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Community-Based Services Manual (CBSM)

Community-Based Services Manual (CBSM)


AASD eList announcement

Date: Dec. 30, 2025
To: Lead agency staff and other interested parties
From: DHS Aging and Adult Services Division
Purpose: To announce federal approval of the Elderly Waiver (EW) amendment package
Effective: Implementation timelines vary
Contact: dhs.aasd.hcbs@state.mn.us

EW amendment package approved by CMS

The federal Centers for Medicare & Medicaid Services (CMS) approved DHS’ waiver amendment package effective Jan. 1, 2026. The amendment package affects the Elderly Waiver (EW).

For information about disability waiver amendments, refer to the Dec. 23, 2025 eList announcement.

Implementation of changes and clarifications

DHS has not implemented the changes and clarifications in this eList yet. First, we must update applicable policy manuals and affected systems, in a coordinated effort with the Disability Services Division. We 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.

Topic

Changes

Waiver assessment, access and eligibility

  • · Added a new waiver budget exception for people discharging from hospitals
  • · Updated the initial assessment timeline from 20 calendar days to 20 working days
  • · Updated assessor qualifications
  • · Allowed hospital staff to complete MnCHOICES assessments
  • Waiver services

  • · Updated extended personal care assistance (PCA) for extended Community First Services and Supports (CFSS) transition timeline changes
  • · Updated home and community-based services (HCBS) settings information
  • · Added information about ensuring continuity of care for people affected by provider disqualification
  • Quality improvement

  • · Updated quality improvement strategy (QIS) remediation methods
  • Previous eList announcements

    AASD LEAD AGENCY ARCHIVE

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