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Disability waivers rate system

The Disability Waivers Rate System moved to a more centralized mode of operation on Jan. 1, 2014. Please see Rates Management System in the Community-Based Services Manual for current information. DHS will continue to update this page in addition to the policy manual.

Disability Waiver Rate System exceptions research

DHS is conducting research on disability waiver rate setting rate exceptions requests. This study will look at the impact of rate exceptions within the Disability Waiver Rate System.

This analysis is a requirement of Minn. Stat. §256B.4914. Results of this analysis will be available in a legislative report in January 2016.

For more information, see Disability Waiver Rate System exceptions research.

Background

In 2007, the Centers for Medicare and Medicaid Services informed Minnesota that its four disability waivers were out of compliance with federal requirements for uniform rate determination methods and standards. The disability waivers are the Brain Injury (BI), Community Alternative Care (CAC), Community Alternative for Disabled Individuals (CADI) and Developmental Disabilities (DD) waivers.

In January 2014, DHS established what is now known as the Disability Waivers Rate System.

What the system accomplishes

Implementation of the system:

Transfers the responsibility of setting service rates from counties and tribes to the state. Restores compliance with federal requirements. Allows federal renewal of the Minnesota disability waivers.

Failure to comply with the federal requirements jeopardizes the services to 37,000 people who rely on disability waiver services.

What are goals of the system?

Goals of the system are to create statewide rate setting methodologies that:

Are transparent, fair and consistent across the state Comply with federal requirements for administration of waiver programs Establish rates based on a uniform process of structuring component values for service Promote quality and participant choice Recognize a person’s assessed need for particular components within each service.

How do I benefit from the system?

People benefit from increased choice of provider(s) and geographic areas where they receive services.

Lead agencies benefit from use of a Web-based rate-setting calculator and are no longer required to negotiate rates with waiver providers.

Waiver providers benefit from more predictability of rates when the needs of people who receive services increase or people live in different areas of the state and require the same services.

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