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Minnesota Department of Human Services Community-Based Services Manual (CBSM)
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Following a change to policy and/or procedure in the CBSM, DHS announces the change, including a brief description of the change, on this page.

The terminology used to describe people with developmental disabilities has changed over time. While DHS supports the use of “people first” language within its documents, you might still find certain outdated terms within historical and official documents, such as statutes, reports and third-party material.

Date

Section

Page

Action

1/16/18

Waiver programs

Personal support

CBSM comprehensive review

1/16/18

Waiver programs

Short-term admission to an ICF/DD from the DD Waiver

CBSM comprehensive review

1/9/18

Resources and consultation

DSD regional resource specialists

Updated information for:

  • • RRS email address
  • • Regions 1, 2 SW and 4
  • • Regions 6 and 8
  • • Regions 9 and 10
  • • Region 11 SW
  • • Tribal nations.
  • 1/2/18

    Waiver programs

    Corporate foster care moratorium liaison contact list

    Updated contact information for Nicollet county

    12/29/17

    Waiver programs

    Case management aide:

  • • Comprehensive review
  • • Service added to DD Waiver.
  • Crisis respite:

  • • Comprehensive review
  • • Service added to CAC Waiver.
  • Night supervision:

  • • Service added to CAC and DD waivers.
  • Specialist services:

  • • Comprehensive review
  • • Service added to BI, CAC and CADI waivers.
  • For more information, see the Dec. 29, 2017, eList.

    12/27/17

    Resources and consultation

    PolicyQuest

    Comprehensive update of page to reflect launch of new PolicyQuest online question-and-answer library

    12/27/17

    Resources and consultation

    DSD policy help

    Updated instructions for finding policy-related answers at Disability Services Division

    12/20/17

    Waiver programs

    Corporate foster care moratorium liaison contact list

    Updated contact information for Kanabec county

    12/7/17

    Waiver programs

  • • CBSM comprehensive review of Environmental accessibility adaptations (EAA) page.
  • • New page for Additional information about EAA.
  • Includes policy updates about:

  • • Installation of vehicle modifications
  • • New construction/unfinished rooms
  • • Service limit exception (BI, CAC, CADI and DD only)
  • • New instructions to sort the Approval-Option Service Vendor Tracking Log, DHS-7004A (PDF).
  • For more information, see first item in Dec. 7, 2017, eList.

    11/30/17

    Waiver programs

    Exclusions from Chapter 245D licensure

    New page

    For more information, see last item in Dec. 7, 2017, eList.

    11/28/17

    Waiver programs

    Waiver/AC reimbursement in unforeseen circumstances

    New page

    For more information, see fourth item in Dec. 7, 2017, eList.

    11/17/17

    Consumer safeguards

  • • CBSM comprehensive review for appeals page
  • • New appeals process and notice of action pages
  • For more information, see the Nov. 17, 2017, eList.
  • 11/15/17

    Waiver programs

    Level of care

  • • Comprehensive review
  • • Added information about the Alternative Care program and the Elderly Waiver
  • 10/31/17

    Waiver programs

    Individual community living supports

    Updated:

  • • Adaptive support service examples
  • • Service amount section
  • • Provider standards and qualification section.
  • 9/22/17

    Case management/care coordination

    Certified RSC-TCM private providers

  • • Added Amicable Case Management, Inc.
  • • Added Capital Health Services, LLC
  • • Updated Metro Care Human Services
  • 9/22/17

    Waiver programs

    Corporate foster care moratorium liaison contact list

    Updated contact information for:

  • • Big Stone county
  • • Cottonwood county
  • • Douglas county
  • • Grant county
  • • Lac qui Parle county 
  • • Lake county
  • • Renville county
  • • Traverse county
  • • Watonwan county
  • 8/31/17

    Waiver programs

    Moratorium on corporate foster care and community residential settings

    Added two additional exception options to the licensing moratorium effective Sept. 1, 2017.

    For more information, see the Aug. 31, 2017 eList announcement.

    8/30/17

    Assessment and support planning

    New pages

    For more information, see the Aug 30, 2017, eList announcement.

