Minnesota Minnesota

Community-Based Services Manual (CBSM)

Community-Based Services Manual (CBSM)


Alternative Care (AC) discretionary services

Page posted: 10/24/19

Page reviewed: 9/20/24

Page updated: 9/20/24

Legal authority

Minn. Stat. §256B.0913, Federal 1115 Waiver Plan (PDF)

Definition

AC discretionary services: Services that allow lead agencies to address special or unmet needs of a person or family caregiver that are not otherwise defined in the AC service menu and not otherwise prohibited under the AC statute.

For information about services included in the AC service menu, refer to CBSM AC.

Overview

Lead agencies can use AC discretionary services to improve access, choice and/or cost effectiveness of the AC program to address people’s chronic care needs. Discretionary services, as with other AC services, are necessary to delay or prevent nursing facility admission and are identified in each person’s support plan.

Eligibility

To be eligible for AC discretionary services, a person must:

  • · Participate in the AC program.
  • · Have a specific need that cannot be met by another AC service.
  • · Have the discretionary service included in their support plan.
  • Lead agencies must receive annual approval from DHS to offer discretionary services.

    Non-covered services

    AC discretionary services do not cover services that:

  • · Are not approved by DHS.
  • · Do not address a person’s chronic care needs.
  • · Do not prevent or delay nursing facility admissions.
  • · Duplicate services already provided by the AC program.
  • · Replace or duplicate services available through other funding sources (e.g., Medicare, Medicaid, private insurance).
  • Process and procedure

    Lead agencies who administer the AC program must apply to offer discretionary services to people who participate in the AC program.

    For each fiscal year, the lead agency must use AC Application for Discretionary Services July 1 – June 30 FY, DHS-5815 (PDF) to describe:

  • · The proposed service.
  • · Service standards and provider qualifications.
  • · Number of people who will receive the service.
  • · Names of providers who will deliver the service.
  • · Payment rates and units of service with details of how they calculated the total estimated expenditures.
  • · Total estimated expenditures for the service.
  • · Effective date of the service.
  • Lead agencies must follow the instructions on DHS-5815 to submit:

  • · The completed application.
  • · Supporting documents.
  • DHS will review the request and approve it, if appropriate.

    Additional resources

    AC Application for Discretionary Services July 1 – June 30 FY, DHS-5815 (PDF)
    CBSM AC

    Report this page