Page updated: 12/2/15

Legal authority

Federally approved BI, CAC, CADI and DD waiver plans, Minn. Stat. §256B.49, Minn. Stat. §256B.0916, Minn. Stat. §256B.092

Definitions

CCB waivers: CAC, CADI and BI waivers

Budget overview

DHS awards an annual waiver budget for each lead agency. The lead agency-waiver budget allows flexibility and local control to plan and meet assessed recipient needs for supports and services.

Lead agency budget management responsibilities include:

Specific waivers

Waiver year

The CCB Waiver budget year is July 1 through June 30. The DD Waiver budget year is Jan. 1 through Dec. 31.

Budget requirements

Assuring access

A lead agency must use 97 percent of its waiver budget if it has a waiting list. If DHS determines a lead agency did not use this amount of its budget, DHS will work with the lead agency to develop a corrective action plan to determine how to maximize its waiver budget.

When determining the need for a corrective action plan, DHS will consider the lead agency’s:

Excess use

A lead agency must manage all recipient-waiver funding within its budget. If a lead agency exceeds its waiver budget, DHS will work with the lead agency to develop a corrective action plan to control spending.

DHS may assess the excess spending and require repayment from the lead agency if both:

Waiver management system

Lead agencies use the Waiver Management System (WMS) to administer the budgets of disability waiver programs. WMS data is created through a monthly download of MMIS information. For more information, see the CBSM — Waiver Management System page.

Changes in community support plans

NOTE: For the purpose of this manual, we may also refer to the individual community support plan as the service plan, plan of care or individual service plan.

Decrease or denial of services

If DHS reduces a lead agency’s waiver funding, the lead agency may not reduce a person’s services related to the person’s health, safety and welfare.

By law, the lead agency must communicate with the recipient any time his/her services are denied, terminated, reduced or suspended.

Increase of need identified with no change in level of care

If a recipient on the CADI, CAC or BI waivers needs increase, but there is no level of care change:

For additional information on appeals, see Appeals.

Changes in county of financial responsibility

When a waiver recipient’s County of Financial Responsibility (CFR) changes, waiver funding automatically will transfer to the new CFR. The transfer amount under the DD Waiver is based on the person’s assessment, while the amount under CCB waivers is based on the person’s authorized service plan.

At the time a transfer occurs, the current CFR must close out the service agreement and the new CFR will open a service agreement. The WMS uses the service agreement to determine the CFR. It is important that the financial worker changes the recipient file in MAXIS before the new service agreement is entered.

Related CBSM policies

Tribal administration of CAC, CADI and BI Waivers
Financial Management of the Waivers — DD
Financial Management of the Waivers — CAC, CADI, BI
Waiver Program Overview