    8/21/17

    Assessment and support planning

    Assessment applicability and timelines

    Updated initial assessment timelines for people admitted to nursing facilities

    Added person-centered practices to the list of lead agency responsibilities

    8/18/17

    Assessment and support planning

    DD Screening Document guide for assessing children in MnCHOICES

    New page

    For more information, see the Aug. 18, 2017, eList announcement.

    8/9/17

    Case management/care coordination

    Certified relocation service coordination-targeted case management (RSC-TCM) private providers

    Added contact information for a new provider, Veracity Health Systems, LLC

    7/26/17

    Waiver programs

    Corporate foster care moratorium liaison contact list

    Updated contact information for Houston county

    7/24/17

    Waiver programs

    Discontinuation of the residential care waiver service

    Added section on cost-neutral corporate foster care moratorium exception

    Added link to June 28 webinar, under “What steps have we already taken?”

    6/26/17

    Case management/care coordination

    Host county notification

    New page

    For more information, see the June 26, 2017, eList announcement.

    6/21/17

    Other Aging/DSD programs

    Semi-independent living services (SILS)

    Claified provider standards and qualifications section

    6/19/17

    Consumer safeguards

    Jensen Settlement Agreement

    CBSM comprehensive review

    6/14/17

    Assessment and supporting planning

    Frequently asked questions about provider-signature requirements for HCBS support plans

    CBSM comprehensive review

    For more information, see the June 14, 2017, AASD/DSD eList announcement.

    6/14/17

    Assessment and supporting planning

    Provider-signature requirements for HCBS support plans

    New page that includes information moved from the FAQ and assessment applicability and timelines

    For more information, see the June 14, 2017, AASD/DSD eList announcement.

    6/7/17

    Waiver programs

    Monitoring technology usage

    Comprehensive review following public comment period

    For more information, see the June 8, 2017, AASD/DSD eList announcement.

    6/5/17

    Waiver programs

    Moved some information to the CDCS Policy Manual

    For more information, see the June 5, 2017, AASD/DSD eList announcement.

    5/31/17

    Waiver programs

    Discontinuation of the residential care waiver service

    Updated

    For more information, see the May 31, 2017, eList announcement.

    5/30/17

    Waiver programs

    Removed outdated “tier” language in the provider standards and qualification section

    5/26/17

    Waiver programs

    Removed outdated “tier” language in the provider standards and qualification section

    5/23/17

    Case management/care coordination

    Certified relocation service coordination-targeted case management (RSC-TCM) private providers

    Updated contact information for Metro Care Human Services

    5/16/17

    Consumer safeguards

    Successful Life Project

  • • CBSM comprehensive review
  • • Incorporated policy from DHS bulletin 17-46-01 (PDF)
  • 5/15/17

    Assessment and support planning

    Choice to waive annual reassessment

    Clarified policy in the timeline subsection of “people who receive Rule 185 DD/RC case management”

    5/12/17

    Financial management

    DD Waiver waiting list guide

    Clarified who the lead agency must assign urgency cetegories to

    5/12/17

    Waiver programs

    Corporate foster care moratorium liaison contact list

    Updated contact information for Olmsted county

    4/27/17

    Waiver programs

    Adult companion services

    Clarified AC/EW policy in transporation section

    4/27/17

    Waiver programs

    Individual community living supports

  • • Clarified policy in transporation section
  • • Added two provider requirements in the provider standards and qualifications section (i.e. The provider cannot be related to the person by blood, marriage, or adoption, or be the person’s legal guardian or conservator.)
  • 4/27/17

    Consumer safeguards

    Frequently asked questions about public guardianship

    CBSM comprehensive review

    4/27/17

    Consumer safeguards

    Approval process for non-delegated, public guardianship powers

  • • CBSM comprehensive review
  • • Changed title from “Briefcase resource document: DNR/DNI and limiting treatment”
  • 4/27/17

    Consumer safeguards

    How to establish public guardianship

    New page that includes information previously on the main public guardianship page

    4/27/17

    Consumer safeguards

    Public guardianship

  • • CBSM comprehensive review
  • • Includes updated contract information for the DHS Public Guardianship Office
  • 4/26/17

