DSD eList announcement
Date: Jan. 14, 2025
To: Lead agency staff and other interested parties
From: DHS Disability Services Division
Purpose: To announce the federal Centers for Medicare & Medicaid Services (CMS) approved the disability waiver amendments
Effective: Implementation timelines vary
Contact: DSD Contact Form
Disability waiver amendments approved by CMS
CMS approved DHS’ waiver amendment package on Dec. 31, 2024, for the following waivers:
· Brain Injury (BI).· Community Alternative Care (CAC).· Community Access for Disability Inclusion (CADI).· Developmental Disabilities (DD).CMS also approved a waiver amendment for the Elderly Waiver (EW). For information about the EW amendment, refer to the Jan. 14, 2025, eList about EW amendment approved by CMS.
Implementation of changes and clarifications
DHS has not implemented the changes and clarifications in this eList yet. First, we must update our policy manuals and MMIS. DHS will send eList announcements and/or update CBSM – What’s new when we implement the changes and clarifications.
Summary of changes and clarifications
The following sections summarize the policy changes and clarifications included in this waiver amendment package.
Technical changes include replacing references to “lead agency” with “county or tribal human services organization” where appropriate.
Topic/service | Waiver(s) | Changes |
24-hour emergency assistance | · BI· CAC· CADI· DD | · Updated definition of own home to align with new statutory reference that defines community living setting |
Caregiver living expenses | · BI· CAC· CADI· DD | · Updated definition of own home to align with new statutory reference that defines community living setting |
Chore | · BI· CAC· CADI· DD | · Updated definition of own home to align with new statutory reference that defines community living setting· Clarified that chore services and integrated community supports may be authorized when chore is delivered by a separate provider |
Community residential services | · BI· CAC· CADI· DD | · Added allowance for capacity of five or six corporate foster care beds for people in supervised living facilities transitioning to community residential settings· Added exceptions to limitations for settings on the same or adjoining property (i.e., collocated)· Added residential service access criteria to align with state law |
Customized living | · BI· CADI | · Added exceptions to limitations for settings on the same or adjoining property (i.e., collocated)· Added residential service access criteria to align with state law |
Employment development | · BI· CAC· CADI· DD | · Added allowance for the delivery of employment development services in acute care hospital settings |
Employment exploration | · BI· CAC· CADI· DD | · Added allowance for the delivery of employment exploration services in acute care hospital settings |
Employment support | · BI· CAC· CADI· DD | · Added allowance for the delivery of employment support services in acute care hospital settings |
Environmental accessibility adaptations | · BI· CAC· CADI· DD | · Clarified that adaptations are not covered if they violate the provisions of the Positive Supports Rule |
Extended Community First Services and Supports (CFSS) | · BI· CAC· CADI· DD | · Updated rate determination method for extended state plan services to refer to methodologies described in the approved CFSS state plan |
Individualized home supports (IHS) | · BI· CAC· CADI· DD | · Updated definition of own home to align with new statutory reference that defines community living setting· Added allowance for the delivery of IHS without training, IHS with training and IHS with family training in acute care hospital settings |
Integrated community supports (ICS) | · BI· CAC· CADI· DD | · Added allowance for transitional services to be provided to people living in ICS settings when delivered by a separate provider |
MnCHOICES: Waiver eligibility, assessment and support planning | · BI· CAC· CADI· DD | · Updated qualifications for people performing MnCHOICES assessments to align with state law |
Night supervision services | · BI· CAC· CADI· DD | · Updated definition of own home to align with new statutory reference that defines community living setting· Added allowance for the delivery of night supervision services in acute care hospital settings |
Positive support services | · BI· CAC· CADI· DD | · Added allowance for the delivery of positive support analyst, specialist and professional services in acute care hospital settings· Updated provider qualifications for positive support analyst and positive support specialist |
Respite services | · BI· CAC· CADI· DD | · Clarified that “home” means a setting that the person or their family owns or leases. |
Transitional services | · BI· CAC· CADI· DD | · Increased transitional service allowance from $3,000 to $5,000 |
Previous eList announcements
DSD LEAD AGENCY ARCHIVE | DSD STAKEHOLDER ARCHIVE
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