Overview
The landscape of long-term care for seniors is evolving, with a growing emphasis on home and community-based services. Among these vital programs, the Alternative Care (AC) Program and the Elderly Waiver (EW) stand out as crucial resources. These initiatives are designed to support individuals aged 65 and older who require a level of care comparable to that provided in a nursing home, yet desire to live independently within their communities. The core mission of both the AC and EW programs is to empower seniors to maintain their independence and community connections by offering a range of services and supports tailored to their unique needs and preferences. This approach can effectively delay or even prevent the need for nursing facility care, fostering a higher quality of life for elderly individuals. Specifically, the Elderly Waiver (EW) program expands upon the foundational services available through Medical Assistance (MA), providing a more comprehensive support system.
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The Elderly Waiver (EW) program is a federally-funded Medicaid waiver program. It is specifically for seniors aged 65 and over who are eligible for Medical Assistance (MA), require nursing home level care, and choose community living. Participants in the EW program can access both waiver services and standard MA services through a Managed Care Organization (MCO), such as Minnesota Senior Care Plus (MSC+) or Minnesota Senior Health Options (MSHO).
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The Alternative Care (AC) program, in contrast, is a state-funded program. It offers a more focused set of home and community-based services. It is designed for seniors aged 65 and older who, while not eligible for MA due to financial reasons, still meet specific AC financial and service eligibility criteria and require nursing home level care. The AC program serves as a crucial safety net for individuals with limited income and assets who are approaching MA eligibility but need immediate support to avoid or delay nursing home placement.
Assessments for the Alternative Care Program and Elderly Waiver
Anyone, whether it’s the individual themselves or someone on their behalf, can request an assessment to determine eligibility for these programs. This process begins by contacting the local lead agency (further detailed in the ‘Lead Agency’ section). The lead agency plays a pivotal role in determining program eligibility. It’s important to note that the EW and AC programs have distinct application processes, financial eligibility requirements, and lists of covered services. Understanding these differences is key to accessing the right program for individual needs.
Eligible Members for Alternative Care and Elderly Waiver Programs
To be considered eligible for either the Elderly Waiver (EW) or the Alternative Care (AC) program, all applicants must first satisfy the service eligibility criteria specific to the Home and Community-Based Services (HCBS) program they are applying for. For a detailed understanding of Medical Assistance (MA) and its eligibility requirements, please consult the MHCP Provider Manual and the Programs and Services section.
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Elderly Waiver (EW) Eligibility: In addition to the general HCBS service eligibility criteria, applicants for the EW program must also be fully eligible for Medical Assistance (MA).
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Alternative Care (AC) Eligibility: For the Alternative Care Program, applicants should demonstrate that they would become financially eligible for MA within 135 days of requiring nursing facility placement. This financial eligibility determination is made by a case manager, ensuring that the AC program effectively supports those transitioning towards Medicaid eligibility.
Roles of Agencies and Professionals in Alternative Care and Elderly Waiver
Lead Agency Responsibilities
Lead agencies, which are crucial for both the Elderly Waiver (EW) and Alternative Care (AC) programs, are typically human services or social service agencies at the county or tribal level. For the EW program, Managed Care Organizations (MCOs), also known as health plans, can also serve as lead agencies. A core function of these agencies is to determine financial eligibility for Elderly Waiver services. Lead agency staff are also responsible for conducting asset assessments when needed to establish financial eligibility for both AC and EW programs.
The responsibilities of lead agencies are multifaceted and include:
Long-Term Care Consultation: Lead agencies provide essential Long-Term Care Consultation (LTCC) services, which encompass:
- A comprehensive assessment of the healthcare needs of the MHCP member.
- Guidance and support throughout the program application process.
- The development of a personalized community support plan.
Case Management: Individuals approved for either the EW or AC program are assigned a dedicated case manager or care coordinator. This professional, who may be a public health nurse, registered nurse, or social worker, plays a vital role in:
- Facilitating access to and navigation of social, health, educational, community, and natural support systems and services.
- Ensuring services align with the individual’s values, strengths, goals, and needs.
- Providing the necessary information for the person to make informed decisions about their care.
For a complete understanding of case management responsibilities, refer to the Community-Based Services Manual (CBSM).
