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Continuing Care performance report

Measure: Percent of Waiver Review Follow-up recommendations implemented by county lead agencies.

In 2006, Continuing Care Administration began waiver reviews of the home and community-based service managed by Minnesota's county lead agencies. These reviews monitor compliance with state and federal waiver requirements. They improve the quality of services and identify successful practices that result in positive outcomes for HCBS consumers. In 2008, follow-up reviews began.

DHS conducts a waiver review survey as part of the follow-up process. This is done through a survey and follow-up discussion. As part of the survey, DHS receives feedbacks on which recommendations or written suggestions were implemented, which were helpful, and what barriers were run into that prevented a recommendation from being useful. Although the recommendations are not mandatory, DHS requests feedback on how the changes affected practices for lead agencies.

Why this measure is important?

DHS uses this information to improve the waiver review process and inform future policy decisions.

What is included in the measure?

This measure includes the percent of waiver review recommendations that county lead agencies plan to implement or have implemented.

What does it mean?

This means that county lead agencies have found the recommendations useful in making changes in how HCBS programs are managed.

How is it calculated?

The number of waiver review recommendations implemented divided by the total number of recommendations issued.

Percent of recommendations implemented by graph

Graph of percent of follow-up recommendations that were implemented

Percent of recommendations implemented by table

Year 2010 2011 2012 2013
Percent of recommendations implemented 73% 77% 78% 80%

Data source

DHS data warehouse

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