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Minnesota Department of Human Services Community-Based Services Manual (CBSM)
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ISSUE DATE: 07/2013

Crisis respite

Page posted: 10/1/03

Page reviewed: 9/26/11

Page updated: 5/26/17

Legal authority

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


Crisis respite: Short-term care and intervention strategies provided to a person for both medical and behavioral needs that support the caregiver and/or protect the person or others living with that person.


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 enable the person to avoid institutional placement.

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

A person is eligible for crisis-only respite if he or she:

  • • Is eligible for the DD Waiver
  • • Needs to access this service to mitigate a crisis.
  • A person who uses crisis-only respite does not have access to other DD Waiver services.

    Covered services

    Crisis respite services include:

    1. Assessment of the person and situation to determine the crisis precipitating factors
    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 assure successful implementation of the provider intervention plan
    4. On-going 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.

    Crisis respite and case management

    Crisis respite services are a necessary component of the 24-hour service plan developed and monitored by the lead agency. As such, crisis respite may not duplicate services provided through case management.

    Case management is not reimbursable when the person accesses the DD Waiver for crisis-only respite.


    Crisis respite services may be provided either:

  • • In-home
  • • Out-of-home in a specialized licensed foster care facility developed for the purpose of providing short-term respite and crisis intervention.
  • Service amount

    Use of out-of home crisis-respite cannot exceed 21 days except when the lead agency approves and authorizes as part of the service plan. To exceed the 21-day limit, the lead agency must assure 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:

    1. Crisis respite services do not result in the person’s inability to return home or to an alternative home in the community
    2. Crisis respite services are a cost-effective alternative to institutionalization
    3. Amount of crisis respite services
    4. Frequency of crisis respite services
    5. Type of crisis respite services.

    Crisis-only respite services

    The lead agency develops the support plan within 30 calendar days prior to a person receiving crisis respite services, or on the day in which crisis services are initiated.

    For more information, see DD Screening Codebook – Crisis respite as a DD Waiver service option.

    Provider standards and qualifications

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

    License requirements

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

    An out-of-home crisis respite service provider must provide services in a location licensed under Minn. R. 9555.5050 to 9555.6265 or 2960.3000 to 2960.3340 (adult and child foster care licensing rules).

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

    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
    CBSM – Community-Based Services

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