Minnesota Minnesota

Community-Based Services Manual (CBSM)

Community-Based Services Manual (CBSM)


Personal emergency response systems (PERS)

Page posted: 12/21/17

Page reviewed: 9/15/21

Page updated: 9/15/21

Legal authority

Federally approved BI, CAC, CADI, DD and EW waiver plans, Alternative Care (AC) program (Minn. Stat. §256B.0913), Essential Community Supports (ECS) program (Minn. Stat. §256B.0922)

Definition

Personal emergency response systems (PERS): A service that covers:

  • · An electronic device typically worn as a pendant or bracelet that includes an alert or panic button the person can press in the event of a fall or other emergency
  • · Installation and monitoring of the device.
  • Applicability

    This page applies to PERS funded by the following home and community-based services (HCBS) programs:

  • · Alternative Care (AC) program
  • · Brain Injury (BI) Waiver
  • · Community Access for Disability Inclusion (CADI) Waiver
  • · Community Alternative Care (CAC) Waiver
  • · Developmental Disabilities (DD) Waiver
  • · Elderly Waiver (EW)
  • · Essential Community Supports (ECS) program.
  • AC, ECS and EW

    For people on AC, ECS and EW, PERS is available under the specialized equipment and supplies service. For additional policies that apply to this service, refer to CBSM – Specialized equipment and supplies.

    BI, CAC, CADI and DD

    For people on BI, CAC, CADI and DD, PERS is available under the 24-hour emergency assistance service. For additional policies that apply to this service, refer to CBSM – 24-hour emergency assistance.

    Covered services

    PERS includes three parts. Each part has its own limit per service agreement year:

  • · Purchase of the PERS equipment, including necessary training or instruction on use of the equipment ($1,500 maximum)
  • · Installation, setup and testing of the PERS equipment ($500 maximum)
  • · Monthly monitoring fees ($110 monthly maximum).
  • The person may receive up to $3,000 total of PERS equipment and related services per service agreement year.

    Non-covered services

    PERS does not cover:

  • · Equipment used to deliver Medical Assistance (MA) or other waiver services
  • · Sensing and/or monitoring systems that do not require activation by the person (refer to CBSM – Monitoring technology for policy about those systems)
  • · Supervision or monitoring of activities of daily living (ADLs) provided to meet the requirements of another service
  • · Telehealth and biometric monitoring devices
  • · Video equipment.
  • Customized living

    A 24-hour customized living provider may choose to use PERS equipment to provide a person with a system to request assistance or as part of the 24-hour supervision plan. The customized living provider may not receive additional payment for the PERS equipment because the cost is included in the 24-hour customized living rate.

    For information about customized living, refer to CBSM – Customized living (including 24-hour customized living).

    BI and CADI

    If a person on BI or CADI receives:

  • · 24-hour customized living (CL), they cannot receive PERS as a separate waiver service
  • · Customized living that includes less than 24 hours of supervision, they may receive PERS as a separate waiver service from a separate provider.
  • EW

    If a person on EW receives 24-hour customized living, they may only receive PERS as a separate waiver service when the PERS equipment is appropriate for the person to use outside of the customized living setting. The PERS provider cannot be the same provider as the person’s 24-hour customized living provider.

    Person-centered approach

    As with all waiver, AC and ECS services, the lead agency must use a person-centered approach to identify options available to meet the person’s needs and reflect the person’s preferences. This includes assessing the person’s needs and preferences and ensuring they are offered a choice among all qualified providers.

    Assessment

    The assessment of the person's needs and preferences for PERS equipment may include assessing the person’s:

  • · Ability to recognize their need for assistance
  • · Ability to access and use the alert system
  • · Preferences for how their health and safety are monitored
  • · Preferences related to privacy
  • · Preferences related to who has access to the data and its use
  • · Risk factors (e.g., falls) and the response time required to address those risks.
  • Choice of provider

    To support the person’s choice in provider, the lead agency should consider the following information.

