Federally approved BI, CAC, CADI and DD waiver plans, Minn. Stat. §245D.03

Day support services: Individualized, community-based training and support services that help a person develop and maintain essential and personally enriching life skills so they can access and participate in activities they prefer in their community.

Day support services must be person-centered and provide individualized assessment and planning to help a person identify essential life skill needs and discover activities that enrich their life.

A person can receive day support services in non-residential service sites (i.e., not the person’s home) or public settings in the community.

To receive day support services, a person must meet both of the following criteria:

1. Be eligible for services through one of the following options:

2. Have day support services as an assessed need in their support plan.

Day support services must teach and develop essential and personally enriching life skills that support a person’s community relationships, involvement and inclusion.

Essential life skills

Day support services can provide training, supervision and support in essential life-skill areas, including, but not limited to:

1. Communication

2. Community access, mobility and safety, including:

3. Independent living

4. Interest-based decision-making

5. Money management and budgeting

6. Personal health and wellness, including needed physical and medical care

7. Positive behavior and mental health support

8. Problem-solving and conflict resolution

9. Personal self-care, including:

10. Self-direction and goal-setting

11. Socialization (i.e., social skills development and relationship-building), including:

12. Therapeutic intervention activities or accommodations that increase the person’s adaptive-skill functioning.

Personally enriching life skills

Day support services can provide learning opportunities and support in the person’s preferred life-enriching activities, including:

Day support services do not cover:

The lead agency must document in the person’s file that day support services are not available through programs funded by Section 110 of the Rehabilitation Act of 1973 or IDEA.

People who receive ICF/DD services during the day cannot receive day support services.

Day support services can be delivered through remote support. Services delivered through remote support must meet all the requirements listed on CBSM – Remote support.

Day support services must always teach and develop essential and personally enriching life skills in the community.

As appropriate, a provider can teach and develop some needed life skills at their facility site. However, the provider must also teach, develop and support these skills in appropriate community settings, as indicated in each person’s support plan.

The following location requirements apply to day support services settings established on or after Jan. 11, 2021.

Setting connected to an institution

The lead agency cannot authorize day support services when the day support services setting is adjoined to or on the same property as an institution if that institution has any financial interest in the setting or services provided in the setting. For the purposes of this page, “institution” means:

Collocated settings

When a single provider leases or owns more than one service setting located on the same or adjoining property, the lead agency can only authorize services in one of the settings. A service setting includes a setting used to deliver any of the following services:

Collocated setting exceptions

Setting status: The provider maintains ownership/control of the setting, and the 2017/2018 HCBS attestation/validation process determined HCBS setting compliance. In this situation:

Setting status: There was a sale or transfer of ownership to a new provider, and the 2017/2018 HCBS attestation/validation process determined HCBS setting compliance. In this situation:

Documentation

Day support services must result in measurable and preferred outcomes. The lead agency must document these outcomes in the person’s coordinated services and supports plan (CSSP).

Person-centered outcomes could include increasing the person’s:

Service coordination

Day support services are not physical, occupational, sensorimotor, speech-language-communication or cognitive rehabilitation therapies. However, the lead agency must ensure day support services are coordinated with and support any therapies in the person’s CSSP.

School-age youth and adults younger than age 22

When a person’s support team or individualized education program (IEP) team plans to use a day support services provider for school-age youth and/or adults who are younger than age 22, the lead agency, school or provider must notify DHS by contacting the DSD Response Center to receive authorization.

DHS must receive the following required information:

Payment for services

The school district pays for provider services to school-age youth and adults younger than age 22 when the person is a student who has not graduated.

Day support service providers can receive payment from DHS for services provided to young adults, ages 18 to 22, when both of the following are true:

Day support services are DHS enrollment-required services. For more information, see CBSM – Waiver/AC provider enrollment and standards.

License requirement

Day support service providers must have a license under Minn. Stat. Chapter 245D as an intensive support services provider.

Reporting

Providers licensed under 245D must report all uses of controlled procedures, emergency use of manual restraint and prohibited procedures according to Minn. Stat. §245D.06, subd. 5 to DHS via the Behavioral Intervention Report Form, DHS-5148.

Background study

To provide day support services, providers must have a background study. For more information, see CBSM – Waiver/AC service provider overview – Required DHS background studies for direct-contact services.

Day support services are framework services. The lead agency uses the Rate Management System (RMS) to determine rates. For more information, see CBSM – RMS and Long-Term Services and Supports Service Rate Limits, DHS-3945 (PDF).

Day support services staff supervision and service support ratios must comply with Minn. Stat. §256B.4914, subd. 2 (f)(l)(m)(n).