65th birthday reassessment for Brain Injury (BI), Community Alternative Care (CAC) and Community Access for Disability Inclusion (CADI) waivers

Page posted: 8/3/26
Page updated: 8/24/26

Effective Aug. 1, 2026, DHS will only require counties/Tribal Nations to complete a 65th birthday assessment for a person on the BI, CAC or CADI waiver when they want to move to either:

Previous policy required this assessment for all people on BI, CAC or CADI within the four months surrounding their 65th birthday. Assessors must now select the assessment type reassessment in MnCHOICES when conducting assessments within this window and enter activity type 06 (reassessment) into MMIS.

Additional resources

CBSM – Assessment applicability and timelines
CBSM – Resource: 65th birthday discussion
CBSM – MnCHOICES assessment process
Checklist for 65th Birthday Discussion DHS-8691
MMIS LTSS Manual – Open reopen or change a program with the LTC screening document
MnCHOICES Lead Agency Transfer and Communication Form, DHS-6037 (PDF)