Federally approved BI, CAC, CADI and DD waiver plans, Minn. Stat. §245D.03, Minn. R. 9544

Crisis respite: Short-term behavioral or medical intervention services to protect the person or others living with them and provide relief and support to the caregiver.

Specialized staff: Professional staff who are specially trained in crisis prevention, intervention and resolution and meet certain qualifications.

A person is eligible to receive crisis respite when both of the following are true:

Crisis respite covers the following activities:

Out-of-home crisis respite covers room and board costs when the service is provided in a foster care setting or community residential setting (CRS) licensed to provide crisis respite.

Crisis respite does not cover:

Crisis respite can be delivered through remote support. Services delivered through remote support must meet all the requirements listed on CBSM – Remote support.

Crisis respite may be provided as either:

Out-of-home crisis respite

An out-of-home crisis respite provider must provide services in one of the following settings:

Licensed hotels

The lead agency may only authorize crisis respite in a licensed hotel for children or adults for up to seven days in one of the following situations:

If the person receives crisis respite in a licensed hotel, the crisis respite provider must:

After seven days of crisis respite in a licensed hotel, the lead agency must submit documentation of continued need for crisis respite in a licensed hotel to DHS for review and approval on a weekly basis. For more information, contact the DSD Response Center.

Size limit

For adult foster care, child foster care and CRS, the total number of people who reside in a living setting cannot be more than five. This means five people not related to the principal care provider.

If a provider is licensed to provide services to fewer than five people and would like to request an increase up to five, see CBSM – Changes to the size of setting by waiver service.

Services under all waiver/AC programs must meet the requirements listed in the services section of CBSM – Waiver/AC programs overview.

The lead agency must document all of the following in the person’s support plan:

See the service amount section for additional documentation requirements.

Out-of-home crisis respite

Use of out-of-home crisis respite cannot exceed 180 days, except when the lead agency approves and authorizes the service as part of the person’s support plan.

To exceed the 180-day limit, the lead agency must ensure and document that the extension will not result in the person’s inability to return home or to an alternative home in the community.

In-home crisis respite

In-home crisis respite does not have a limit on the number of days authorized as part of the person’s support plan.

The lead agency must ensure and document that the service supports the person to remain in their home.

Crisis respite is a DHS enrollment-required service. For more information, see CBSM – Waiver/AC service provider overview.

License requirements

A crisis respite provider must have a license under Minn. Stat. Ch. 245D as an intensive support service provider.

Additional requirements

All crisis respite providers must have the specific experience, skills and qualifications required to meet the person’s behavioral and/or medical intervention needs that resulted in or contributed to the crisis situation, as identified in the person’s support plan.

The lead agency must document in the support plan the provider’s specific experience, skills and qualifications needed to meet the person’s needs.

Specialized staff

In addition to the above requirements, crisis respite specialized staff must be provided by professional staff who are specially trained in crisis prevention, intervention and resolution and either:

Reporting

A provider licensed under 245D must report all uses of controlled procedures, emergency use of manual restraint and prohibited procedures according to Minn. Stat. §245D.06, subd. 5 to DHS via the Behavioral Intervention Report Form, DHS-5148.

Background studies

To provide crisis respite, providers must have a background study. For more information, see CBSM – Waiver/AC service provider overview – Required DHS background studies for direct-contact services.

The lead agency authorizes crisis respite at the market rate. For more information, see Long-Term Services and Supports Service Rate Limits, DHS-3945 (PDF) and CBSM – Market rate services.

Authorization codes and rate limits

The lead agency uses the following codes to authorize crisis respite: