Overview
The Elderly Waiver (EW) and Alternative Care (AC) programs are vital resources designed to support seniors aged 65 and older in Minnesota who require nursing home level care but prefer to live within their communities. These programs champion community-based living by funding home and community-based services (HCBS), effectively enabling individuals to remain in their homes or community settings, potentially delaying or even preventing the need for nursing facility (NF) care. The core objective of both EW and AC programs is to foster independence and community integration by offering tailored services and supports that address each individual’s unique needs and preferences. Notably, the Elderly Waiver program extends beyond the standard services available through Medical Assistance (MA), providing an enhanced level of support.
The Elderly Waiver (EW) program operates as a federal Medicaid waiver program. It is specifically tailored for individuals 65 years and older who are eligible for Medical Assistance (MA), demonstrate a need for nursing home level care, and choose to reside in a community setting. Participants in the EW program have access to both waiver services and MA services, often coordinated through a managed care organization (MCO) such as Minnesota Senior Care Plus (MSC+) or Minnesota Senior Health Options (MSHO).
Conversely, the Alternative Care (AC) program is a state-funded initiative. It provides a spectrum of home and community-based services to seniors aged 65 and older who may not qualify for MA based on financial criteria but still meet the AC program’s financial and service eligibility requirements. These individuals typically have modest incomes and assets but have not yet met all the prerequisites for MA eligibility.
Assessments
Anyone can initiate an assessment for themselves or on behalf of another individual by reaching out to the local lead agency (detailed further in the Lead Agency section). The lead agency plays a crucial role in determining program eligibility. It’s important to note that the EW and AC programs have distinct application processes, financial eligibility criteria, and the range of services they cover.
Eligible Members
To qualify for either the Elderly Waiver (EW) or Alternative Care (AC) program, all applicants must fulfill the service eligibility criteria specific to the Home and Community-Based Services (HCBS) program they are applying for. For detailed information on Medical Assistance (MA) and eligibility requirements, please consult the MHCP Provider Manual and the Programs and Services section.
For Elderly Waiver (EW) program eligibility, applicants must additionally be eligible for Medical Assistance (MA).
For the Alternative Care (AC) program, applicants should demonstrate financial eligibility for MA within 135 days of potentially entering a nursing facility, as determined through a case manager assessment.
Roles
Lead Agency
Lead agencies, often human services eligibility workers, are instrumental in determining financial eligibility for Elderly Waiver services. These agencies also conduct necessary asset assessments to ascertain financial eligibility for both AC and EW programs.
In the context of the EW program, lead agencies can be counties, tribal entities, or Managed Care Organizations (MCOs), also known as health plans. For the AC program, lead agencies are typically counties or tribal organizations. A lead agency might be the local public health agency, human service agency, or social service agency. Their responsibilities are comprehensive, including:
Long-Term Care Consultation: Lead agencies are the primary providers of long-term care consultation (LTCC) services. These services encompass:
- A thorough assessment of the healthcare needs of the MHCP member.
- Guidance and support throughout the program application process.
- Development of a personalized community support plan.
Case Management: Individuals approved for either EW or AC programs are assigned a dedicated case manager or care coordinator, who may be a public health nurse, registered nurse, or social worker. This professional plays a crucial role in facilitating access to and navigation of social, health, educational, and other community and natural supports and services, tailored to the individual’s values, strengths, goals, and needs. The case manager is responsible for ensuring the person has all necessary information to make informed decisions about their care. A comprehensive description of case management services can be found in the Community-Based Services Manual (CBSM).
Program Access and Administration: Lead agencies are also responsible for ensuring program accessibility and efficient administration. This includes:
- Collaborating with the Department of Human Services (DHS) and other relevant organizations to disseminate information, provide services, and offer assistance to individuals seeking to access HCBS services.
- Delivering case management or care coordination services, including:
- Evaluating program eligibility.
- Creating and managing a support plan.
- Helping individuals access, coordinate, and evaluate available services.
- Informing individuals about the option to self-direct their care services.
- Generating additional copies of provider service authorization (SA) letters when needed.
- Entering member enrollment data (e.g., screening documents) and service authorization information into the DHS Medicaid Management Information System (MMIS).
- Authorizing and monitoring services to ensure health and safety standards are met.
- Continuously monitoring individual service provision for efficiency, consumer satisfaction, and ongoing eligibility, making adjustments as necessary.
- Overseeing provider performance and service quality.
- Verifying that all providers meet state standards relevant to their service area, have signed provider agreements with DHS, and fulfill provider qualifications when the lead agency is also the service provider.
- Ensuring all providers comply with DHS requirements if they choose to review and approve non-enrolled providers to deliver EW and AC services (refer to CBSM –Lead agency oversight of waiver/AC approval-option service vendors).