Program Access and Administration: Lead agencies are also responsible for the overall program access and administration, including:
- Collaborating with the Department of Human Services (DHS) and other organizations to disseminate information and provide assistance to individuals seeking HCBS services.
- Managing case management or care coordination services, which involves:
- Assessing eligibility for the programs.
- Creating and implementing support plans.
- Helping individuals access, coordinate, and evaluate available services.
- Informing individuals about the option to self-direct their services.
- Generating additional copies of provider service authorization (SA) letters when needed.
- Inputting member enrollment data and service authorization details into the DHS Medicaid Management Information System (MMIS).
- Authorizing and monitoring services to ensure health and safety.
- Regularly monitoring the efficiency, consumer satisfaction, and continued eligibility of individual services, making necessary adjustments.
- Overseeing provider performance and service quality.
- Ensuring all providers meet state standards, have signed provider agreements with DHS, and fulfill provider qualifications, especially when the lead agency itself is a service provider.
- Verifying provider compliance with DHS requirements when opting to approve non-enrolled providers for EW and AC services (refer to CBSM –Lead agency oversight of waiver/AC approval-option service vendors).
- Authorizing funds for all HCBS services for MHCP-eligible individuals.
Notice of Action: Lead agencies are legally required to provide written notification to MHCP members at least 10 days before any service denial, termination, reduction, or suspension. County and tribal lead agencies use specific forms for this purpose: the Notice of Action (Assessments and Reassessments) (DHS-2828A) (PDF) and Notice of Action (Service Plan) (DHS-2828B) (PDF). MCOs utilize their own notification forms and processes.
Informed Choice: Lead agencies are committed to ensuring informed decision-making by:
- Providing individuals seeking EW or AC services with all necessary information to make informed choices about available and eligible services.
- Informing individuals and their legal representatives about the option of home and community-based supports as an alternative when institutional care (like a hospital or nursing home) might be considered necessary.
- Taking all reasonable steps to present information in an understandable format and offering a choice of service providers for all services.
Lead Agency Case Managers in Alternative Care
Lead agency case managers play a specific role in the Alternative Care program by determining financial eligibility for service payments.
Eligible Providers for Alternative Care and Elderly Waiver Programs
Providers who are interested in offering services and receiving MHCP payment for both Elderly Waiver (EW) and Alternative Care (AC) programs must officially enroll with MHCP and meet specific provider standards. To begin the enrollment process with MHCP for waiver or AC program services, detailed instructions are available in the Home and Community-Based Services (HCBS) Programs Provider Enrollment section.
Providers are also responsible for determining which specific program services they are qualified to provide. Detailed provider qualifications can be found within each service description in this manual. The HCBS Programs Service Request Form (DHS-6638) (PDF) also provides a comprehensive list of qualifications.
Some waiver services necessitate specific credentials, such as:
- License(s) from DHS or the Minnesota Department of Health (MDH).
- Medicare certification.
- Other forms of certification or registration.
For further clarification on provider eligibility and qualifications, you can reach out to:
- The lead agency in your service area.
- DHS Licensing at 651-431-6500.
- Minnesota Department of Health at 651-201-5000 for general inquiries.
Covered Services Under Alternative Care and Elderly Waiver Programs
For each service listed, selecting the provided link will direct you to the Community Based Services Manual (CBSM) policy page. This resource offers comprehensive information including legal references, service descriptions, details on covered and non-covered services (where applicable), and provider standards and qualifications. For services without a direct link to the CBSM, service descriptions, billing codes, and provider standards are available in the sections following this table.
| ### Service | ### EW | ### AC |
|---|---|---|
| Adult companion services | X | X |
| Adult day services | X | X |
| Adult day services bath | X | X |
| Adult foster care | X | |
| All MA covered services | X | |
| Case management | X | X |
| Case management aide (Paraprofessional) | X | X |
| Chore services | X | X |
| Consumer Directed Community Supports (CDCS) | X | X |
| Conversion case management | X | |
| Customized living | X | |
| Environmental accessibility adaptations | X | X |
| Family adult day services | X | X |
| Family caregiver services 2. · Caregiver counseling 3. · Caregiver training | X | X |
| Home care – extended services HHA, home care nursing, PCA | X | X |
| Home-delivered meals | X | X |
| Homemaker | X | X |
| Individual community living supports (ICLS) | X | X |
| EW and AC transportation | X | X |
| Nutrition services | X | |
| Respite care | X | X |
| RN supervision of PCA | X | |
| Specialized equipment and supplies | X | X |
| Tele-homecare | X | X |
| Transitional services – EW Program Only | X |
Note: “X” indicates the service is covered under the respective program (EW or AC).
