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Community-Based Services Manual (CBSM)

Community-Based Services Manual (CBSM)


Developmental Disabilities (DD) Waiver

In response to the COVID-19 peacetime emergency, DHS has updated policy/procedures and issued related instructional bulletins to ensure continuity of care for people in Minnesota who access services. These changes:

  • · Allow LTSS assessments and reassessments to be conducted remotely (March 23, 2020, eList)
  • · Allow case management visits to be conducted remotely (April 6, 2020, eList)
  • · Prevent eligibility in LTSS programs from being terminated (June 22, 2020, eList).
  • Page posted: 11/29/04

    Page reviewed: 6/13/23

    Page updated: 6/13/23

    Legal authority

    Federally approved DD Waiver Plan, Minn. Stat. §252.27, Minn. Stat. §256B.092, Minn. R. 9525.0004 to 9525.0036, 42 CFR 483.440

    Definition

    Developmental Disabilities (DD) Waiver: Program that provides home and community-based services to children and adults with a diagnosis of a developmental disability or a related condition who require the level of care provided in an intermediate care facility for persons with developmental disabilities (ICF/DD). These services are an alternative to institutionalization. The services help a person live as independently as possible in community settings and promote optimal health, independence, safety and community integration.

    Eligibility

    To be eligible for the DD Waiver, a person must choose to live in the community and meet all of the following criteria:

  • · Be eligible for Medical Assistance (MA) based on a disability or other eligibility status (refer to the MMIS codes for HCBS waiver/AC program eligibility section on CBSM – Waiver/AC programs overview).
  • · Be certified disabled by Social Security or the State Medical Review Team (SMRT) process.
  • · Have a developmental disability or a related condition as defined in Minn. R. 9525.0016, subp. 2.
  • · Be assessed using MnCHOICES or a DD screening and be determined to need the level of care provided in an ICF/DD.
  • · Require daily interventions, daily service needs and a 24-hour plan of care that is specified in the support plan.
  • · Have an assessed need for habilitation, which must be included in the support plan.
  • · Have an assessed need for supports and services beyond those available through the MA state plan.
  • Covered services

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

    The following services are covered under the DD Waiver. For a service-specific policy page, select a service from the list:

  • · 24-hour emergency assistance (includes personal emergency response systems [PERS])
  • · Adult day services (includes family adult day services)
  • · Adult day services bath
  • · Assistive technology
  • · Caregiver living expenses
  • · Case management
  • · Case management aide
  • · Chore services
  • · Community residential services
  • · Consumer directed community supports (CDCS)
  • · Crisis respite
  • · Day support services
  • · Employment development services
  • · Employment exploration services
  • · Employment support services
  • · Environmental accessibility adaptations
  • · Extended personal care assistance
  • · Family residential services
  • · Family training and counseling
  • · Home-delivered meals
  • · Homemaker (cleaning, home management and assistance with activities of daily living)
  • · Independent living skills (ILS) therapies
  • · Individualized home supports (without training, with training and with family training)
  • · Integrated community supports (ICS)
  • · Night supervision services
  • · Positive support services (formerly behavioral support)
  • · Prevocational services
  • · Respite
  • · Specialist services
  • · Transitional services
  • · Transportation.
  • Secondary information

    Minn. R. 9525.008, subp. 3 requires services and supports be designed and delivered consistent with Rule 185 case management goals.

    DHS does not reimburse short-term admission to an ICF/DD from the DD Waiver as respite care.

    For additional information about Rule 185 case management, refer to CBSM – Rule 185 case management.

    State and lead agency responsibilities

    Refer to the state and lead agency responsibilities section on CBSM – Waiver/AC programs overview.

    Waiver forms

    For a list of forms applicable across and/or specific to waiver programs, refer to CBSM – Forms for LTSS assessment, eligibility and support planning.

    Process and procedures

    Refer to CBSM – Waiver, AC and ECS general processes and procedures for specific information about:

  • · Access
  • · Assessments and reassessments
  • · Support planning
  • · Authorization
  • · Changing waiver programs
  • · 65 years of age
  • · Person’s own home requirements
  • · Out-of-state services
  • · Local trade area – using providers from a bordering state
  • · Termination.
  • Additional resources

    Developmental Disabilities (DD) Waiver Program Brochure, DHS-4849 (PDF)
    Case Manager’s Guide to Determining ICF/DD Level of Care for ICF/DD and DD Waiver Services, DHS-4147A (PDF)
    CBSM – Assessment applicability and timelines
    CBSM – DD Waiver waiting list guide
    CBSM – Financial management overview
    CBSM – MnCHOICES
    CBSM – Rule 185 case management
    CBSM – Waiver, AC and ECS general processes and procedures
    CBSM – Waiver/AC programs overview
    CBSM – Waiver/AC service provider overview
    DD Screening Document Codebook
    TrainLink – Self-paced online course: Rule 185 Foundations

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