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HCBS lead agency review

DHS initiated the Lead Agency Review of Home and Community Based Service (HCBS) programs in 2006 and has, to date, completed two full rounds of reviews for each lead agency (counties and tribes) that administers HCBS waiver programs. It examines all five Medicaid waiver programs and the Alternative Care Program in each lead agency.

Information collected during 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
  • survey of providers

Performance measures and operational indicators are shared during the HCBS Lead Agency Review site visit. This data allows 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. Per the Person-Centered, Informed Choice, and Transition Protocol, lead agencies must provide people with increased choices and opportunities for community inclusion. For site visits beginning in July 2016, the review of these items is intended to be constructive and educational in nature. The remediation process will begin in April 2017. See DHS Bulletin #16-56-03 Lead Agency Requirements for Person-Centered Principles and Practices – Part 3 for additional information.

Once the final analysis is complete, a customized report is prepared for each lead agency. Both this report and the lead agency’s corrective action plan (if applicable) are made public. Reports and corrective action plans are available for the following reviews: 

Additional information is on the project website.

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