Exception to CDCS budget methodology for BI, CAC, CADI and DD waivers
Page posted: 10/23/12 | Page reviewed: 6/27/22 | Page updated: 6/27/22 | |
Legal authority | Laws of Minnesota 2017, chapter 6, article 1, sections 44 and 45 | ||
Background | The 2012 Minnesota Legislature created an exception to the current CDCS budget methodology. Subsequent legislatures have expanded the exception eligibility criteria to include more people: | ||
Overview | The CDCS budget exception increases individual CDCS budgets once, by 30%, for people who meet the eligibility requirements and are on one of the following waivers: | ||
Eligibility | To be eligible for the exception, the person must meet one of the following sets of requirements. Requirement set #1The person is on a disability waiver, currently uses CDCS and meets the following criteria: 1. Has a coordinated services and support plan (CSSP) that identifies their need for more CDCS services to do one of the following activities: 2. Is unable to meet those needs within their current CDCS budget. 3. Can demonstrate that they would have to stop using CDCS and start using other traditional waiver services because the supports they need for the above criteria cannot be met within their current CDCS budget. Requirement set #2The person is on a disability waiver, currently does not use CDCS and meets the following criteria: 1. Uses licensed providers for either of the following: 2. Can demonstrate that, upon choosing CDCS, their services would cost less annually than the licensed supports they currently use. Requirement set #3The person currently is not on a disability waiver and: | ||
Lead agency responsibilities | The lead agency is responsible for all parts of the CDCS budget exception process. Specifically, the lead agency must: 1. Determine if the person meets the eligibility requirements by completing CDCS Budget Exception Request Form, DHS-6633 (refer to Instructions to complete the CDCS Budget Request Application, DHS-6633C [PDF]) 2. Use DHS-6633 to both: 3. Submit the completed DHS-6633, including required documentation, to DHS using the instructions on the form if the person meets eligibility requirements 4. Enter an updated service agreement into MMIS to reflect the budget modification, and prorate the budget to be consistent with the current service agreement period 5. Update/develop CDCS Community Support Plan, DHS-6532 to reflect the budget modification: 6. Keep the completed DHS-6633 form in the person’s file. ConfirmationThe lead agency will not receive formal approval or confirmation from DHS when DHS processes the budget exception request. The lead agency is responsible to confirm DHS processed the request by verifying that the person’s new budget generated in the Waiver Management System (WMS). This happens after the next WMS download. It will be indicated by an asterisk (*) or an E* on the CDCS budget detail page. | ||
Renewal | At the time of the person’s annual reassessment, the lead agency must determine if the person continues to be eligible for the budget exception. If the person continues to be eligible, the lead agency must complete steps 1-6 in the lead agency responsibilities section. | ||
People who currently have a budget exception | For people who received the budget exception prior to July 1, 2019, the 20% exception will continue to be included in the person’s budget calculation. These people do not need to request renewal of their budget exception each span. People who currently receive the 20% budget exception but would like to receive the 30% budget exception for one or more of the listed eligibility criteria may request the budget exception by completing the CDCS Budget Exception Request Form, DHS-6633. The lead agency must request renewal of the person’s budget exception each span if the person continues to meet eligibility criteria. | ||
Additional resources | CDCS Manual – Budgets overview | ||
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