Federally approved BI, CAC, CADI, DD and EW waiver plans, AC program (Minn. Stat. §256B.0913)

This page includes CDCS unbundled service category policy. When a person transitions to the unbundled CDCS service categories, they will use the policy on this page.

For information about who must use this new policy, refer to the Dec. 10, 2024, eList announcement.

Environmental modifications – home modifications: Modifications or items to maintain the person’s home that either:

Home: For purposes of this page, "home" refers to the person’s primary place of residence (i.e., not a vacation home).

Monitoring technology: Monitoring or surveillance systems, including cameras, motion detectors, GPS trackers, home security systems, door alarms and window alarms.

This page includes information about CDCS home modifications. For information about CDCS vehicle modifications, refer to CDCS Manual – Unbundled service category: Environmental modifications – vehicle modifications.

For information about other CDCS service categories, refer to CDCS Manual – Unbundled service categories.

All CDCS services must meet the criteria on CDCS Manual – Allowable and unallowable goods and services under CDCS.

This CDCS service category covers the following services:

This CDCS service category does not cover home modifications that:

Alternative Care (AC) and Elderly Waiver (EW)

For people on AC and EW, EAA home assessments are paid through the CDCS waiver budget using code T2028.

Brain Injury (BI), Community Alternative Care (CAC), Community Access for Disability Inclusion (CADI) and Developmental Disabilities (DD)

For people on BI, CAC, CADI and DD, EAA home assessments are paid through the county/tribal nation waiver budget and must be included on separate service agreement line items using code T1028 – EAA/Home Assessment.

AC and EW

For all people on AC and EW (including people using CDCS), lead agencies must follow the service limits located on Long-Term Services and Supports Service Rate Limits DHS-3945 (PDF) per service agreement/waiver year for environmental accessibility adaptations, which includes both CDCS vehicle modifications and home modifications. For more information, refer to the AC and EW service limits section of CBSM – EAA.

BI, CAC, CADI and DD

For all people on BI, CAC, CADI and DD waivers (including people using CDCS), lead agencies must follow the service limit and exception process (if applicable) of $40,000 per service agreement/waiver year for environmental accessibility adaptations, which includes both CDCS vehicle modifications and home modifications.

Exceptions

A case manager may request an exception from DHS to exceed the annual limit of $40,000. Approved exceptions allow the lead agency to authorize an additional $40,000 from the person’s service allotment for the following year, for a maximum of $80,000 for a two-year period.

For more information, refer to the BI, CAC, CADI and DD service limits section of CBSM – EAA.

AC and EW

People on AC or EW uses funds from their individual CDCS AC or EW waiver budget to pay for home modifications.

For more information, refer to the CDCS on AC and EW section on DHS – EAA frequently asked questions.

Monitoring technology

A person who wants to use CDCS funds to purchase monitoring technology must follow service guidelines on CBSM – Monitoring technology usage.

BI, CAC, CADI and DD

For monitoring technology and home and vehicle modifications, a person on BI, CAC, CADI or DD must pay the first $5,000 from their CDCS budget during the service agreement/waiver year of the expenditure(s) for home modifications, vehicle modifications and monitoring technology. Regardless of the number of modifications and technology items needed during the plan year, the person’s annual contribution is limited to $5,000.

When costs exceed $5,000 and the lead agency approves additional funding, the lead agency can use its overall waiver allocation (when applicable) to pay for item(s). The lead agency should authorize these costs on the service agreement separately outside of the person’s individual CDCS budget (refer to Instructions for Completing and Entering the LTCC Screening Document and Service Agreement into MMIS, DHS-4625 [PDF]).

For more information, refer to the CDCS on disability waivers section on DHS – EAA frequently asked questions.

If a person chooses to use more than $5,000 from their budget to pay for more monitoring technology or home and vehicle modifications, they can choose to do so.

Monitoring technology

A person who wants to use CDCS funds to purchase monitoring technology must follow service guidelines on CBSM – Monitoring technology usage.