DHS partners with counties, tribes, providers, consumer groups, advocacy organizations and other partners in human services to address Minnesotans' needs.
To ensure rates accurately reflect true costs, DHS commissioned an independent research firm, Truven Health Analytics, to examine non-wage costs within the DWRS frameworks. Researchers will survey home and community-based providers in Minnesota in order to collect cost information.
DWRS rate frameworks reflect the costs to deliver services in Minnesota. Frameworks factor in things such as staff wages and program and business expenses. The purpose of the non-wage component value study is to examine non-wage costs within the DWRS frameworks.
For more information on survey participation, see Truven's webinar on Non-Wage Provider Costs in Home and Community Based Disability Waiver Services.
The legislature required DHS (Minn. Stat. §256B.4914, subd. 10c) to study the difference in waiver service costs across the state. It required DHS to include a calculation in the Disability Waiver Rate System frameworks that accounts for regional cost differences. That difference is called a “regional variance factor.”
DHS commissioned a study on cost differences across the state. The study found staff wages, which are the predominant cost in providing HCBS services, did vary significantly across the state. DHS developed regional variance factors from this data. For additional information, see the Regional Variance Factors study report (PDF).
Beginning Jan. 1, 2016, the Rates Management System will apply the regional variance factor to service frameworks automatically. DHS will integrate changes in the Rate Management System. Lead agencies will not have to change their processes. Implementation will occur on a rolling basis as service authorizations either renew or change.
The legislature also required DHS (Minn. Stat. §256B.4914, subd. 7) to implement a transportation payment framework for full-day day training and habilitation services. The full-day day training and habilitation framework in Rates Management System includes these values, as defined by statute. See the Disability Waiver Rate System frameworks page for more information on frameworks.
Beginning Jan. 1, 2016, the Rates Management System will apply the legislate transportation values to full-day day training and habilitation frameworks. DHS will integrate changes in the Rate Management System. Lead agencies will not have to change their processes. Implementation will occur on a rolling basis as service authorizations either renew or change.
DHS is conducting research on disability waiver rate-setting 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.
Implementation of the system:
Failure to comply with the federal requirements jeopardizes the services to 37,000 people who rely on disability waiver services.
Goals of the system are to create statewide rate setting methodologies that:
CBSM - Rate Management System
Disability waiver rate setting frameworks
Disability waiver rate system frequently asked questions
Personal support policy clarification
Project rate component values (PDF)
Rates Management System (RMS) User Manual
RMS User Manual quick reference guides
Regional variance factor study report (PDF)