Federally approved Brain Injury (BI), Community Alternative Care (CAC), Community Access for Disability Inclusion (CADI), Developmental Disabilities (DD) and Elderly Waiver (EW) waiver plans, federally approved Alternative Care (AC) 1115 demonstration, Minn. Stat. §256B.0913, Minn. Stat. §245A.143, Minn. Stat. Ch. 245A, Minn. R. 9555.5105 to 9555.6265, Minn. R. 9555.9600 to 9555.9730, Minn. Stat. Ch. 256S, Minn. Stat. §256B.092, Minn. Stat. §256B.0922, Minn. Stat. §256B.49

Family adult day services (FADS): Adult day services provided in a family foster care license holder’s primary residence. The license holder must be the primary FADS provider.

Adult day services: Refer to CBSM – Adult day services.

Institution: For the purposes of this page, “institution” means:

Publicly owned institution: Institution financed and operated by a county, state, municipality or other unit of government. A privately owned nursing facility is not a public institution.

A person is eligible to receive FADS if they meet both of the following criteria:

1. Eligible for services through one of the following options:

2. Have FADS as an assessed need in their support plan.

FADS are services available under adult day services. For information about covered services, refer to CBSM – Adult day services.

Not covered within the service

FADS do not cover:

Services that cannot be authorized with FADS

A person cannot receive FADS and adult foster care or family residential services from the same provider.

The following services are not covered during the same period of the day (i.e., provided simultaneously) when the person receives FADS:

The license holder cannot serve more than eight adults at one time, including residents of the foster home.

For information about these requirements, refer to CBSM – Adult day services.

For information about these requirements, refer to CBSM – Adult day services.

Services under all waiver/AC programs must meet the requirements listed in the services section of CBSM – Waiver/AC programs overview.

A person must receive FADS for two or more hours per day, for one or more days per week, on a regularly scheduled basis.

A person cannot receive FADS for more than 12 hours in one 24-hour period.

FADS are DHS enrollment-required services. For more information, refer to CBSM – Waiver/AC provider enrollment and standards.

License requirements

A FADS provider must meet one of the following requirements:

Additional provider requirements

A FADS provider must:

Background study

To provide FADS, providers must have a background study. For more information, refer to DHS – Background studies.

BI, CAC, CADI and DD only

Under the BI, CAC, CADI and DD waivers, a FADS provider also must:

Below is program-specific information about authorization, rates and billing for adult day services. For more information, refer to Long-Term Services and Supports (LTSS) Service Rate Limits, DHS-3945 (PDF).

AC, ECS and EW

Under AC, ECS and EW, the lead agency authorizes FADS at the state-established, 15-minute rate.

BI, CAC, CADI and DD

Under BI, CAC, CADI and DD, FADS are framework services. The lead agency uses the Rate Management System (RMS) to determine rates. For more information, refer to CBSM – RMS.

The lead agency may authorize FADS at a daily or 15-minute rate.

Exception for BI, CADI and DD

On a day when the person receives an adult day services bath, the lead agency must authorize FADS using the 15-minute rate.

For a list of licensed FADS providers in Minnesota, refer to DHS licensing information lookup or Minnesota Aging & Disability Resources.

CBSM – Adult day services
CBSM – Adult day services bath
CBSM – Waiver, AC and ECS general process and procedures
CBSM – Waiver and AC programs overview
CBSM – Waiver/AC service provider overview
CBSM – Rate methodologies for AC, ECS and EW service authorization
DHS – Minnesota’s implementation of the HCBS settings rule
LTSS Service Rate Limits, DHS-3945 (PDF)
RMS User Manual