    Waiver programs

    Corporate foster care moratorium liaison contact list

    Updated contact information for Cass county

    4/13/17

    Case management/care coordination

    Certified relocation service coordination-targeted case management (RSC-TCM) private providers

    Added contact information for a new provider, Exodus PCS

    4/13/17

    Financial management

    Lead agency safety net eligibility for DD waiver

  • • CBSM comprehensive review
  • • Updated lead-agency event table
  • 4/12/17

    Case management/care coordination

    Certified relocation service coordination-targeted case management (RSC-TCM)private providers

    Added contact information for a new provider, Metro Care Human Services

    4/10/17

    Resources and consultation

    DSD regional resource specialists

    Updated RRS information for regions:

  • • 5, 7 W and 7 E
  • • 6 and 8
  • • 11 SW.
  • 4/10/17

    Waiver programs

    Corporate foster care moratorium liaison contact list

    Updated contact information for Dakota county

    3/30/17

    Waiver programs

    Individual community living supports

    New page for the new AC/EW service (for more information, see DHS bulletin #17-25-02)

    3/20/17

    Assessment and support planning

    Guide to encouraging informed choice and discussing risk

    New page

    3/15/17

    Financial management

    How to transfer resources in the WMS for CFR changes – BI, CAC, CADI and DD

    New page; linked to from:

    3/13/17

    Resources and consultation

    AASD eLists

    New page

    3/13/17

    Resources and consultation

    AASD lead agency resources

    CBSM comprehensive review

    3/13/17

    Other Aging/DSD programs

    Early Intensive Developmental and Behavioral Intervention (EIDBI) Beneft

    New page

    3/2/17

    Employment

    Employment

    New CBSM section that includes links to employment guidance, resources and policies

    2/27/17

    Waiver programs

    Transitional services – BI, CAC, CADI and DD

  • • CBSM comprehensive review
  • • Updated covered services section (for more information, see the Feb. 27, 2017 eList announcement)
  • 2/24/17

    Financial management

    Funding for children in foster care settings

    Added links to DHS bulletins in the additional resources section

    2/21/17

    Employment

    Workforce Innovation and Opportunity Act (WIOA)

    New page

    2/21/17

    Employment

    WIOA process for people age 25 and older

    New page

    2/21/17

    Employment

    WIOA process for people under age 25

    New page

    2/21/17

    Employment

    WIOA myths and realities

    New page

    2/21/17

    Employment

    WIOA scenarios

    New page

    2/15/17

    Waiver programs

    Family memory care (FMC)

    New page with AC/EW policy

    2/15/17

    Waiver programs

    Family caregiver training and education

    New page with AC/EW policy

    2/15/17

    Waiver programs

    Family caregiver coaching and counseling with assessment

    New page with AC/EW policy

    2/15/17

    Waiver programs

    Family caregiver services

    New page with AC/EW policy

    2/6/17

    Resources and consultation

    Archive of DSD lead agency eList announcements

    CBSM comprehsensive review

    2/6/17

    Resources and consultation

    Disability Services Division (DSD) eList

    CBSM comprehensive review
    Added DSD stakeholder eList policy

    1/27/17

    Waiver programs

    Transitional services – EW

    New page with EW policy

    1/23/17

    Waiver programs

    Corporate foster care moratorium liaison contact list

    Updated contact information for Lac qui, Wabasha and Washington counties

    1/6/17

    Other Aging/DSD programs

    Family Support Grant (FSG)

    CBSM comprehensive review
    Separated FSG process and procedure information and made it a new page

    1/6/17

    Assessment and support planning

    LTSS assessment applicability and timelines

    Updated with:

  • • New section on 65th birthday assessments
  • • New section on provider-signature requirements for HCBS support plans
  • • Link to new frequently asked questions about provider-signature requirements for HCBS support plans.
  • For more information, see the Jan. 6, 2017, eList announcement.

    1/3/17

    Waiver programs

    Night supervision services

  • • CBSM comprehensive review
  • • Added CADI to legal authority section
  • For more information, see the Jan. 3, 2017, eList announcement.

