment count, which affects the initial allocation a lead agency receives the next year. For more information, see CBSM – DD budget allocation management of the annual enrollment period.

    Additional funding

    DHS may provide additional DD Waiver funding to lead agencies to assure recipients' needs are met in the event of unexpected or significantly increased service costs.

    Lead agencies may contact the DSD Response Center if they believe they need additional funding.

    For more information, see CBSM – Lead agency safety net eligibility for DD waiver.

    Transfer resources for CFR changes

    For instructions on how to transfer resources when a person on the DD Waiver changes county of financial responsibility (CFR), see CBSM – How to transfer resources in the WMS for CFR changes.

    Additional resources

    CBSM – DD budget allocation management of the annual enrollment period
    CBSM – DD Waiver diversion allocations

    CBSM – DD Waiver waiting list guide

    CBSM – Financial management of the BI, CAC and CADI waivers

    CBSM – Financial management of the waivers – overview

    CBSM – How to transfer resources in the WMS for CFR changes

    CBSM – Lead agency safety net eligibility for DD waiver

    CBSM – Tribal administration of HCBS programs

    CBSM – Waiver Management System

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