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HCBS Waiver Provider Standards
Review and approval of providers eligible to deliver HCBS waiver/AC services moved to a more centralized mode of operation on Jan. 1, 2014. Please see HCBS Waiver/AC provider enrollment and standards for current information.
Information on this page will be available through June 2014. However, DHS will no longer update this page.
DHS is introducing changes to Minnesota’s long-term care services system. Many of these changes are required by the federal Center for Medicare and Medicaid (CMS). As a result, waiver services and systems will be more consistent throughout the state. The evaluation of home and community-based waiver service providers will be centralized, achieving consistency in compliance with person-centered service quality standards.
What is happening now?
Jan 1-March 30, 2014: Lead agencies update service agreements to reflect new procedure codes and modifiers
Oct. 15, 2013: DHS will begin sending reports to lead agencies with providers’ current enrollment status
Sept. 30, 2013: Deadline for Waiver/AC Provider Record Review (Providers should continue to enroll with DHS as soon as possible)
Aug. 19, 2013: Providers already licensed with DHS can begin application for (or to covert to) the 245D HCBS license
July 25, 2013: DHS offers lead agency video conference (training registration) on Waiver Provider Record Review process and the impacts to lead agencies
July 22, 2013: DHS offers information session on 245D HCBS and Foster Care: County and Provider Change; Register through the DHS iLinc Public Page
July 10, 2013: Providers new to DHS licensing can begin applying for the 245D HCBS license
July 8, 2013: DHS begins offering webinar trainings for providers on both provider record reviews and obtaining the 245D license
May 15, 2013: DHS no longer accepts applications for 245B DD services license (See July 5, 2013, announcement)
April 2013: DHS introduces new online Waiver 101 provider training course (First course now available; DHS hopes to complete all modules in September 2013; DHS requires completion of all modules for new HCBS providers enrolling with DHS on or after Jan. 1, 2014)
Dec. 2012: DHS begins Waiver/AC provider record reviews for enrolled MHCP waiver/AC service providers
College of Direct Supports on-line modules for direct support workers Waiver/AC Billing Lab Training (Effective Jan. 1, 2014, required within 6 months of enrollment for new waiver/AC service providers)
How will implementation occur?
Jan. 1, 2014:
December 2012-September 2013:
Mar. 2012 – Jan. 2013:
What are the HCBS Waiver Provider Standards?
The project combines the following three related Continuing Care Administration initiatives:
1. Provider Enrollment and Provider Standards Initiative – CMS reviewed Minnesota’s HCBS Waivers, directing several changes to bring Minnesota in line with federal requirements. In response, CCA launched the Provider Enrollment and Provider Standards Initiative to strengthen state provider standards and approval processes.
2. Quality Outcome Standards Initiative – In 2009, the Minnesota Legislature directed DHS to develop a single set of provider standards for HCBS waiver services for people with disabilities.
3. Community Residential Setting / Residential Support Services Initiative (combined with Quality Outcome Standards) – In 2009, the Legislature additionally mandated that DHS create a single set of licensure standards, integrating corporate foster care setting and waiver service delivery. The new Residential Support Service requires a single Community Residential Setting license.
What are the goals of the HCBS Waiver Provider Standards?
The project seeks to accomplish three key goals.
What is the scope of the project?
The project consolidates initiatives with unlicensed and licensed providers of HCBS waiver services in Minnesota.
The new Residential Support Service – Community Residential Site license will collapse corporate foster care waiver services and facility standards into a single license.
Re-enrollment of all HCBS Waiver providers will strengthen provider eligibility requirements and the DHS provider agreement.
The 2012 Legislature, with the provision of 245D licensing requirements, directed the elimination of county and tribe waiver provider contracts on Jan. 1, 2014.
DHS is working with county and tribal representatives to determine the changes needed at the local level to support provider contract elimination and assure quality service delivery.
Who is part of the HCBS Waiver Provider Standards project?
DHS consults with several external work groups on the various aspects of the project. The work groups include representatives from counties, tribes, health plans, provider organizations, advocacy organizations, program participants and family members. Some work groups have completed their work; others continue to assist in the project development and implementation.
Where can I get more information?
If you have any questions regarding this initiative, please email DHS Waiver Provider Standards.
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