- Authorizing funds for all HCBS services provided to individuals eligible for MHCP enrollment.
Notice of Action: By law, both lead agencies and the state are required to provide written notification to MHCP members at least 10 days before any service denial, termination, reduction, or suspension. Lead agencies, including counties and tribal nations, must use the Notice of Action (Assessments and Reassessments) (DHS-2828A) (PDF) and Notice of Action (Service Plan) (DHS-2828B) (PDF) forms for communicating impending changes in waiver services. MCOs utilize their own forms and procedures for such notifications.
Informed Choice: Lead agencies are committed to:
- Providing individuals seeking EW or AC services with comprehensive information necessary to make informed choices about available and eligible services.
- Informing individuals and their legal representatives, when institutional level care (like hospital or nursing home) might be needed, about home and community-based support as a viable alternative.
- Taking all reasonable measures to present information in an understandable format and offer a choice of service providers for all services.
Lead Agency Case Managers
Lead agency case managers are specifically responsible for determining financial eligibility for Alternative Care program payments.
Eligible Providers
Organizations and individuals wishing to become providers and receive MHCP payments for EW and AC waiver services must formally enroll with MHCP and meet specific program standards. To begin the enrollment process with MHCP for offering waiver or AC program services, please follow the guidelines detailed in the Home and Community-Based Services (HCBS) Programs Provider Enrollment section.
Providers are also required to ascertain which program services they are qualified to deliver. Specific provider qualifications for each service are detailed within the service descriptions in this manual. The HCBS Programs Service Request Form (DHS-6638) (PDF) also provides a comprehensive list of qualifications.
Certain waiver services necessitate one or more of the following:
- License(s) from DHS or the Minnesota Department of Health (MDH).
- Medicare certification.
- Other specific certifications or registrations.
For further clarification and detailed information, providers can reach out to:
- The lead agency in their service delivery area.
- DHS Licensing at 651-431-6500.
- Minnesota Department of Health at 651-201-5000 for general inquiries.
Covered Services
For each service listed below, you can find detailed policy information, including legal references, service descriptions, covered and non-covered services, and provider standards and qualifications in the Community Based Services Manual (CBSM) policy page by clicking on the service link. For services without a direct CBSM link, 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 represent the minimum guidelines. Lead agencies have the discretion to consult the Community-Based Services Manual (CBSM) for more comprehensive details.
Extended Home Care Services – EW Program Only
The Elderly Waiver (EW) program offers extended home care services, providing additional support beyond standard Medical Assistance for eligible individuals. These services are designed to meet more intensive care needs within a home setting.
| 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 |
Additional details regarding extended home care services:
- Extended home care services encompass extended PCA, extended home health aide services, and extended home care nursing (both RN and LPN).
- To access extended home care benefits through the EW program, MHCP members must first utilize all available standard home care service benefits covered under MA, whether through a Fee-For-Service (FFS) or managed care model.
- Services that are necessary but not covered under standard MA home care can be billed to the waiver as extended MA services, provided they remain within the individual’s waiver budget limit.
For more in-depth information, please refer to the dedicated section on extended home care services.
Home Health Services – AC Program Only
The Alternative Care (AC) program specifically includes home health services to support individuals in a community setting. These services are distinct from the Extended Home Care Services under the EW program and are tailored to meet the needs of AC program participants.
| 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 |
Image alt text: A home health aide assists an elderly woman with her medication at her kitchen table, highlighting in-home alternative care programs.
Service Authorization
For both Alternative Care (AC) and Elderly Waiver (EW) programs, a service authorization (SA) is a mandatory step. It must be completed by a lead agency case manager or care coordinator before services can be rendered and billed.
For Fee-For-Service (FFS) arrangements, county and tribal nations are responsible for initiating the service authorization process within the MMIS system. Providers are advised to verify the accuracy of the SA details, including rates, procedure codes, and service dates. If discrepancies are found, the case manager should be contacted for corrections, as they hold ultimate responsibility for SA accuracy. Upon approval of any SA line item changes, the case manager will generate a revised Service Authorization Letter (SAL), which is electronically delivered to the provider’s MN–ITS mailbox overnight and is typically accessible the following day.
Managed Care Organizations (MCOs) operate their own distinct service authorization systems. Providers working with EW program participants under MCO care should directly contact the MCOs for specific guidelines on obtaining authorizations and billing procedures.
The SA is essential as it permits providers to deliver services and subsequently bill DHS for payment. It’s crucial to understand that MHCP will only cover services explicitly listed on the SA. However, an approved SA does not guarantee payment. Several conditions must be met for claim payment:
- Providers must be actively enrolled in MHCP and maintain up-to-date credentials to deliver the authorized services.