These listed services and requirements are intended as minimum guidelines. Lead agencies have the discretion to provide additional services within the scope of the programs. For more detailed information, please refer to the Community-Based Services Manual (CBSM).
Extended Home Care Services – Elderly Waiver (EW) Program Only
| ### Service and HCPCS | ### EW |
|---|---|
| Home Health Aide Extended 2. · T1004 – 15 minutes | X |
| LPN Regular Extended 2. · T1003 with modifier UC – 15 minutes (LPN Regular) 3. · T1003 with modifiers TT and UC – 15 minutes (LPN Shared 1:2) | X |
| LPN Complex Extended 2. · T1003 with modifiers TG & UC – 15 minutes | X |
| PCA – Extended 2. · 1:1 – T1019 with modifier UC – 15 minutes 3. · 1:2 – T1019 with modifier UC & TT with a “Y” in the Shared Care field of the SA – 15 minutes 4. · 1:3 – T1019 with modifier UC & HQ with a “Y” in the Shared Care field of the SA – 15 minutes | X |
| RN, Regular, Extended 2. · T1002 with modifier UC – 15 minutes 3. · T1002 with modifiers TT and UC and a “Y” in the Shared Care field of the SA – 15 minutes (RN Regular Shared 1:2) | X |
| RN Complex, Extended 2. · T1002 with modifiers TG and UC – 15 minutes | X |
Key points regarding extended home care services:
- Extended home care services within the EW program include extended PCA, extended home health aide, and extended home care nursing (RN or LPN) services.
- To access extended home care benefits through the EW program, MHCP members must first utilize their standard MA home care service benefits, whether through fee-for-service or managed care.
- Services not covered under standard MA home care can be billed to the waiver as extended MA services, within the limits of the individual’s waiver budget.
For more comprehensive details on extended home care services, please refer to the extended home care services section.
Home Health Services – Alternative Care (AC) Program Only
| ### Service and HCPCS | ### AC |
|---|---|
| Home Health Aide 2. · T1004 – 15 minutes | X |
| Home Health Aide Visit 2. · T1021 | X |
| LPN Regular 2. · T1003 – 15 minutes (LPN Regular) 3. · T1003 with modifier TT – 15 minutes (LPN Shared 1:2) | X |
| LPN Complex 2. · T1003 with modifiers TG – 15 minutes | X |
| PCA 2. · 1:1 – T1019 – 15 minutes 3. · 1:2 – T1019 with modifier TT with a “Y” in the Shared Care field of the SA – 15 minutes 4. · 1:3 – T1019 with modifier HQ with a “Y” in the Shared Care field of the SA – 15 minutes 5. · RN Supervision – T1019 UA – 15 minutes | X |
| RN Regular 2. · T1002 – 15 minutes 3. · T1002 with modifier TT and a “Y” in the Shared Care field of the SA – 15 minutes (RN Regular Shared 1:2) | X |
| RN Complex 2. · T1002 with modifier TG – 15 minutes | X |
| Skilled Nurse Visit 2. · G0299 – Services of a skilled nurse (RN), Home Health 15 minutes 3. · G0300 – Services of a skilled nurse (LPN), Home Health 15 minutes 4. · T1030— Visit | X |
| Tele- Homecare 2. · T1030 with modifier GT | X |
Service Authorization for Alternative Care and Elderly Waiver
For both the AC and EW programs, a service authorization (SA) is mandatory before services can be provided. This authorization must be completed by a lead agency case manager or care coordinator.
For Fee-For-Service (FFS) arrangements, county and tribal nations initiate the service authorization process within MMIS. Providers are responsible for verifying the accuracy of the SA upon receipt. If any details such as the rate, procedure code(s), or date ranges are incorrect, it is crucial to contact the case manager for corrections. The case manager holds ultimate responsibility for ensuring the SA’s accuracy. When an SA line item is modified and approved, a revised service authorization letter (SAL) is automatically generated overnight and sent to the provider’s MN–ITS mailbox the following day.
