LTSS Update - March 2018

Key Highlights This Month:  

Employment and DTH Updates. See this link for a full update. Attachments referenced in the report are:
Employment Facilitated Agenda
Employment Supported Funding Examples
VRS Employment Extended Color Ad
County Employment Targets

Case Management Training– Dagny Norenberg and Lauren Germscheid, DHS – DSD (PPT handout). Support Planning Professionals Learning Community monthly webinar. Using person Centered practice in Support Planning – in person training. Person centered support planning jump start planning with 8 simple elements – Workshop

In development:

  • Creating Meaningful Person-Centered Outcomes
  • HCBS Waiver Foundations

Information gathering was completed in to determine what was needed within the survey with various internal and external stakeholders.

2/2 – 2/17 Survey.  There were 1042 respondents – purpose: for caw managers and care coordinators to prioritize training topics core to their work.

Slides review – areas for training critical to their work (% of respondents that indicated training in this area is “critical to their work” need)

Dagny and Lauren are attending regional meetings with RRS to understand the details behind the survey results.  Feedback will be used to determine our next steps in developing case manager training.

Data – top take aways:

  • Create a tiered approach to training (including a repeatable resource) ex – high level tier 1 followed by a more intensive/detail level tier 2
  • Repeatable resource – online training resource
  • Specific training – ex CADI only
  • Plain language references for the people being served – ex service description for people served

 Communities of Practice – Andrew Johnson, DHS – DSD RRS (PPT presentation)

What they are and how they can add value to my organization

  • A group of people with shared interests that come together to do something better
  • The group typically has regular meetings and interactions.

Adding value, not just time

  • Peer consultation
  • Person centered skill development
  • Resource sharing
  • Relationship building

Lead Agencies’ Commitment:

  • Participation and engagement
  • Committed champion and emerging leaders
  • This will be “your” Community of Practice to plan and make your own

Community of Practice intent is to be done on a regional basis with facilitation/assistance by RRS’s.  This could be done at the regional meetings with RRS staff that are currently occurring.

 Toolkit for Lead Agency Supervisors – Lesli Kerkhoff and Lori Lippert, DHS – SDS. Training, assisting, helping lead agencies – especially related to Person Centered Practice. (Draft Handout – Person-Centered Planning Resources)

 MnCHOICES – County of Residence Re-Assessment Update – Lori Miller, DHS – DSD. COR – and covering cost of service if reassessment isn’t completed – Lori’s ask is for discussion on how to manage. Informed it was stated at the reassessment workgroup by DHS that the COR would be financially responsible. Lori cannot confirm this. No statutory language.  This would be policy.

List for reassessment from DHS – reference in CBSM for the process.  St. Louis and Hennepin tried a “pilot” to see how a process would work – sample size was 14 and the process worked well. Could there be an exception process for situations where the person is not on any of the lists? Continued concern about counties understanding when the change to the COR occurs. 

 Please review the information in the CBSM if you are not familiar with how this process is to work. There is a requirement for two-way communication CFR and COR.


 Adult Protection/MAARC Update – Barb Christenson, DHS

APS Dashboard update (PPT – MN Adult Abuse Reporting Center)

MAARC Trends – slide data here

APS Dashboard:


 Elder abuse workgroup (Governor convened via AARP) due to the backlog of cases at MDH -OHFC. Report has been submitted to the Governor – with recommendations. Kari will have the link to the report sent out.

Lead Investigative Agencies -  generally - depending on what may move forward in the legislative session from the workgroup recommendations – there is the potential for increased workload for LIAs.  Specifically related to data sharing with family/persons with relationships/etc.

(PPT Employment Services Status Update). Updated status of the new employment services and timeline for their implementation.

  • Employment Exploration
  • Employment Development
  • Employment Support

Separate community based employment from DT&H, replace Supported Employment Services with Development and Support, Exploration allows for experiences to strengthen informed choice.

Waiting for final CMS approval

  • July 1, 2018 – participants begin transition to employment services at their annual review
  • July 1, 2019 – by this date all have transitioned to new employment services.

 Lead agency training

  • Release CBSM Pages on the services
  • Release “service planning tools” to help in transitioning
  • Hold joint information sessions with DHS, Lead Agencies and service providers.  Would also like to have DRS and Schools – looking at May RRS Regional meetings
  • Regional webinars on how to use and authorize services
  • Release training modules – CM training

 Transition activities for participants and families’ communication

  • Send general employment information
  • Send DT&H/SES participants notice information them of employment service changes
  • Updated Disability HUBMN

 Transition activities for service providers

  • Provide guidance and information on enrolling for the new employment services
  • Guidance on how to “demonstrate staff competency” in service delivery
  • Train and equip provider call center and billing labs

 Impact on Lead Agency budgets and provider revenue – the fiscal note for the bill included a slight increase to provide the new services. 

Draft tool for looking at how the services will impact the person’s budget.

  •  Licensing – licensure will cover all three services and fees will be similar to current costs.
  • Enrollment – all current SES will be automatically enrolled.

 Training to Case Managers

Ask of lead agencies to designate a primary contact for employment.

Requested Actions Needed From MACSSA:  

MACSSA Members to consider options for how the cost of service could be managed if/when a MnCHOICES reassessment is not completed timely by the County of Residence.

 New Trends in This Area:  

Issues/Concerns Regarding This Topic:  

Legislative Impacts:  

Supporting Materials:  

Communities of Practice – PPT

Employment Services – CSWG Employment Section PPT

Tool Kit for Supervisors – Person Centered Practice


  • Edler Abuse Report Final 2018


Deb Sjostrom/Paul Bukovich

Louella Kauffer, Andrea Zuber, Beth Price

© Minnesota Association of County Social Service Administrators

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