Federally approved BI, CADI, DD and EW waiver plans, Minn. Stat. §256B.0913, Minn. Stat. §256B.0922, Minn. Stat. Chapter 245A, Minn. R. 9555.9600 to 9555.9730

Adult day services: Individualized program of activities designed to meet the assessed health and social needs of a person age 18 older outside of their residence during the day. Adult day services includes the delivery of supervision, care, assistance, training and activities directed toward achieving specific outcomes, as identified in the person’s support plan.

If a person receives family adult day services, see CBSM – Family adult day services for policy information.

Adult day services must provide the supports necessary either to maintain or improve a person’s ability to care for themselves. Adult day services cover:

Activities

Activities must:

Adult day services do not cover:

The limitations in this section do not apply to adult day services funded by Alternative Care (AC), Essential Community Supports (ECS) or the Elderly Waiver (EW).

BI, CADI and DD only

The policy in this section is effective Jan. 11, 2021. We sent an eList announcement on Jan. 22, 2021, to announce this policy. For background information about this policy change, see DHS – HCBS settings transition plan.

New authorizations

A new authorization refers to an authorization for a person who has not received adult day services prior to Jan. 11, 2021.

New authorizations for adult day services on or after Jan. 11, 2021, may only occur when all of the following criteria are met:

Existing authorizations

People who received adult day services prior to Jan. 11, 2021, regardless of age, may continue to use adult day services if all of the following criteria are met:

These location requirements do not apply to adult day services funded by AC, ECS or EW.

BI, CADI and DD only

The following location requirements apply to new adult day settings established on or after July 1, 2019, for Brain Injury (BI), Community Access for Disability Inclusion (CADI) and Developmental Disabilities (DD) waivers.

Setting connected to an institution

The lead agency cannot authorize adult day services when the adult day 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:

Service amount

A person cannot receive adult day services for more than 12 hours in one 24-hour period.

AC and EW only

Under AC and EW, a person must receive adult day services for two or more hours per day, for one or more days per week, on a regularly scheduled basis.

Meals and snacks

Among other legislative requirements, the adult day services provider must offer a mid-morning and mid-afternoon snack. If a person receives adult day services for more than four and a half hours, the provider also must serve the person a meal.

Adult day services are DHS enrollment-required services.

License requirements

An adult day services provider must have an adult day services license under Minn. R. 9555.9600 to 9555.9730 and Minn. Stat. Chapter 245A.

Eligible providers

AC, ECS and EW

Under AC, ECS and EW, the following providers may provide adult day services:

Exemption (AC, ECS and EW only)

Under AC, ECS and EW, a nursing facility, hospital or boarding care setting that serves five or fewer people who are not residents or patients in the setting may deliver adult day services under its facility license. The provider is not required to obtain an adult day services license (Minn. R. 9555.9610, subp. 2). Providers that meet this adult day license exemption must comply with federal home and community-based (HCBS) settings requirements, as outlined in the HCBS Applicant Assurance Statement, DHS-7618 (PDF).

BI, CADI and DD

Under the BI, CADI and DD waivers, the following providers may provide adult day services:

Background study

To provide adult day 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.

Meals

When the provider serves a meal, the meal must meet the following requirements:

Below is program-specific information about authorization, rates and billing for adult day services. For more information, see Long-Term Services and Supports (LTSS) Service Rate Limits, DHS-3945 (PDF).

AC, ECS and EW

Under AC, ECS and EW, the lead agency authorizes adult day services at the state-established, 15-minute rate.

BI, CADI and DD

Under the BI, CADI and DD waivers, adult day services are framework services. The lead agency uses the Rate Management System (RMS) to determine rates. For more information, see CBSM – RMS.

The lead agency may authorize adult day services at a daily or 15-minute rate.

Exception for BI, CADI and DD

On a day when the person receives an adult day services bath, the lead agency must authorize adult day services using the 15-minute rate.

For a list of licensed adult day services providers in Minnesota, see DHS licensing information lookup or MinnesotaHelp.info.

CBSM – Adult day services bath
CBSM – Waiver, AC and ECS general process and procedures
CBSM – Briefcase resource document: Transportation and day and employment services
CBSM – Family adult day services
CBSM – Rate methodologies for AC, ECS and EW service authorization
CBSM – Waiver/AC service provider overview
RMS User Manual