Managed Care Organizations (MCOs) manage service authorizations through their own systems. Providers working with EW program members enrolled in MCOs should contact the relevant MCO for specific instructions on obtaining authorizations and billing procedures.
The SA serves as the official approval for a provider to deliver services and subsequently bill DHS for payment. However, it’s important to understand that while MHCP will only pay for services listed on an approved SA, the SA itself does not guarantee payment. Several conditions must be met for claim payment:
- Providers must be actively enrolled with MHCP and maintain up-to-date credentials to provide the authorized services.
- The individual receiving services must maintain continuous MHCP eligibility for the authorization to remain valid.
- Providers are responsible for diligently reviewing their service authorization letters (SALs) received in their MN–ITS mailbox to confirm accuracy.
Each line item on the SA specifies critical details including:
- The MHCP-enrolled provider authorized to deliver the service(s).
- The approved payment rate for each service.
- The number of service units approved or the total authorized amount.
- The service date or date range for which authorization is valid.
- The approved procedure code(s) for the services.
- For EW extended services, it also specifies the quantity of MA home care services (skilled nursing visits (SNV), home health aide (HHA), Home Care Nursing, and personal care assistant (PCA)) that must be utilized before EW extended services can be accessed.
Service authorizations for both EW and AC programs specify units, duration, and rates. All authorized services must remain within the established case mix budget caps (maximum monthly rate limits) and the state-published rate limits for services. For the most current long-term services and supports rate limits, please consult the Long-Term Services and Supports Rate Limits (DHS-3945) (PDF).
Providers are required to verify program eligibility for each member monthly. This verification can be done through the MHCP phone-based eligibility verification system (EVS) or online via MN–ITS.
Provider Quick Reference for Alternative Care and Elderly Waiver Programs
Service Authorization Letters (SALs)
- Case managers have the capability to generate additional copies of the provider service authorization letter (SAL) as needed for providers.
- In some instances, case managers may choose to suppress the DHS-generated SAL and instead send their own notification letter directly to the member.
Providers who are registered with MN–ITS will receive their service authorization letters electronically in their MN–ITS mailboxes. These electronic letters can be viewed, printed, or saved to a computer. It’s important to note that SALs are automatically purged from the system after 30 days.
The Service Authorization Letters (SAL) file encompasses authorizations for:
- Elderly Waiver (EW) program
- Alternative Care (AC) program
- MA home care services
The Prior Authorization Letters (PAL) file specifically contains:
- MA authorization letters
Service Authorization Changes
The case manager is the responsible party for making any necessary changes to a member’s Service Authorization (SA).
- If any inaccuracies are identified on the SA, such as incorrect rates, procedure codes(s), or start and end dates, providers should promptly contact the case manager to initiate corrections.
- Should additional services become necessary, providers must communicate with the lead agency before providing any services beyond the currently authorized scope.
- When an SA line item is revised and approved, the MMIS system automatically generates a revised SAL for the provider. These revised letters are typically generated overnight and dispatched the following day.
Changes in Member Status
- The case manager or care coordinator is responsible for informing providers and the lead agency financial worker about any changes in a member’s status. This includes changes to living arrangements, address, phone number, or corrections to birth dates.
- Conversely, the lead agency financial worker is responsible for notifying the case manager or care coordinator of any changes affecting a person’s eligibility for MA or enrollment in an MCO.
- Providers and lead agencies are expected to communicate with each other when a member is hospitalized. This coordination is crucial for providers to accurately bill around hospitalization dates, avoiding billing for services not rendered during hospital stays.
- When a member is admitted to a long-term care facility, it is essential for the lead agency financial worker and the case manager/care coordinator to notify each other. This ensures that the financial worker can update the member’s living arrangement in the system and that appropriate adjustments can be made to the SA line items.
Changes in Member Needs
Providers play a crucial role in identifying and reporting changes in a member’s needs. When a member’s needs evolve, providers must contact the lead agency. The case manager or care coordinator is then responsible for conducting a reassessment of the member’s situation and amending the community support plan accordingly.