    Type of equipment or systems used to collect and transmit data to the provider

    For example, the person’s choice of provider may be based on factors such as:

  • · Characteristics of the equipment (e.g., size, waterproof properties)
  • · Distance, range and perimeter from which the equipment will work
  • · How the equipment is installed.
  • Type of and access to data collected and stored, if applicable

    For example:

  • · What type of data is sent and collected when the person summons for help?
  • · Who has access to the data (e.g., case manager/care coordinator, family member)?
  • · How long is the data stored?
  • Support plan requirements

    The following information must be documented in the person’s support plan:

  • · PERS equipment the person will use
  • · How the PERS equipment will meet the person’s assessed need
  • · Backup system for PERS equipment during electrical outages or other equipment malfunctions
  • · Training for the person and their paid and/or informal caregivers (if applicable) on the use of the equipment
  • · Customized lists of individuals and/or providers who will be notified of alerts, the order in which they will be notified and response times (commonly referred to as a “call tree”)
  • · Safeguards the provider has in place to protect the person’s privacy when using PERS equipment (specifically in relation to the electronic data generated and recorded by the equipment)
  • · Fees for equipment purchase, installation and monthly monitoring.
  • If the provider has a written equipment purchase/use agreement with the above components, the provider can send this agreement to the lead agency. The lead agency can include the provider’s agreement in place of documenting these items in the support plan.

    Provider standards and qualifications

    PERS is an approval-option: purchased item service. For more information, refer to CBSM – Waiver/AC service provider overview and CBSM – Lead agency oversight of waiver/AC approval-option service vendors.

    Eligible providers

    The following providers may enroll with Minnesota Health Care Programs (MHCP) to provide PERS equipment and related services:

  • · Lead agency as an approval-option: purchased-item service (refer to CBSM – Waiver/AC service provider overview)
  • · State medical equipment provider, as defined under Minn. R. 9515.0195
  • · Pharmacy licensed by the Minnesota Board of Pharmacy in accordance with Minn. R. 6800.0100 to 6800.9954
  • · Medicare-certified home health agency, as defined under Minn. R. 9505.0195.
  • AC and EW

    For people on AC and EW, PERS providers must meet the provider standards and qualifications for specialized equipment and supplies.

    BI, CAC, CADI and DD

    For people on BI, CAC, CADI and DD, PERS providers must meet the provider standards and qualifications for 24-hour emergency assistance.

    ECS

    PERS equipment and related services for people on the ECS program are covered as a standalone service. Provider standards and qualifications follow those for EW.

    Authorization, rates and billing

    The lead agency authorizes PERS at the market rate for the services and equipment, up to the limits described above and in the Long-Term Services and Supports (LTSS) Service Rate Limits, DHS-3945 (PDF). For additional information, refer to CBSM – Market rate services.

    Authorization codes and rate limits

    Lead agencies must use the following codes to authorize PERS:

  • · S5160 – Emergency response system installation and testing with $500 maximum per year
  • · S5161 – Emergency response system monthly service fee (excludes installation and testing) with $110 maximum per month
  • · S5162 – Emergency response system purchase with $1,500 maximum per year.
  • The maximum cost for all PERS codes combined is $3,000 per year.

    CDCS

    Do not use PERS-specific codes on CDCS service agreements. Continue to authorize PERS costs under the CDCS code T2028. For more information, refer to CDCS Manual – Purchasing traditional AC/waiver goods and services under CDCS.

    Additional resources

    CBSM – 24-hour emergency assistance
    CBSM – Customized living (including 24-hour customized living)
    CBSM – Lead agency oversight of waiver/AC approval-option service vendors
    CBSM – Market rate services
    CBSM – Monitoring technology
    CBSM – Specialized equipment and supplies
    CBSM – Waiver/AC service provider overview
    CBSM – Resource: Guidance on support technology and service planning
    CDCS Manual – Purchasing traditional AC/waiver goods and services under CDCS
    DHS – EW residential services
    MHCP Provider Manual – HCBS programs provider enrollment

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