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Community-Based Services Manual (CBSM)

Community-Based Services Manual (CBSM)


Paying relatives and legally responsible individuals

Page posted: 7/1/07

Page reviewed: 5/8/23

Page updated: 5/8/23

Legal authority

Federally approved BI, CAC, CADI, DD and EW waiver plans, Minn. Stat. Ch. 245A, subd. 13, Minn. Stat §256B.0916, subd. 9, Minn. Stat. §256B.0913, Minn. Stat. §256B.0919, subd. 3, Minn. Stat. §256B.0922

Definitions

Relative: For the purposes of this page, a relative is one of the following people who is related by blood, marriage or adoption:

  • · Parent.
  • · Child.
  • · Sibling.
  • · Niece or nephew.
  • · Grandparent.
  • · Aunt or uncle.
  • Note: For information about spouses and parents of minors, refer to the spouses and parents of minors section on this page.

    Legally responsible individual: Any of the following people:

  • · Parent (biological and adoptive) of a minor child.
  • · Legal guardian, as determined by a court of law.
  • · Conservator, as determined by a court of law.
  • Note: Spouses and parents of adults are not legally responsible individuals unless court-ordered as the legal guardian or conservator.

    Professional guardian or conservator: An individual, agency, organization or business entity that provides guardianship or conservatorship services for a fee.

    Overview

    Under certain conditions described on this page, the following people may be paid to provide waiver services:

  • · Relatives.
  • · Legally responsible individuals.
  • · Non-professional guardians and conservators.
  • Allowable

    For all waiver services (including consumer directed community supports [CDCS]), relatives, non-professional legal guardians and conservators of adults may be paid to provide waiver services if they meet all of the following criteria:

  • · Related or the guardian or conservator for only one person or family of siblings (for spouses and parents of minors, refer to the section below).
  • · Not otherwise responsible to provide the care or service.
  • · Qualified to provide the service (refer to the service-specific pages for qualifications).
  • · Employed by a qualified provider to provide the service (excluding CDCS).
  • · Not enrolled as a Medical Assistance (MA) provider with Minnesota Health Care Programs (MHCP) for the service provided.
  • · Not a controlling entity of an enrolled MA provider where the guardian/conservator gains financially.
  • Services licensed under Chapter 245D

    There are certain services that require a 245D license. For those services, there are instances where a relative can have an exclusion from being licensed. For more information, refer to CBSM – Exclusions from Chapter 245D licensure.

    County certification of relatives providing adult foster care (Elderly Waiver [EW] only)

    A county may certify a person who is exempt from licensure under Minn. Stat. §245A.03, subd. 2 to provide adult foster care to a related person on EW, according to Minn. Stat. §256B.0919, subd. 3. For information about the criteria the relative must meet, refer to CBSM – Adult foster care.

    Unallowable

    The following people cannot be paid to provide waiver services:

  • · Professional guardians and conservators (all waiver services).
  • · Spouses (excluding CDCS).
  • · Parents of minors related by blood, marriage or adoption (excluding CDCS).
  • Note: For CDCS policy information about spouses and parents of minors, refer to the spouses and parents of minors section on this page.

    Relatives cannot be paid to provide:

  • · Caregiver living expenses.
  • · Case management.
  • · Individualized home supports (with family training).
  • Relatives, legally responsible individuals and non-professional guardians and conservators who are the primary caregiver cannot be paid to provide the following services when intended to provide relief or support for themselves:

  • · Chore services.
  • · Homemaker.
  • · Respite.
  • Spouses and parents of minors

    Spouses and parents of minors can only be paid to provide waiver services under the CDCS service category of personal assistance. For more information, refer to CDCS – Paying a spouse or parent of a minor for personal assistance. This limitation does not apply to county-certified EW adult foster care.

    Spouses and parents of minors cannot be paid to provide any other waiver services.

    Additional resources

    CBSM – Adult foster care
    CBSM – Exclusions from Chapter 245D licensure
    CDCS Policy Manual
    CDCS – Paying a spouse or parent of a minor for personal assistance

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