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Crisis respite

Page posted: 10/1/03

Page reviewed: 12/29/17

Page updated: 5/22/18

Legal authority

Federally approved BI, CAC, CADI and DD waiver plans, Minn. Stat. §245D.03

Definition

Crisis respite: Short-term care and intervention strategies provided to a person due to:

  • • Need for relief and support of the caregiver and protection of the person or others living with the person
  • • Person’s need for behavioral or medical intervention.
  • Eligibility

    A person is eligible to receive crisis respite services when caregivers and service providers are not able to provide necessary intervention and protection of the person or others living with that person. Crisis respite services allow the person to avoid institutional placement.

    A person is eligible for crisis respite if he or she is on one of the following waivers:

    Covered services

    Crisis respite services include:

    1. Assessment of the person and situation to determine the factors precipitating the crisis
    2. Development of a provider intervention plan in coordination with the service planning team
    3. Consultation and training to the provider(s) and/or caregiver(s) to ensure successful implementation of the provider intervention plan
    4. Ongoing technical assistance to the caregiver or provider to implement the provider intervention plan
    5. Recommendations for service plan revision to prevent or minimize future crisis situations and increase the likelihood of maintaining the person in the community
    6. Development and implementation of a transition plan to aid the person’s return home if out-of-home crisis respite is provided.

    Out-of-home crisis respite covers room and board costs when the service is provided in a licensed foster care facility or licensed community residential setting developed for the provision of crisis respite.

    Settings

    Crisis respite services may be provided as either:

  • • In-home
  • • Out-of-home.
  • Out-of-home crisis respite

    An out-of-home crisis respite service provider must provide services in a location licensed under one of following:

  • • Adult foster care licensed under Minn. R. 9555.5050 to 9555.6265
  • • Child foster care licensed under Minn. R. 2960.3000 to 2960.3340
  • • Licensed hotel.
  • Licensed hotel

    If the person receives crisis respite services in a licensed hotel, the crisis respite provider must:

  • • Secure hotel lodging for the person
  • • Pay for the cost of the hotel room and meals for the person
  • • Send direct care staff to the licensed hotel to provide the amount, frequency and type of crisis respite services as identified in the intervention plan.
  • After seven days of crisis respite in a licensed hotel, the lead agency must submit documentation of continued need for crisis respite in a licensed hotel to DHS for review and approval on a weekly basis. For more information, contact the DSD Response Center.

    Non-covered services

    Crisis respite does not cover:

  • • Caregiver’s stay in a licensed hotel while the person remains at home
  • • Direct care staff’s meals and hotel room.
  • Crisis respite may not duplicate services provided through case management or any other waiver service.

    Secondary Information

    Crisis respite services are a necessary component of the 24-hour support plan developed and monitored by the lead agency.

    Service amount

    Use of out-of-home crisis respite cannot exceed 180 days except when the lead agency approves and authorizes the service as part of the support plan. To exceed the 180-day limit, the lead agency must ensure and document all of the following:

  • • Continued use of the service is a cost-effective alternative to institutionalization
  • • Extension will not result in the person’s inability to return home or to an alternative home in the community
  • • Service is necessary.
  • Documentation

    The lead agency documents the following in the person’s support plan:

  • • Crisis respite services do not result in the person’s inability to return home or to an alternative home in the community
  • • Crisis respite services are a cost-effective alternative to institutionalization
  • • Amount of crisis respite services
  • • Frequency of crisis respite services
  • • Type of crisis respite services.
  • Provider standards and qualifications

    Crisis respite is a DHS enrollment-required service. For more information, see CBSM – Waiver/AC service provider overview.

    A support planning team may require additional provider qualifications for the provider to meet the person’s needs as identified in the support plan.

    License requirements

    A crisis respite provider must have a license under Minnesota Statutes, Chapter 245D as an intensive support service provider.

    Reporting

    A provider licensed under 245D must report all uses of controlled procedures, emergency use of manual restraint and prohibited procedures according to Minn. Stat. 245D.06, subd. 5 to DHS via the Behavioral Intervention Report Form, DHS-5148.

    Authorization, rates and billing

    The lead agency authorizes crisis respite at the market rate. For more information, see Long-Term Services and Supports Service Rate Limits, DHS-3945 (PDF).

    Additional resources

    CBSM – BI, CAC, CADI and DD waivers general process and procedures

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