    12/19/16

    Waiver programs

    Waiver/AC service provider overview

    CBSM comprehensive review

    Updated page:

  • • Title from “Waiver/AC provider enrollment and standards”
  • • Content to reflect new names of waiver/AC service categories.
  • For more information, see the Dec. 19, 2016, eList announcement.

    12/19/16

    Waiver programs

    Lead agency oversight of waiver/AC approval-option service vendors

    CBSM comprehensive review

    Updated page title and content to:

  • • Reflect new names of waiver/AC service categories
  • • Explain new requirements for how lead agencies approve vendors to deliver approval-option services.
  • For more information, see the Dec. 19, 2016, eList announcement.

    12/19/16

    Waiver programs

    DHS background study process for lead agencies

    New page that explains the DHS background study process lead agencies need to follow to approve vendors to deliver direct-contact, approval-option services

    For more information, see the Dec. 19, 2016, eList announcement.

    12/13/16

    Waiver programs

    Corporate foster care moratorium liaison contact list

    Updated contact information for Chisago county

    11/18/16

    Waiver programs

    Housing access coordination

    Added:

  • • Setting information to eligibility section
  • • Rates information to authorization, rates and billing section
  • • Unforeseen circumstances information to secondary information section
  • • Additional resources.
  • 11/14/16

    Assessment and support planning

    Choice to waive annual reassessment

    New page about who can choose to waive annual LTSS reassessments

    11/14/16

    Assessment and support planning

    Assessment applicability and timelines

    New page about who needs LTSS assessments and when

    11/14/16

    Waiver programs

    Family adult day services (FADS)

  • • Moved existing FADS policy from CBSM – Adult day services to this new page
  • • Added AC and EW policy
  • 11/14/16

    Waiver programs

    Adult day services bath

  • • Moved existing adult day services bath policy from CBSM – Adult day services to this new page
  • • Added AC and EW policy
  • 11/14/16

    Waiver programs

    Adult day services

  • • CBSM comprehensive review
  • • Updated page title from "adult day care," to reflect service's new name
  • • Added AC and EW policy
  • 11/14/16

    Waiver programs

    Home-delivered meals

  • • CBSM comprehensive review
  • • Added AC and EW policy
  • 11/7/16

    Waiver programs

    Corporate foster care moratorium liaison contact list

    Updated contact information for Anoka and Mower counties

    11/2/16

    Resources and consultation

    Housing resources

    CBSM comprehensive review

    11/2/16

    Resources and consultation

    Housing Benefits 101

    New page

    11/2/16

    Financial management

    Rate methodologies for AC, ECS and EW service authorization

    New page to add AC, ECS and EW policy to the CBSM

    10/31/16

    Waiver programs

    Corporate foster care moratorium liaison contact list

    Updated Anoka county information

    10/28/16

    Financial management

    Funding for children in foster care settings

    New page to clarify policy

    10/4/16

    Waiver programs

    Corporate foster care moratorium liaison contact list

    Updated Anoka county information

    9/30/16

    Waiver programs

    Adult companion services

  • • CBSM comprehensive review
  • • Added AC and EW policy
  • 9/8/16

    Waiver programs

    Chore services

  • • CBSM comprehensive review
  • • Added AC and EW policy
  • 9/6/16

    Financial management

    Waiver Management System (WMS)

  • • CBSM comprehensive review
  • • Added links to new WMS training videos
  • 9/2/16

    Waiver programs

    Corporate foster care moratorium liaison contact list

    Updated Steele and Waseca county information

    8/18/16

    Waiver programs

    Residential care services

    Added link to new page, CBSM – Discontinuation of the residential care waiver service, that details the current process to discontinue this service.