Changes in member needs may necessitate adjustments such as:
- Changing service providers.
- Increasing or decreasing the level of services.
- Adding new services to the care plan.
- Addressing other newly assessed needs.
Transitioning Between MA Home Care and Waiver Services
For detailed information regarding the process of transitioning between MA Home Care services and Waiver services, or vice versa, please refer to the Home Care Services section.
Home Care Nursing Payment for Spouses
Information regarding payment policies for home care nursing services provided to spouses can be found in the Home Care Services section.
Hospice Election for Waiver Services Enrollees
For members enrolled in waiver services who choose to elect hospice care, details about covered services are available in the Hospice Services section.
Billing for Alternative Care and Elderly Waiver Programs
Effective coordination between providers and lead agencies is beneficial for ensuring MHCP members receive the services they need and that providers are promptly compensated for the services they deliver. Providers who have contracts with MCOs for service provision will receive payment instructions directly from the MCO.
To bill for Fee-For-Service (FFS) Elderly Waiver and Alternative Care services, please consult the Billing for Waiver and Alternative Care (AC) Program section.
For extended home care services that have been approved on the waiver authorization, claims should be submitted using the 837I Institutional Outpatient transaction (via MN–ITS), in accordance with home care billing guidelines.
MCOs operate their own service authorization and billing systems. Providers should contact the specific MCO for detailed instructions on obtaining authorizations and billing for EW services provided to MCO enrollees.
Billing for Authorized vs. Non-Authorized Services
It is critical to separate billing for services that require a Service Authorization (SA) from those that do not. Claims should not include both types of services on the same claim form.
For instance, for individuals eligible for MA, home care therapy services (including physical, occupational, respiratory, and speech therapy) do not require an SA. These services must be billed separately and cannot be included on the same claim as waiver services, such as adult day services, which do require an SA.
Payment Rates for Services
Lead agencies are responsible for authorizing service and provider payment rates. DHS sets rate limits for both AC and EW services, which are published in the Long-Term Services and Supports Service Rate Limits (DHS-3945-ENG) (PDF). Service rates that are authorized and claimed must not exceed these established limits.
The majority of AC and EW services are authorized and paid at a state-established rate. This state-established rate represents the maximum rate limit for the service, as published in the Long-Term Services and Supports Service Rate Limits (DHS-3945-ENG) (PDF). However, some services are authorized and paid at a market rate, up to the state-established limit. This market rate is based on the typical price charged for the service within the community market. EW residential services, specifically customized living and adult foster care, are authorized and paid at a daily rate. This rate is determined using the Residential Services Tool (RS Tool), which is completed by lead agencies.
More in-depth information regarding payment rates can be found on the Rate methodologies for AC, ECS and EW service authorization web page in the CBSM. It is also advisable to review the long-term services and supports rates changes web page for the latest updates on rate limit changes.
Elderly Waiver Customized Living Services Rate Adjustment
In 2024, the Minnesota Legislature approved adjustments to the rate floor, or minimum daily rate, for customized living service providers that are designated as disproportionate share facilities.
Eligible Facilities: To qualify for customized living services minimum daily rate adjustment payments in 2025, facilities must have met all of the following criteria as of September 1, 2024:
- The facility must have been deemed eligible for the disproportionate share rate adjustment in the 2023 application year and be actively receiving payments in 2024.
- A minimum of 83.5 percent of the facility’s residents must be customized living residents utilizing EW, BI, or CADI waivers.
- At least 70 percent of these customized living residents must be EW program participants.
Eligibility is restricted to facilities that were recognized as disproportionate share facilities through the September 2023 application period.
Adjustment Amount: The minimum daily rate adjustment approved by the Legislature is set at $141 for the 2025 calendar year. Eligible facilities will receive adjustments up to this minimum daily rate on claims for individuals using the EW program who receive 24-hour customized living services between January 1, 2025, and December 31, 2025. This payment adjustment does not apply to claims for residents using Brain Injury (BI) and Community Access for Disability Inclusion (CADI) waivers.
Minimum daily rate payments for individual disproportionate share facilities were first implemented in calendar year 2022. DHS is mandated to adjust the minimum daily rate annually on January 1. The historical and projected minimum daily rate amounts are detailed in the table below:
| Effective dates | Minimum Rate |
|---|---|
| July 1, 2022, to December 31, 2022 | $119 |
| January 1, 2023, to December 31, 2023 | $131 |
| January 1, 2024, to December 31, 2024 | $190 |
| January 1, 2025 to December 31, 2025 | $141 |
How to Apply: Facilities that are currently approved and eligible can apply using the Disproportionate Share Facility Application, DHS-8157 (PDF). Applications must be submitted between September 1 and September 30, 2024. Refer to the Billing section for further billing information.
A separate application is required for each licensed assisted living facility. Facilities holding a single license for a setting that meets the definition of an assisted living facility campus as per Minnesota Statutes, 144G.08, subd. 4a should submit one application for the entire licensed campus. Providers exempt from assisted living licensure must submit an application for each building with a unique street address. As part of the application review process, DHS may request applicants to submit a secure and encrypted census list of members on a waiver program to verify resident numbers provided in the application.
DHS will designate eligible facilities by October 15. Qualified facilities will then receive the minimum daily rate adjustment from January 1 through December 31 of the year following the application period.
Lead Agency Information: Lead agencies can find more information in the Customized living (including 24-hour customized living) section of the Community-Based Services Manual (CBSM) or by contacting [email protected].
Elderly Waiver Obligation and MA Spenddown
Eligibility for the Elderly Waiver (EW) is determined based on two income limit scenarios:
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Income at or below the Special Income Standard (SIS): Individuals with incomes at or below the Special Income Standard (SIS) are eligible for EW without needing an MA spenddown. However, they are required to contribute any income exceeding the maintenance needs allowance and other applicable deductions towards the cost of EW services. This contribution is termed the waiver obligation.
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Income exceeding the SIS: Individuals with incomes above the SIS may still qualify for EW but will be subject to an MA spenddown. The lead agency’s financial assistance unit is responsible for calculating the financial obligation of the EW member. Members will receive a notification if they have a waiver obligation or a spenddown responsibility.
Key details about the waiver obligation:
- The waiver obligation is deducted from the total cost of services received under the Elderly Waiver. It is important to note that the full waiver obligation does not necessarily need to be met each month.
- The obligation represents the amount the member is responsible for paying towards the services they used in a given month. This could be a portion of the total waiver obligation or the entire obligation amount.
An MA spenddown, conversely, must be met each month and can be achieved through any combination of MA services, including HCBS services.
The lead agency financial worker will input the waiver obligation or MA spenddown amount into MMIS. DHS will then report the amount that providers can bill the member directly on the remittance advice. Claims that are reduced due to EW obligation or spenddown will show claim adjustment reason code PR 142 on the remittance advice. MCOs also receive reports detailing waiver obligations and spenddowns for their enrollees. Each MCO has its own specific process for informing providers about waiver obligation and spenddown amounts. For further details, refer to the Special Income Standards (SIS), in Appendix F, of the MHCP Eligibility Policy Manual.
MHCP enrollees have the option to designate a specific provider to whom they will pay their obligation. Members wishing to exercise this option must notify their financial worker. However, it’s important to note that members receiving waiver services through an MCO cannot utilize the designated provider option available through the financial worker request.
Home Care Services for MA-Eligible Members Receiving EW Services
A fundamental principle of the Elderly Waiver (EW) program is that all participants must first utilize the full extent of their MA home care service benefits before accessing EW services within their community support plan.
MA covers a comprehensive range of home care services, including:
- Home care nursing
- Home health aide (HHA) visits
- Occupational therapy (OT)
- RN PCA supervision
- Personal care assistant (PCA) services
- Physical therapy (PT)
- Respiratory therapy (RT)
- Skilled nursing visits (SNV)
- Speech therapy (ST)
Home Care and EW Waiver Program Coordination
- The managed care products that cater to members enrolled in the Elderly Waiver program are Minnesota Senior Care Plus (MSC+) and Minnesota Senior Health Options (MSHO).
- For members enrolled in the EW program and served by an MCO, the MCO is responsible for managing both state plan home care and waiver services.
- For members on Fee-For-Service (FFS) EW, state plan home care operates on an FFS basis as well.
