Brain Injury (BI) 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:
Page posted: 10/1/03 | Page reviewed: 6/13/23 | Page updated: 6/13/23 | |
Legal authority | Federally approved BI Waiver Plan, Minn. Stat. §256B.093, Minn. Stat §256B.49 | ||
Definition | Brain Injury (BI) Waiver: Program that provides home and community-based services to children and adults with a diagnosis of brain injury who require the level of care provided in a specialized nursing facility or neurobehavioral hospital. 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 BI Waiver, a person must choose to live in the community and meet all the following criteria: 1. 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). 2. Be certified disabled by Social Security or the State Medical Review Team (SMRT). 3. Be younger than age 65 at the time of opening to the waiver for the first time. 4. Be assessed using MnCHOICES to need the level of care provided in either: 5. Have one of the following documented diagnoses of brain injury or related neurological condition that is not congenital: 6. Have significant cognitive and behavioral impairment as a result of the brain injury. 7. Have the potential to benefit from rehabilitative services as determined by a MnCHOICES assessment. 8. Have an assessed need for supports and services beyond those available through the MA state plan. 9. Have an assessed need for one or more of the following as a result of the person’s cognitive or behavioral impairments: Assessors should reference BI Waiver Eligibility and Documentation Checklist, DHS-3471B (PDF) as needed. | ||
Covered services | Services under all waiver/AC programs must meet the requirements listed in the services section of CBSM – Waiver/AC programs overview. The following services are covered under the BI Waiver. For a service-specific policy page, select a service from the list: | ||
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: | ||
Additional resources | Brain Injury (BI) Waiver Program Brochure, DHS-3442 (PDF) | ||
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