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AASD and DSD eList announcement

Date: March 30, 2021
To: Adult day service providers, lead agencies and interested stakeholders
From: DHS Aging and Adult Services and Disability Services divisions
Purpose: To announce modifications to licensing requirements for alternative adult day services provided remotely or in person
Effective: Immediately, per the Centers for Medicare & Medicaid Services (CMS) approval received on March 29, 2021
Contact: For questions about the licensing modifications, contact the DHS HCBS Licensing Help Desk at 651-431-6624. For Alternative Care (AC) or Elderly Waiver (EW) policy questions, contact dhs.aasd.hcbs@state.mn.us. For disability waiver policy questions, contact dsd.responsecenter@state.mn.us.

COVID-19 modifications to alternative adult day services licensing requirements

DHS announced new modifications for alternative adult day services delivered remotely or in person due to the COVID-19 pandemic.

Note: This guidance does not apply to center-based traditional adult day services. For information about modifications to those services, see the March 4, 2021, eList announcement. This guidance also does not apply to day support services, day training and habilitation, prevocational services or structured day services. For information about modifications to those services, see the Feb. 25, 2021, eList announcement.

New guidance for alternative adult day services requirements

According to CMS approval received on March 29, 2021, alternative adult day services providers may implement the following modifications immediately:

1. Increase the maximum daily service duration for alternative adult day services (delivered remotely and/or in person) to one person at a time from 4 hours per day to 6 hours per day

2. Increase the maximum number of people attending online events:

· For people on AC and EW: Alternative adult day services providers may increase the number of people receiving remote adult day services in one online event from 6 people to 18 people, while maintaining the current staff ratio of 1:6.
For example, if 18 people attend an online event, the provider must have a minimum of three staff members to maintain the staff-to-person ratio of 1:6.

· For people on disability waivers: The current disability waiver policy does not include a cap for the number of people participating in online events. The authorized staffing ratio is based on the average staffing ratio for delivering the service. This policy aligns with temporary remote support for other disability waiver day services.

Additional information

For more information about new licensing modifications, see the DHS latest information about COVID-19 from Licensing page and the DHS adult day services provided during the COVID-19 emergency FAQ page.

Providers should continue to follow previously published licensing modifications for adult day services, including the DHS adult day services provided during the COVID-19 emergency FAQ page.

Priorities

The health and safety of the people we support, staff members and our community remain our highest priority. Thank you for all you are doing to protect the lives of the people who access services and the health and safety of your fellow staff members. We will continue to work together to ensure we provide essential services while we fight the spread of COVID-19.

For updates related to agency-wide DHS programs, visit the DHS home page. For updates related to aging programs, visit the AASD COVID-19 page. For updates related to disability programs, visit the DSD COVID-19 page.

Previous eList announcements

AASD LEAD AGENCY ARCHIVE | DSD LEAD AGENCY ARCHIVE | DSD STAKEHOLDER ARCHIVE

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