Health Care


Case Management Update - October 2018

Key Highlights in this topic/WORKGROUP for the PREVIOUS month:

The case management initial design team had its last meeting on Monday, September 24th. It was an all-day meeting focusing on some last issues related to a final service design.  A draft of the service design is currently being finalized and shared with design team member for final comments. That draft will subsequently got to the Case Management Redesign Leadership Alignment Team at the end of October for final review. Following that, the draft design will be shared broadly across Minnesota to gather statewide stakeholder input. County reps who are on this committee have been invited to the fiscal committee meetings so we can continue to follow up on the work that Navigant is doing and ensure county participation.  That group met in October with the following information to share:

  • Navigant (our financial contractor) is completing its preliminary analysis of the three counties (Sibley, Dakota, Carlton).
  • The Finance Team has regrouped, with essentially all of the former Policy Team being added into it. The addition of the Policy folks is to better equip the Finance Team to begin working through the upcoming unit and rate methodology discussions.
  • The first step is to study a Decision Map so that we are more able to evaluate options. 
  • The Finance Team discussed again that the only item that the feds are REQUIRING us to fix at this time is that Minnesota permits each county to set rates for any case management providers that they contract with, and set the rates in any manner at all without statewide consistency. Making things more consistent across different types of case management at this point is a state initiative rather than driven by federal concerns.


 Requested Actions needed from MACSSA in the next month:

None at this time. We will work on have a session at an upcoming MACSSA meeting to inform the group on design work.



The design work has wrapped up, but finance work will continue.


Issues/Concerns regarding this topic this month:

As noted previously, we should be paying attention to the fiscal workgroup and potential implications for rate changes for counties.  The work of the design team seems to be in line with what we have previously agreed to. 


Legislative Impacts:

Too soon to know if there are legislative topics for the 2019 session


Bulletins, Publications, or supporting materials to be included with this update: (Please attach to the email sent with this report.)



Stacy Hennen and Mike Herzing

© Minnesota Association of County Social Service Administrators

125 Charles Avenue, St. Paul, MN 55103

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