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Individuals and Families
Wherever you choose to live, learn, work and play, you can thrive in the community with waivers
Waivers help people with disabilities get the services and supports they need. A new Disability Waiver Program will be easier to understand and more flexible. Rest assured, if you are on a waiver today, you will remain eligible for a waiver, as long as your situation does not change.
Minnesota’s new Disability Waiver Program
People with disabilities have shared that they want waiver services to offer real choice and be fair, flexible and easy to understand. In 2021, the Minnesota Department of Human Services (DHS) took a first step by streamlining a complex menu of waiver services into simpler categories and making them more consistent across waivers. These improvements have laid the foundation for the next stage of Waiver Reimagine: simplifying the current waiver system into one new Disability Waiver Program in Minnesota.
Features of the new program will include:
Consistent individual budgets
Simplified waivers that are easier to understand
Expansion of self-direction
Direct access to your own information online
Consistent individual budgets
In the new Disability Waiver Program, you will get a budget you can use to plan for services. Your budget is the money you can use for the waiver services you choose. It is based on your support needs, your age, and whether you choose residential services (like living in a group home) or other supports.
How budgets are determined
These individual budgets are calculated using a consistent method so people with similar needs have similar budgets, no matter what county or Tribal Nation they live in. Most important, you choose how your budget is used.
Services in the budget
Not all services are paid for through your individual budget. Some services, such as case management, crisis respite and employment services, will be paid for outside of your budget. This means they do not reduce the amount of your budget available for other services you choose.
We will share more information about budgets and what services are included in the budget when those details are available.
Budget exceptions
We designed the individual budget based on the needs of most people using the waiver system. We recognize that people have a wide range of needs. You might have higher or more complex support needs that might not fully align with the standard budget.
In these cases, you might need more services than your budget can cover. When that happens, there is a budget exception process. Note: Budget exceptions are not automatic. You will need to meet specific criteria to qualify. We will share more information about the budget exception process when those details are available.
Simplified waivers that are easier to understand
The new Disability Waiver Program will simplify the number of waivers from four diagnosis-based waivers to two waivers based on your needs and choices:
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Individual Support Waiver
Everyone who is eligible for a waiver may choose to live in their own home, or with family, and access services and supports through the Individual Support Waiver.
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Residential Support Waiver
The Residential Support Waiver is available for those who need and choose to receive services and supports as a part of a structured residential setting, such as a group home.
As long as you meet the eligibility criteria, you may move between the two waivers as your needs and preferences change.
Overall waiver eligibility rules will remain the same. If you have a waiver today, you will be eligible for a waiver in the new program as long as your situation doesn’t change. As in the past, your initial and ongoing eligibility will be determined as a part of their MnCHOICES assessment or reassessment.
The new Disability Waiver Program will not change overall eligibility rules or the overall service menu.
Expansion of self-direction
People who live at home, or with family, and choose to self-direct their services through consumer directed community supports (CDCS) will have expanded opportunities to do so. Under the new Disability Waiver Program, people who self-direct will benefit from improved budget structures that make self-direction a more practical and appealing option.
These improvements mean people can choose self-direction with greater confidence—knowing they will have more equitable resources, more flexibility, and more control over how their services support their daily life.
We are continuing to explore how people who live in a residential setting such as a group home might be able to self-direct some of their services in the future.
Direct access to your own information
As a part of the new program, we are developing a new secure, easy-to-use online portal. The portal will give you easy access to your own information. It will help you understand, manage and plan your supports.
Through this new online portal, you will be able to:
- See your assessment results.
- Find your support plan and budget.
- Access resources that explain what these details mean and how to use them.
Listening, engagement and research have shaped the new program
For close to a decade, we have been working with people, families, counties, Tribal Nations, providers and advocates to create the new Disability Waiver Program.
Answers to common questions
What are waivers?
A home and community-based waiver is a program that pays for extra help so a person may live where they want — such as at home, with family or in the community. It helps people who need a higher level of care stay safe, healthy, independent and included in community life, without having to move into a facility. For more information about home and community-based waivers, visit the Disability HUB MN.
When will the changes start?
The new launch date has not yet been determined, and we are continuing to evaluate what is required for a responsible and sustainable transition. We will share updates when we know more about the timeline for starting the new Disability Waiver Program.
Given the impact on people, families, providers, counties and Tribal Nations, we are moving forward with care.
Will disability waiver eligibility change?
No. If a person is on a waiver today, they will remain eligible for a waiver, as long as their situation does not change.
Under the new Disability Waiver Program, everyone who is eligible for a waiver may access the Individual Support Waiver, with community-inclusive options explored first. The Residential Support Waiver is available to those who need and choose residential supports. As long as you meet the eligibility criteria, you may move between the two waivers as your needs and preferences change.
Why are waivers changing?
People with disabilities, families, providers and advocates told DHS that waiver programs can feel complicated, unfair and hard to navigate. Also, research confirmed that uneven distribution of funding created inconsistencies in access to services depending on where people live.
The new Disability Waiver Program will address those needs by:
- Making waivers simpler to use and understand.
- Giving people more choice over the supports that fit their life.
- Ensuring the program is fair for everyone and everyone follows the same clear path to services, regardless of disability, county or Tribal Nation.
- Creating more flexibility so people can use supports that work best for them — including self-direction and technology.
- Building for the future by designing a system that is sustainable and adaptable to evolving needs.
What if I’m not on a waiver but think I might need one?
You can learn more about waivers and find out if you might qualify by visiting the Disability Hub MN’s Deciding if a waiver’s right for you webpage.
You also may want to request a MnCHOICES assessment to determine your eligibility.
Stay informed and share your feedback
We are committed to listening so the new program works well for everyone. Use the links below to receive ongoing updates and share your thoughts.
Sign up for ongoing updates
We will share updates as planning for the new Disability Waiver Program continues and more details become available. Enter your contact information below to sign up to receive these email updates.
Give feedback to DHS
You may provide direct feedback and comments about what you’d like DHS to address about the new waiver program. While we can’t respond to individual questions, your submissions will inform future communications, trainings and resources.
Join the Disability Hub MN Virtual Insight Panel
The Virtual Insight Panel is made up of Minnesotans with disabilities and their families and caregivers. Members of the panel volunteer to share their lived experiences and feedback to help improve communications and programs related to disability services in Minnesota.
Stay up to date with the Advisory Task Force on Waiver Reimagine
Established by the Minnesota Legislature, the Advisory Task Force on Waiver Reimagine is evaluating and providing recommendations on the initiative and ongoing work that is transforming Minnesota’s existing waiver system into the new Disability Waiver Program.