Long Term Services & Supports Update - December 2018

Key Highlights This Month:  

Case Management Redesign – Lisa Carveau and Jennifer Blanchard, DHS


TCM, Waiver case management and Rule 185

Create a planning infrastructure to support a long-term collective approach to case management redesign, solidify a universal definition of case management and core set of activities, document the current county and state finances, ensure community and civic engagement.

Vision for CM – services are simple, flexible, person-centered, culturally responsive, universally available to those who qualify for them, and are effective in assisting people and families to access formal and informal supports.

 Training for Disability Wavier and DD Services Case Managers – Lori Dablow, DHS

The department is interested in feedback regarding the training that is being provided. Lori is responsible for the RSS, training and policy.  Training planned for  2019 is in this document, titled SPP LC 2018 Topics.  The document outlines the trainings that were provided via the Support Planning Professionals Learning Community.

The department is interested in discussions about OBRA and has a meeting with Hennepin County and St. Louis County will attend to discuss the process and how confusing it is.  This will hopefully lead to changes in this area to simplify process.

 Waiver Reimagine Project – Colin Stemper and Meghan Lindblom, DHS


What has been learned is most states use individual budgets.  The project team has looked at other states what has worked and what has not.  The recommendation is to consider legislation for 2019 to simplify the service menu (slide 9) – but this would not be implemented until after the banding period for rates is completed.  Banding will end December 31, 2019 unless CMS adds an additional year as providers have been requesting via legislation.   The report will include new levels of support.  At this point, the levels only address level of need for adults.  They do not address budgets or levles for children – if this goes forward children and how this works with MnCHOICES 2.0 will need to be addressed. 

Proposed timeline:

  • 2019 - 2020:
    • Service alignment between waivers
    • Continued stakeholder engagement
    • Policy development and systems adaptation
    • Recalibrate individual budgeting model
  • 2021 - 2022:
    • Legislative approval of reconfiguration & individual budgeting model
    • Federal approval

Elderly waiverPDF: MN 2030 the Future of the Elderly Waiver

Requested Actions Needed From MACSSA:  

New Trends in This Area:  

Issues/Concerns Regarding This Topic:  

Legislative Impacts:  

Supporting Materials:  See above links in text.

Contact(s):  Deb Sjostrom, Paul Bukovich

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