Minn. Stat. §252.282, subd. 1-4

ICF/DD downsizing: Permanent reduction in the licensed capacity of an ICF/DD.

The host county where the ICF/DD is located leads the downsizing process. Counties review current local system needs plans (LSNPs) to determine if the county supports the downsizing of the ICF/DD and decertification of the ICF/DD beds.

Counties base the decision to support or not to support downsizing of the ICF/DD on the following:

ICF/DDs need to work in cooperation with the host county and the county of financial responsibility (CFR) case managers to support the identified choices of each person currently living in the ICF/DD.

If host counties support the downsizing, submit the following to DHS:

Host counties retain rights to keep ICF/DD bed allocations and move them to a different ICF/DD.

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

DHS staff review documentation received. DHS bases decisions on the following:

DHS approves the request, denies the request or asks for additional information. Once DHS determines a final decision, DHS notifies host counties in writing. Upon DHS approval, host counties provide copies of the plan to ICF/DDs. Counties may then move forward with plans as written and approved by DHS.

Submit changes and/or revisions to approved plans to DHS. This includes changes in approved dates or timelines. DHS must approve or disapprove all changes. Only then can counties and ICFs implement changes.

DHS notifies the Department of Health and DHS Licensing about bed decertifications and downsizing activities.