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Frequently asked questions about the new LTSS Improvement Tool

DHS recently designed a new way to gather feedback on the recipient experience with long-term services and supports in Minnesota. We based the tool on recommendations from the National Quality Forum report, Quality in Home and Community-Based Services to Support Community Living: Addressing Gaps in Performance Measurement.

New tool

DHS launched Phase I of the Long-Term Services and Supports (LTSS) Improvement Tool in fall 2017 as part of the MnCHOICES Support Plan application. Case managers and certified assessors will use it to gather feedback from older adults and people with disabilities who receive long-term services and supports. This feedback will help us standardize measurements of quality and outcomes for HCBS recipients.

The LTSS Improvement Tool is an essential part of quality oversight for DHS and lead agencies. We will use the information for some required reporting, but the real value is in allowing us to measure how well our services help achieve outcomes that are important to people. Case managers can use the information to address service quality for people. DHS and lead agencies will be able to identify system- and program-wide opportunities to improve services.


By using the LTSS Improvement Tool, we can gather a person’s feedback annually and compare data across HCBS programs and lead agencies (counties and tribal nations) in Minnesota. DHS will integrate this evaluation data with other data produced through the assessment process, service authorization/utilization and surveys. The goal is to demonstrate changes made at the individual, organizational and programmatic level and promote person-centered services and supports.

General questions

Program-specific questions

PCA-specific questions

At this time, certified assessors are not required to complete the LTSS Improvement Tool for people who receive only state plan services (e.g., only PCA, only home care nursing, only skilled nursing visits, etc.). DHS will notify assessors when newly eligible populations should begin using the tool. When DHS implements this process, the following will be true:

Guardianship questions

Data questions

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