Federally approved BI, CAC, CADI, DD and EW waiver plans, Alternative Care 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 – vehicle modifications: Physical adaptations to the person’s primary vehicle, required by the person’s support plan, that are necessary to either:

Primary vehicle: Vehicle that provides the person with their main means of transportation. Examples of a primary vehicle include:

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

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

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

This CDCS service category covers vehicle modifications, regardless of the age of the vehicle, if the vehicle modification provider determines the vehicle:

Examples of modifications include:

This CDCS service category may also cover:

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

This CDCS service category does not cover general vehicle maintenance.

Alternative Care (AC) and Elderly Waiver (EW) assessments

For people on AC and EW, EAA vehicle 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) assessments

For people on BI, CAC, CADI and DD, EAA vehicle assessments are paid through the county/tribal nation waiver budget and must be included on separate service agreement line items using code T2039 UD – EAA/Vehicle 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 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 EW and AC use funds from their individual CDCS AC or EW waiver budgets to pay for vehicle modifications.

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

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.