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HCBS Lead Agency Review

Minnesota Department of Human Services initiated the lead agency review of home and community-based service (HCBS) programs in 2006 and has, to date, completed three full rounds of reviews for each lead agency (county or tribal nation) that administers HCBS waiver programs. It examines all five Medicaid waiver programs and the Alternative Care Program in each lead agency.

Each multi-day site visit includes: 

  • Focus groups with lead agency case managers and assessors
  • Interviews and meetings with agency leadership
  • Review of case files

Minnesota Department of Human Services shares performance measures and operational indicators during the HCBS lead agency review site visit. These data allow lead agencies to compare themselves to other cohort agencies (PDF) of a similar size on how they meet the needs of their community. DHS reports its findings to the Center for Medicare and Medicaid Services about Minnesota's HCBS programs.

The Lead Agency Review evaluates components of person-centered planning and practices in HCBS programs. The Person-Centered, Informed Choice and Transition Protocol requires lead agencies to provide people with increased choices and opportunities for community inclusion.

Once DHS completes the final analysis, we will prepare a customized report for each lead agency. We will make both this report and the lead agency’s corrective action plan (if applicable) public. 

Reports and corrective action plans are available for the following reviews: 

Round 3 — August 2015 to November 2018 > | Round 4 Schedule >

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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