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DSD eList announcement

Date: April 9, 2024
To: Lead agencies, case managers, Medicaid Management Information System (MMIS) data entry staff and other interested parties
From: DHS Disability Services Division
Purpose: To announce an increase to the annual service limit for specialized equipment and supplies for people on the Brain Injury (BI), Community Alternative Care (CAC) and Community Access for Disability Inclusion (CADI) waivers
Effective: Jan. 1, 2024
Contact: dhs.ccarates@state.mn.us

Increased limit to specialized equipment and supplies

DHS increased the annual dollar limit for specialized equipment and supplies from $3,909 to $10,000 per waiver year. This change applies to BI, CAC and CADI waiver service agreements that begin or renew on or after Jan. 1, 2024.

We made this change due to 2023 legislative changes and recently approved waiver amendments.

Implementation instructions

Lead agencies may implement this change when they complete a BI, CAC or CADI assessment or reassessment with an effective date on or after Jan. 1, 2024.

A lead agency must authorize specialized equipment and supplies within the applicable limits:

· The waiver span begins or renews on or after Jan. 1, 2024, and the service agreement has an effective date on or after Jan. 1, 2024: Combined lines cannot exceed the $10,000 limit within the last 365 days, based on the service agreement end date.

· The waiver span begins or renews before Jan. 1, 2024, and the service agreement has an effective date before Jan. 1, 2024: Combined lines cannot exceed the $3,909 limit within the last 365 days, based on the service agreement end date.

MMIS will post exception code 284 (i.e., service over cap) if the lead agency:

· Attempts to exceed the applicable limit.

· Has specialized equipment and supplies on multiple line items within the same service agreement that includes dates before and after Jan. 1, 2024.

To resolve the exception code, lead agencies must revise the affected authorization.