Minn. Stat. §252.282, subd. 1-4

ICF/DD closures: Decertification of all licensed beds in an existing certified/licensed intermediate care facility for persons with developmental disabilities (ICF/DD) that results in permanent closure of the facility.

Counties in which ICFs/DD are located play lead roles in the closure process. To ensure orderly closures, follow the process and procedures found in the county guidelines for ICF/DD closures.

Counties review the current local system needs plan and determine level of support for the closure of ICFs/DD and decertification of the ICF/DD beds. Counties base decisions to support or not support closure on the following:

Counties retain the right to recommend movement of the beds to an alternative site using the relocation process. DHS must approve.

ICFs/DD need to work in cooperation with the host county and case managers from the county of financial responsibility (CFR) to support the identified choices of each person currently living in the ICF/DD. Provide proper notification and timely information to people involved. Once a closure contract is signed, an ICF/DD cannot admit people to the facility.

Counties need to ensure they follow the closure plan checklist guidelines. If counties support the closure, they submit the following to DHS:

For information about the process, refer to ICF/DD Manual – Lead agency process to close relocate or downsize an ICF/DD.

DHS reviews documentation and bases decisions on the following:

DHS approves the request, denies the request or asks for additional information. Once DHS makes a final decision, DHS notifies host counties in writing. Upon approval, host counties provide a copy of the plan to ICFs/DD. Counties may then move forward with the plan as written and approved.

Submit changes and/or revisions to the approved plan to DHS. This includes changes in dates or timelines. DHS must approve or deny any changes. Only then can ICFs implement changes to the plan.

DHS notifies the Minnesota Department of Health and DHS Licensing Division about bed decertification and downsizing activities.