CADI customized living providers bear the brunt of unfriendly & restrictive DHS policies 2021, 1st Special Session HF33/SF37 Chapter 7, Article 13, Sections 18, 29, 30, 43 & 64 HHS omnibus bill Effective: Various Short description More restrictions and disincentives to providing customized living (CL) to Community Access for Disability Inclusion (CADI) waiver recipients were added to statute. Summary The 2021 legislature modified CADI customized living by doing the following: •
Directing the DHS to develop and implement residential support services criteria that limit eligibility for community residential services, customized living services, and 24-hour customized living services
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Establishing a moratorium on enrolling after June 30, 2021, certain new customized living settings serving in a single-family home four or fewer participants in the Brain Injury (BI) or CADI waivers
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Clarifies that the customized living rate floor under section 256S.205 does not apply to customized living services reimbursed by CADI and BI
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Prohibiting the authorization of more than 24-hours of support in a daily unit of customized living services
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Directing DHS to establish an acuity-based input limit for service rate calculations
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Excludes CADI CL from the rate increases provided to Elderly Waiver and Alternative Care
Implications DHS continues to make the provision of customized living to the under 65 population more difficult. Taken together with the recent state transition plan tiers, the states near intransigence on exceptions to assisted living licensure, and these legislative changes, the implications are that: 1.
DHS is not supportive of CADI CL; and
2. DHS is forcing providers of CADI CL into the provision of Integrated Community Support (ICS) services, even though it is not clear if ICS works for this population Bill language Chapter 7: https://www.revisor.mn.gov/laws/2021/1/Session+Law/Chapter/7/ Sec. 18. Minnesota Statutes 2020, section 256B.092, is amended by adding a subdivision to read:
CARE PROVIDERS OF MINNESOTA
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2021 LEGISLATIVE UPDATE BOOK
