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Round 4 

(April 2019 - August 2023)

Case Files Reviewed Icon6,851

Case files reviewed

Lead agency icon90

Lead agencies visited

Case management icon2,359 

Case manager and assessor surveys completed 

Corrective Action Icon45

Lead agencies issued a corrective action for needs identified in the assessment not being addressed in the support plan.  

Schedule Icon


Remote review:

February: No scheduled review(s) 

March: No scheduled review(s) 

April: No scheduled review(s) 

May: Isanti County


Lead Agency Review 


Round 5 of Lead Agency Reviews will begin in May of 2024, the round 5 schedule by year has been released. DHS will notify lead agencies 60-90 days prior to their scheduled review. Please feel free to contact us with any questions or concerns. 

See Round Five Schedule >>

What is HCBS Lead Agency Review

The purpose of the HCBS Lead Agency Review website is to share information about the lead agency review process, including case file review and site visit protocols as well as our findings with lead agencies.

The Lead Agency Review (LAR) Team completed Round 4 of site visits with 90 lead agencies (87 counties and three tribes) administering Home and Community Based Services programs in August 2023, which included the review of over 6,800 case files and discussions with over 2,300 lead agency staff.

The LAR team has prepared a Round 4 summary report and refined protocols and procedures for Round 5 of lead agency reviews. LAR site visits for Round 5 begin in Spring 2024 and are scheduled to run through the end of 2027. Information for Round 5 is available under the "Processes and protocols" tab above. 

Protocols and Review Elements >>   Lead Agency Final Reports >>

A project of the Minnesota Department of Human Services

The Minnesota Home and Community Bases Services Waiver Review website was developed to be a resource center where local agencies can access tools, resources, and promising practices in the administration of aging and disability home and community-based services. The HCBS Waiver Review website was developed and is maintained by the Minnesota Department of Human Services.

The Minnesota Department of Human Services makes every effort to have its websites meet all State of Minnesota standards. To report a problem or concern with a webpage, contact the lead agency review team at

For accessible formats of this information, write to You can also contact us using your preferred relay service.

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