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.
DHS uses this information to improve the waiver review process and inform future policy decisions.
This measure includes the percent of waiver review recommendations that county lead agencies plan to implement or have implemented.
This means that county lead agencies have found the recommendations useful in making changes in how HCBS programs are managed.
The number of waiver review recommendations implemented divided by the total number of recommendations issued.
Percent of recommendations implemented by graph
Percent of recommendations implemented by table
| Year | 2010 | 2011 | 2012 | 2013 |
| Percent of recommendations implemented | 73% | 77% | 78% | 80% |
Data source
DHS data warehouse
