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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.

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:

  1. Transfers the responsibility of setting service rates from counties and tribes to the state.
  2. Restores compliance with federal requirements.
  3. 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.

Project documents

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


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