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Requirements for new HCBS settings

Note: The information on this page applies only to new presumptively institutional settings under the Elderly Waiver and Alternative Care program.

Effective March 18, 2023, new adult day service, adult foster care and customized living providers must comply with all home and community-based settings standards before they enroll with Minnesota Health Care Programs.

Important: Providers cannot bill for waiver services provided in settings in or adjacent to an institution (as described in the definitions below) until approved by DHS and the federal Centers for Medicare & Medicaid Services (CMS) through the heightened-scrutiny process.

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