Minn. Stat. §252.282

Before a host county or county of financial responsibility (CFR) submits an Application for Changes to an ICF/DD, DHS-4677H (PDF) to DHS, it must complete the activities described on this page.

For more information on the process and procedures to close, relocate or downsize an intermediate care facility for persons with developmental disabilities (ICF/DD), refer to:

When the host county wants to propose a closure, downsizing or relocation of an ICF/DD, the host county must:

1. Contact each county of financial responsibility (CFR) to:

2. Ensure the proposal aligns with the host county’s current local system needs plan (LSNP) and ICF/DD current and future capacity needs.

3. Send a letter to all involved people who receive services, their families (and/or legal guardians) and case managers that includes information about:

4. Coordinate alternative services with the CFR case manager for people affected by the change.

5. Hold an informational meeting with each person and their family and/or legal guardian to answer their questions and concerns.

6. Coordinate a request for proposals (if needed) to develop new services in the host county.

7. Determine a timeline for the development of new services.

8. Coordinate waiver service development in the host county, as needed.

9. Ask its county moratorium liaison to submit Request to Close or Develop New Corporate Foster Care and Community Residential Settings, DHS-6021 if there is a recommendation for new corporate foster care development(s).

10. Discuss proposed changes with the ICF/DD and document if the ICF/DD agrees with the plan on Application for Changes to an ICF/DD, DHS-4677H (PDF).

11. Submit Application for Changes to an ICF/DD, DHS-4677H (PDF) by fax to the number listed on the form.

12. Complete Local System Needs Plan Amendment, DHS-4677C (PDF) and submit it using the submit button on the form.

After DHS makes a decision to approve or deny the proposal, the host county must:

1. Notify people who receive services, their families (and/or legal guardians) and both host county and CFR case managers of DHS’ approval or denial of the plan (and timeframes, if approved).

2. Coordinate planning activity with the DHS Licensing Division (651-296-3971) and Minnesota Department of Health (651-201-4121) if approved.

When the CFR receives notification from the host county of a closure, downsizing or relocation proposal, the CFR must:

1. Determine the living arrangement preferred by each person and their family (and/or legal guardian) by:

2. Notify the DHS Public Guardianship Office if the person is subject to public guardianship.

3. Coordinate the following services: