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Community-Based Services Manual (CBSM)

Community-Based Services Manual (CBSM)


DSD eList announcement

Date: Feb. 9, 2024
To: Integrated community supports (ICS) providers, lead agencies and other interested parties
From: DHS Disability Services Division (DSD) Director Heidi Hamilton
Purpose: To announce a public comment period about strategies to manage the growth of ICS
Comment period starts: Feb. 9, 2024
Comment period ends: March 11, 2024
Submit comments to: DSD.PublicComments@state.mn.us
Contact: DSD Contact Form

Public comment period on efforts to manage ICS growth

DHS requests public comments to identify alternative strategies to manage:

  • · Growth of ICS.
  • · Use of approved ICS units.
  • · Volume of ICS submissions.
  • After the public comment period, DHS will host listening sessions on this topic.

    Process to submit comments

    Email comments to DSD.PublicComments@state.mn.us no later than 4 p.m. on Monday, March 11, 2024.

    Instructions for providers

    In the meantime, the application priorities announced in the Jan. 31, 2024, eList announcement no longer apply. DHS will continue to accept complete ICS application submissions. For instructions, refer to the setting requirements section on CBSM – ICS. Due to the volume of ICS application submissions, there are long lead times for ICS application review because of limited resources available to process applications.

    Review the setting capacity report status section on CBSM – ICS settings for a status update of which ICS setting capacity reports are currently under review.

    Background information

    In the Jan. 31, 2024, eList announcement, DHS announced a plan to manage resources for the continued successful growth of ICS in Minnesota. This communication explained the growth of ICS, current use of approved ICS units, volume of ICS submissions and requirements in Minnesota’s Olmstead Plan and the home and community-based services (HCBS) settings rule.

    People with disabilities need a full array of community-inclusive service options. DHS developed ICS in response to needs identified by the community. ICS is an alternative to customized living that supports people in a variety of service categories. ICS providers deliver ICS in multi-family housing.

    ICS settings are HCBS provider-controlled settings and must comply with the federal HCBS regulations. For more information, refer to DHS – Minnesota’s implementation of the HCBS settings rule.

    DHS must prioritize the outcomes in Minnesota’s Olmstead Plan to:

  • · Increase the number of people with disabilities who live in their own home.
  • · Maximize opportunities for people to live in integrated HCBS settings as required by the federal HCBS regulations.
  • DHS also must adhere to independent living first policy under Minn. Stat. §256B.4905, subd. 8.

    ICS service usage

    The number of approved ICS units exceeds the number of people who receive services. DHS implemented ICS in:

  • · January 2021 for Brain Injury (BI) and Community Access for Disability Inclusion (CADI) waivers.
  • · January 2023 for Community Alternative Care (CAC) and Developmental Disabilities (DD) waivers.
  • As of the third quarter of 2023, Minnesota has 368 ICS settings and:

  • · 927 people receive ICS, including 841 people in Anoka, Dakota, Hennepin, Ramsey and Washington counties and 86 people outside the five-county metro area.
  • · 368 ICS settings are approved, including 338 settings in Anoka, Dakota, Hennepin, Ramsey and Washington counties and 30 settings outside the five-county metro area.
  • · 2,557 ICS units across the state are approved.
  • · 36.25% of approved ICS units are occupied.
  • Together, we can work to ensure all people with disabilities live full and integrated lives in Minnesota.

    Previous eList announcements

    DSD LEAD AGENCY ARCHIVE | DSD STAKEHOLDER ARCHIVE

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