Federally approved BI, CAC and CADI waiver plans, Minn. Stat. §256B.49

This CDCS budget methodology is the only federally approved formula for determining individual CDCS budgets for people on the Brain Injury (BI), Community Alternative Care (CAC) and Community Access for Disability Inclusion (CADI) waivers. Because each waiver requires a different level of care, the individual budget amounts will vary under each waiver.

For information about the budget methodology for the Developmental Disabilities (DD) Waiver, refer to CDCS Manual – Budget methodology for the DD Waiver.

For the Alternative Care program and Elderly Waiver, the lead agency uses the CDCS budget limits listed in LTSS Service Rate Limits, DHS-3945 (PDF).

The following is the basis of the formula for determining a person’s individual CDCS budget:

(Total daily weight minus 2.9) x (0.70)

The subtraction of 2.9 from the total daily weight ensures budget neutrality.

The 0.70 factor is necessary to keep the lead agency within its budget.

The lead agency determines the person’s total daily weight using specific variables and a constant. For those variables/constant, refer to CDCS Manual – Variables used in CDCS budget methodology for the BI, CAC and CADI waivers.

Follow these steps to work the formula and calculate the person’s individual CDCS budget.

Step 1

For each variable, multiply its weight by the score the person received for that variable, per their LTC Screening Document, DHS-3427 (PDF).

For example, if:

Step 2

Add the values calculated in step 1 and the constant (15.218). This subtotal creates the total daily weight.

Step 3

Subtract 2.9 from the total daily weight.

Step 4

Multiply the amount calculated in step 3 by 0.70. This produces the total daily rate.

Step 5

Multiply the total daily rate by the current cumulative cost-of-living adjustment (COLA). This produces the adjusted daily rate. For more information, refer to CDCS Manual – COLAs for BI, CAC, CADI and DD.

Step 6

Round the adjusted daily rate to the nearest penny and multiply it by 365 days. This produces the person’s individual budget limit for the service plan year.