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Round 4 

(April 2019 - June 2021)

Case Files Reviewed Icon3,351

Case files reviewed

Lead agency icon44

Lead agencies visited

Case management icon1,165 

Case manager and assessor surveys completed 

Corrective Action Icon25

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

Schedule Icon


Remote review:

October: Cook | Becker | Polk

November: Yellow Medicine | Lake | Clay

December: Steele | Dodge | Waseca | Mn Prairie

January: Stearns

See Round Four Schedule >>


Lead Agency Review: COVID-19

April 6th, 2020

In response to the COVID-19 health and safety measures, the lead agency review team has modified its case file review process and will be adjusting its current tentative schedule. The team will continue to notify lead agencies 60 to 90 days prior to a visit. Please feel free to contact us with any questions or concerns.  

For further information, please read the Lead Agency Review Contingency Plan

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 3 of site visits with 90 lead agencies (87 counties and three tribes) administering Home and Community Based Services programs in November 2018, which included the review of over 6,000 case files and discussions with over 1,300 lead agency staff.

The LAR team has prepared a Round 3 summary report and refined protocols and procedures for Round 4 of lead agency reviews. LAR site visits for Round 4 began in April 2019 and are scheduled to run through March 2023. Information for Round 4 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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