    8/18/16

    Waiver programs

    Guide to home modifications under the environmental accessibility adaptations (EAA) service

    New briefcase resource document

    8/15/16

    Waiver programs

    Moratorium on corporate foster care and community residential settings

  • • CBSM comprehensive review
  • • Updated page title
  • 8/8/16

    Waiver programs

    Corporate foster care moratorium liaison contact list

    Updated Sherburne County information

    7/20/16

    Resources and consultation

    DSD lead agency resources

    CBSM comprehensive review

    7/20/16

    Resources and consultation

    DSD policy help

    New page

    7/20/16

    Resources and consultation

    DSD Response Center

    CBSM comprehensive review

    7/20/16

    Resources and consultation

    DSD regional resource specialists

    CBSM comprehensive review

    7/20/16

    Resources and consultation

    Regional Resource Specialists (RRS) telephone reference sheet

    Moved information on this page to CBSM — DSD Regional Resource Specialists

    7/20/16

    Consumer safeguards

    How to exchange private and protected information via email with DHS

    New page

    7/18/16

    Waiver programs

    Corporate foster care moratorium liaison contact list

    Updated Mille Lacs county information

    7/13/16

    Waiver programs

    Supported employment services funding for youth in transition (PDF)

    New briefcase resource document

    7/13/16

    Waiver programs

    Supported employment services funding for adults (PDF)

    New briefcase resource document

    7/13/16

    Waiver programs

    Supported employment services

  • • Added service authorization section that includes links to two new briefcase resource documents
  • • Removed process and procedures sections (this information is now in the briefcase resource documents)
  • 7/5/16

    Waiver programs

    Crisis respite

    Added BI and CADI waivers to the legal authority and eligibility sections

    7/1/16

    Waiver programs

    Housing access coordination

  • • CBSM comprehensive review
  • • Updated based on service changes that launched July 1, 2016
  • 6/30/16

    Other Aging/DSD programs

    Essential Community Supports

  • • CBSM comprehensive review
  • • Clarified eligibility criteria
  • • Updated tools section
  • 6/27/16

    Waiver programs

    Corporate foster care moratorium liaison contact list

    Updated Dodge, Steele and Watonwan county information

    6/14/16

    Waiver programs

    Family training and counseling

    New person-centered planning policy

    6/2/16

    Waiver programs

    Exception to CDCS budget methodology for disability waivers (PDF)

    Updated eligibility criteria

    5/23/16

    Waiver programs

    Day training and habilitation (DTH) needs determination

    Clarified policy following a 30-day public comment period

    5/11/16

    Waiver programs

    Corporate foster care moratorium liaison contact list

    Updated Norman, Wabasha and Washington county information

    5/10/16

    Waiver programs

    Tribal administration of HCBS programs

  • • Added alternative standards
  • • Removed state responsibilities to add to state and county responsibilities in the CBSM
  • • Updated information for the three tribal nations
  • • Updated content to include aging content, statutory citations, terminology changes
  • 5/9/16

    Waiver programs

    Requirements for a person's own home

    Added a statement to explain that we are in the process of making changes to this policy

    4/20/16

    Assessment and support planning

    Long-term care consultation

    Deleted reference to outdated form, DHS-5150 (LTCC face-to-face assessments for person under age 65 years) in billing section

    4/20/16

    Forms

    Deleted reference to outdated form, DHS-5150 (LTCC face-to-face assessments for person under age 65 years)

    4/18/16

    Financial management

    Disability Waiver Rate System (DWRS)

    New page

    4/18/16

    Financial management

    Rates Management System (RMS)

    CBSM comprehensive review

    4/18/16

    Financial management

    Reimbursement for Overhead Expenses due to Residential Absence

  • • CBSM comprehensive review
  • • Legislative update
  • 4/15/16

    Case management / care coordination

    Certified relocation service coordination – Targeted case management private provider list

    Added a provider

    3/29/16

    Waiver programs

    Requirements for a person's own home

    New page

    3/25/16

    Case management / care coordination

    Certified relocation service coordination – Targeted case management private provider list

    Updated addresses and providers

    3/8/16

    Waiver programs

    Prevocational services

  • • CBSM comprehensive review
  • • Update to secondary information section
  • 2/1/16

    Other Aging/DSD programs

    Day training and habilitation (DT&H)

  • • CBSM comprehensive review
  • • Added section on needs determination
  • 2/1/16

    Other Aging/DSD programs

    Day training and habilitation (DTH) services needs determination

    New page

    1/25/16

    Waiver programs

    Waiver provider enrollment standards

    CBSM comprehensive review

    1/25/16

    Waiver programs

    Assistive technology

    Updated non-covered services section

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