- Care coordination responsibilities differ based on the service delivery model. For members receiving EW services through managed care, the designated MCO care coordinator is responsible for approving and providing all home care and EW services. For those receiving FFS EW services, the county or tribal case manager takes on this responsibility.
Home Care and Alternative Care Program Coordination
In the Alternative Care program, the lead agency case manager plays a central role in determining and authorizing the amount of home care services that are counted towards the member’s case mix budget. It’s important to note that the AC program itself does not include a Medical Assistance (MA) benefit.
Legal References for Alternative Care and Elderly Waiver Programs
Minnesota Statutes, 245A (Human Services Licensing)
Minnesota Statutes, 245A.143 (Family Adult Day Services)
Minnesota Rules, 9555.9600 – 9555.9730 (Adult Day Services Center Licensure)
Minnesota Rules, 9555.5050 – 9555.6265 (Adult Foster Care Services and Licensure)
Minnesota Statutes, 245A.03 (Who Must Be Licensed)
Minnesota Statutes, 148.171 – 148.285 (Public Health Occupations)
Minnesota Rules, 9575.0010 – 9575.1580 (Merit System)
Minnesota Statutes, 256.012 (Minnesota Merit System)
Minnesota Statutes, 256B.02, subdivision 7 (Definitions – Vendor of Medical Care)
Minnesota Statutes, 256B.0913 (Alternative Care Program)
Minnesota Statutes, 256S (Medical Assistance Elderly Waiver)
Minnesota Statutes, 144D.025 (Optional Registration)
Minnesota Rules, 9555.5105 – 9555.6265 (Social Services for Adults)
Minnesota Rules, 9555.6205, subparts 1 – 3, 9555.6215, subparts 1 and 3, and 9555.6225, subparts 1, 2, 6 and 10 (Social Services for Adults)
Minnesota Rules, 4668 (Home Care Licensure)
Minnesota Rules, 4669 (Home Care Licensure Fees)
Minnesota Statutes, 144D (Housing with Services Establishment)
Minnesota Statutes, 256B.0653 (Home Health Agency Services)
Minnesota Statutes, 326B.802, subdivision 11 (Definitions – Residential Building Contractor)
Minnesota Rules, 4626 (Food Code; Food Managers)
Minnesota Statutes, 245C (Human Services Background Studies)
Minnesota Statutes, 245D (Home and Community-Based Services Standards)
Minnesota Statutes, 245A.03, subdivision 2, (a)(1) – (2) (Exclusion from licensure)
Minnesota Statutes, 144A (Nursing Homes and Home Care)
Minnesota Statutes, 144A.43 – 144A.45 (Nursing Homes and Home Care)
Minnesota Statutes, 148.621 (Definitions)
Minnesota Rules, 3250 (Licensure and Practice)
Minnesota Statutes, 148.623 (Duties of the Board)
Minnesota Statutes, 157.17 (Additional Registration Required for Boarding and Lodging Establishments or Lodging Establishments)
Minnesota Statutes, 144.696, subdivision 3 Definitions -– Minnesota Statutes, 144.50 (Hospitals, Licenses; Definitions)
Minnesota Statutes, 144.058 (Interpreter Services Quality Initiative)
Minnesota Statutes, 256B.0659 (Personal Care Assistance Program)
Minnesota Rules, 9505.0335 (Personal Care Services)
Minnesota Rules, 9505.0290, subpart 3B (Home Health Agency Services)
Minnesota Rules. 9505.0175, subpart 23 (Definitions – Long-term Care Facility)
Minnesota Rules, 9505.0310 (Medical Equipment and Supplies)
Minnesota Rules, 9505.0195 (Provider Participation)
Minnesota Statutes, 65B (Automobile Insurance)
Minnesota Statutes, 174.30 (Operating Standards for Special Transportation Service)
Minnesota Statutes, 174.29 – 174.30 (Department of Transportation)
Code of Federal Regulations, title 42, part 441, subpart G, 441.310(a)(2)(ii) (Limits on Federal Financial Participation [FFP])
Laws of Minnesota, 2022 Regular Session, Chapter 98, Article 7, Section 31 or 2022 Minnesota Statutes, 256S.205 (Customized Living Services; Disproportionate Share Rate Adjustments)
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