Federally approved BI, CAC, CADI and DD waiver plans

Family training and counseling: Professional services that provide instruction and guidance to the person and/or their family in areas specified in the covered services section.

Family: The people who live with or routinely provide care to a person who receives waiver services. Family may include:

Life sharing: A relationship-based living arrangement that carefully matches an adult age 18 or older who has a disability with an individual or family who will share their life and experiences and support the person using person-centered practices. In this arrangement, family training and counseling can be authorized for the matching process. For more information, refer to the life-sharing section.

A person is eligible to receive family training and counseling when the person and/or their family need instruction and guidance in areas specified in the covered services section.

Training

The family training service covers:

Training for the person

This service covers training for the person, as specified in the support plan, to:

Training for the person and/or family

This service covers training for the person and/or their family, as specified in the support plan, to:

Person-centered planning facilitation

The lead agency may use this service to hire a facilitator to do the following activities during the person-centered planning process:

For a detailed description and examples of eligible services, refer to DHS – FAQs about formal person-centered planning.

Life-sharing matching process

The lead agency may authorize family training – life sharing matching through a qualified, enrolled life sharing agency to match a person with a disability to live with an unrelated caregiver, family or individual. The matching process must include (but is not limited to):

The life-sharing agency and lead agency must follow guidance on CBSM – Life-sharing matching process and ongoing support options.

Counseling

The family counseling service may include counseling from a qualified provider for a person and/or their family members in areas such as:

The family training and counseling service cannot replace or duplicate services available through other funding sources (e.g., Medicare, Medicaid, private insurance).

Family members employed to care for the person cannot be reimbursed for family training and counseling activities that are their employer’s responsibility.

Training-specific limitations

The family training service does not cover:

If any of these costs are included in a training registration fee, the lead agency must deduct these costs from the reimbursable amount.

When training is in the form of a class, course or conference, reimbursement is limited to enrollment fees and related materials.

Self-advocacy training limitations

Self-advocacy training and day support services are duplicative and cannot be authorized together as separate services. Day support services include self-advocacy training as a service component. For information, refer to CBSM – Day support services.

Family training and counseling can be delivered through remote support. Services delivered through remote support must meet all the requirements listed on CBSM – Remote support.

To use waiver funds to cover a training, the person, legal guardian or family member must submit the following information to the case manager:

The case manager:

1. Reviews the information submitted and determines if the training meets the person’s assessed needs.
2. Authorizes the service.
3. Documents areas of training and intended outcomes in the person’s support plan.
4. Keeps the documentation in the person’s file.

Services under all waiver/AC programs must meet the requirements listed on the services section of CBSM – Waiver and Alternative Care programs overview.

Training

Training includes training from a qualified professional; classes, courses and conferences; and person-centered planning facilitation.

Training is an approval-option service. When provided as one-on-one training, it is a direct-delivery service. When provided in a group setting, it is a purchased-item service. For more information, refer to CBSM – Waiver/AC service provider overview.

The case manager is responsible to ensure individuals, agencies or educational facilities that offer training:

Additional requirements for qualified professionals

Training can be provided by medical equipment suppliers enrolled as Medicaid providers under Minn. R. 9505.0195. The case manager must determine if the medical equipment supplier is qualified to provide training on the use of the equipment provided to the person.

Counseling

Counseling is a DHS enrollment-required service. For more information, refer to CBSM – Waiver/AC service provider overview.

Eligible providers

Under this service, the following providers may provide counseling:

Background study

To provide family training and counseling through direct contact in the home, providers must have a background study. For more information, refer to CBSM – Waiver/AC service provider overview – Required DHS background studies for direct-contact services.

Family training and counseling is limited to a maximum of 500 15-minute units per service agreement year.

The lead agency authorizes family training and counseling at the market rate. For more information, refer to CBSM – Market rate services and Long-Term Services and Supports Service Rate Limits, DHS-3945 (PDF).

The lead agency must use family training code S5110 for person-centered planning facilitation.

The lead agency must use family training code S5110 U2 for life-sharing matching. For detailed authorization instructions, refer to CBSM – Life-sharing matching process and ongoing support options.