The Minnesota Department of Human Services (DHS) requests public comments on a Proposed amendment to Minnesota’s Elderly Waiver Plan (PDF) before submitting the amendment to the Centers for Medicare & Medicaid Services (CMS) for approval. The comment period is from 8 a.m. July 3, 2018, to 4 p.m. August 2, 2018.
For information on how to access the full versions of Minnesota’s approved waiver plans, see Community Based Services Manual (CBSM) — How to get a copy of a federally approved waiver plan.
What this amendment does
This amendment to the Elderly waiver plan seeks federal approval to:
Add an exception to the consumer directed community supports (CDCS) budget methodology to provide up to a five percent budget enhancement for increased wages/benefits for workers if the:
How to submit a public comment
Please submit comments to AASD.Publiccomments@state.mn.us by 4 p.m., August 2, 2018. We also will accept comments by U.S. mail. Mail written comments to:
ATTN: Elderly Waiver comments
Minnesota Department of Human Services
Aging and Adult Services Division
P.O. Box 64976
St. Paul, MN 55164-0967
Federal law requires states to monitor and report trends in the numbers of people who receive cash assistance through the Temporary Assistance to Needy Families (TANF) program. Minnesota uses TANF money to fund the Minnesota Family Investment Program (MFIP).
Federal law requires states’ TANF and related federal programs to meet a 50 percent work participation rate. The "work participation rate" (WPR) measures the proportion of recipients who take part in federally defined work activities for a sufficient number of hours each week. The 50 percent rate may be adjusted by historic reductions in caseload for reasons other than eligibility changes. This is called a caseload reduction credit.
To determine the caseload reduction credit, a state must calculate the percentage change in the number of families served in the most recent Federal Fiscal Year compared to a historical base year of 2005. This percentage change must then be adjusted to take into account any policy changes implemented after 2005.
Minnesota’s caseload reduction credit calculations based on 2016 data are as follows:
Taking these policy changes into account, the estimated caseload reduction credit is 40.2 percent - (31.4 percent -13.3 percent + 1.6 percent) = 20.5 percent. This credit will be used to reduce the “target” work participation rate for Minnesota next year (federal fiscal year 2017).
Federal rule also allows a state to further reduce the target work participation rate by claiming more than the minimum required state funds for the TANF program. These funds are referred to as "excess Maintenance of Effort (MOE)." The working family tax credit and other qualified expenditures have the capacity to provide excess MOE for this purpose. The number of cases that can be served with Excess MOE, as determined by average annual spending on TANF assistance cases, can be claimed as further caseload reduction. Minnesota will claim excess MOE in order to increase the caseload reduction credit.
Citizens are invited to submit any comments on the above methodology to the DHS Office of Management and Budget by email to: firstname.lastname@example.org. Or by regular mail to this address:
Minnesota Department of Human Services
Reports and Forecasts Division
PO Box 64996
St. Paul, MN 55164-0996
Under federal law, a state can make changes to its Medicaid program through certain waiver authorities to test new ways of delivering and paying for health services. A state can also amend its Medicaid state plan. The plan is an agreement between the state and federal government about how the state will administer the Medicaid program.
Many advisory committees provide expertise and input on a regular basis to help DHS create and implement program changes. Most committees are comprised of members from outside DHS. A complete list of DHS advisory committees is online.
DHS welcomes volunteer help on an ongoing basis at Forensic Services in St. Peter.