2021 Legislative Update

Page 49

Legislature increases rates for Elderly Waiver customized living, excludes CADI-CL 2021, 1st Special Session HF33/SF37 Chapter 7, Article 13, Sections 63–64 HHS omnibus bill Effective: This section is effective January 1, 2022, or upon federal approval, whichever is later Short description The rates and rate components for Elderly Waiver (EW) and EW customized living (CL), EW foster care, Alternative Care (AC), and Essential Community Supports (ECS) supports will be increased, on average, by an estimated 3%. A different formula is used for Community Access for Disability Inclusion (CADI) CL, which results in nominal increase. Summary In 2017, the legislature adopted a Care Providers of Minnesota proposal to blend 10% of a new payment rate methodology for certain rates used by the Elderly Waiver (EW) and EW Customized Living (CL), Community Access for Disability Inclusion (CADI) Customized Living (CL), EW foster care, Alternative Care (AC), and Essential Community Supports (ECS) programs with 90% of the existing rates on January 1, 2019. The 2021 legislature increased the blend to 18.8% of the new payment methodology and 81.2% of the 2017 rates for EW, EW-CL, AC, and ECS. As a result, beginning January 1, 2022, the service rates used will increase by an average of 3%. It is assumed that the increased will be phased in as clients are reassessed during the year. Since each service rate is calculated separately, the actual increase will differ and is not known. CADI-CL will see a nominal rate increase based on 10% of the new value and 90% of the 2017 rates. Implications EW, EW-CL, AC, and ECS providers will see an increase to the service rates used to establish the monthly payments received beginning January 1, 2022, as clients are reassessed. Bill language https://www.revisor.mn.gov/laws/2021/1/Session+Law/Chapter/7/ Sec. 63. Minnesota Statutes 2020, section 256S.21, is amended to read: 256S.21 RATE SETTING; APPLICATION. The payment methodologies in sections 256S.2101 to 256S.215 apply to elderly waiver, elderly waiver customized living, and elderly waiver foster care, and elderly waiver residential care under this CARE PROVIDERS OF MINNESOTA

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2021 LEGISLATIVE UPDATE BOOK


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m. More changes for community first services & supports (also known as PCA/CFSS

1min
page 155

l. Tribes included in supplemental service rate definition

0
pages 153-154

j. Tax conformity

0
pages 149-150

k. Medical cannabis—Smoking raw plant

1min
pages 151-152

i. Service & support animals

3min
pages 145-148

h. Mental health summary

1min
pages 143-144

g. Age-friendly Minnesota

3min
pages 139-142

f. American Indian Community-Specific Board

1min
pages 137-138

e. Ombudsperson for American Indian families

3min
pages 135-136

a. MA dental benefit added

2min
pages 125-126

d. DHS to proceed with Phase 2 of Waiver Reimagine for under 65

2min
pages 133-134

b. 90-day medication

1min
pages 127-128

c. Telemedicine for county processes

6min
pages 119-122

c. Regional quality councils for disabilities

4min
pages 129-132

b. Telehealth coverage policy

3min
pages 117-118

a. Telemedicine

1min
pages 115-116

a. Workers’ compensation

5min
pages 101-104

d. Background study fees increase for some DHS-enrolled providers

2min
pages 109-110

licensure

1min
pages 97-98

b. Workers’ Compensation Advisory Council recommendations

2min
pages 105-106

l. Technical language on HWS conversion to assisted living m. LTC ombudsman & customized living settings exempted from assisted living

3min
pages 95-96

c. Unemployment insurance

3min
pages 107-108

e. Background studies—Waivers & modifications; legislative task force

2min
pages 111-112

k. Outdoor space requirements for assisted living with dementia licenses

3min
pages 91-94

j. Eviction moratorium phaseout

3min
pages 89-90

i. Prorated rent

1min
pages 87-88

h. Residential supports customized living report

1min
pages 85-86

f. Customized living report

2min
pages 81-82

g. Study of exempt facilities

1min
pages 83-84

policies

12min
pages 63-70

e. Consumer protections for facilities exempt from assisted living licensure

12min
pages 73-80

d. Resident experience surveys in assisted living

1min
pages 71-72

a. Assisted living licensure technical changes

10min
pages 55-60

b. Background studies for licensed assisted living facilities c. CADI customized living providers bear the brunt of unfriendly & restrictive DHS

2min
pages 61-62

f. LTC assessment may be temporarily waived for HCBS waiver clients returning from a healthcare facility

2min
pages 51-52

c. Permanent nursing facility moratorium funding appropriated

4min
pages 33-36

c. Housing supports absent days d. AL facilities with 80% EW may apply for disproportionate share rate increases ...................................................................................................................................................... 45

6min
pages 43-48

e. Legislature increases rates for Elderly Waiver customized living, excludes CADI-CL

3min
pages 49-50

improvement grants b. Home health agency services & home care nursing services to receive annual

1min
pages 39-40

increases

1min
pages 41-42

a. Nursing facility MDS assessment requirements modified b. Significant change in status assessment required when therapy (and isolation)

17min
pages 19-28

ends

6min
pages 29-32

I. Session summary

8min
pages 9-16
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