- The individual receiving services must maintain their MHCP eligibility throughout the service period for the authorization to remain valid.
- Providers are responsible for thoroughly reviewing their Service Authorization Letters (SALs) received in their MN–ITS mailbox to ensure accuracy upon receipt.
Each line item on a Service Authorization (SA) specifies key details, including:
- The MHCP-enrolled provider authorized to deliver the specified services.
- 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 granted.
- The approved procedure code(s) for the service.
- For EW extended services, it also lists the 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 authorized.
Service authorizations for both EW and AC programs detail service units, duration, and rates. All authorized services must adhere to the established case mix budget caps (maximum monthly rate limits) and state rate limits for services. Current long-term services and supports rate limits are available in the Long-Term Services and Supports Rate Limits (DHS-3945) (PDF) document.
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
Service Authorization Letters
- Case managers have the capability to generate additional copies of the provider Service Authorization Letter (SAL) as necessary.
- Case managers also have the option to suppress the DHS-generated SAL and issue their own notification letter to the member.
Providers who are registered with MN–ITS receive their Service Authorization Letters electronically in their MN–ITS mailboxes. These letters can be viewed, printed, or saved digitally and are automatically purged from the system after 30 days.
The Service Authorization Letters (SAL) file encompasses authorizations for:
- Waiver services
- Alternative Care services
- 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 all modifications to a member’s Service Authorization (SA).
- For corrections needed on the SA, such as incorrect rates, procedure codes, or service dates, the case manager should be contacted to initiate the necessary changes.
- Should additional services become necessary, providers must communicate with the lead agency before providing any services beyond the current authorization.
- When an SA line item is modified and approved, MMIS automatically generates a revised SAL for the provider. These revised letters are generated overnight and dispatched the following day.
Changes in the Status of a Member
- 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 in 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 in a person’s eligibility for MA or enrollment in an MCO.
- Providers and lead agencies are expected to notify each other when a member is hospitalized. This coordination allows providers to accurately bill around hospitalization dates, ensuring correct claim processing.
- When a member is admitted to a long-term care facility, the lead agency financial worker and case manager/care coordinator must inform each other. This notification ensures that the financial worker can update the living arrangement details and that appropriate modifications are made to the SA line items.
Change in a Member’s Need
Providers play a crucial role in identifying changes in a member’s needs and are required to contact the lead agency when such changes occur. The case manager/care coordinator is then responsible for reassessing the member and adjusting the community support plan accordingly.
Changes in needs may include:
- Change of provider preference.
- Necessary increase or decrease in service frequency or intensity.
- Requirement for a new service not previously included in the plan.
- Other needs identified through reassessment.
Transitioning from MA Home Care to Waiver Services OR Waiver Services to MA Home Care Services
For detailed guidance on transitioning between MA Home Care and Waiver services, please refer to the Home Care Services section.
Home Care Nursing Payment for Spouses
Information regarding payment policies for home care nursing services provided by spouses can be found in the Home Care Services section.
People Enrolled in Waiver Services Who Elect Hospice
For specific details about covered services for individuals enrolled in waiver programs who choose hospice care, please consult the Hospice Services section.
Billing
Effective coordination between providers and lead agencies is essential to ensure MHCP members receive the necessary services and that providers are compensated promptly for the care they deliver. Providers under contract with an MCO should follow the MCO’s specific instructions for ensuring payment.
For billing Fee-For-Service (FFS) Elderly Waiver and Alternative Care services, please refer to the dedicated section on Billing for Waiver and Alternative Care (AC) Program.
For extended home care services authorized under the waiver, claims should be submitted using the 837I Institutional Outpatient transaction (via MN–ITS), adhering to home care billing guidelines.
Providers should contact the MCOs directly for specific instructions on obtaining authorizations and billing procedures for EW services managed by MCOs.
Authorized Services vs. Non-Authorized Services
It is critical to avoid billing for services that require a Service Authorization (SA) on the same claim as services that do not need an SA.
For instance, for individuals eligible for MA, home care therapy services (including physical, occupational, respiratory, and speech therapy) do not require an SA and should not be billed on the same claim as a waiver service, such as adult day services.
Payment Rates
Lead agencies are responsible for authorizing both service and provider payment rates. DHS sets the rate limits for AC and EW services, which are published in the Long-Term Services and Supports Service Rate Limits (DHS-3945-ENG) (PDF) document. The authorized and claimed service rates must not exceed these established limits.
Most AC and EW services are authorized and paid at a state-established rate. For services with state-established rates, the dollar value is the rate limit published in the Long-Term Services and Supports Service Rate Limits (DHS-3945-ENG) (PDF). Certain services are authorized and paid at a market rate, up to the state-established limit, based on the typical community market price for the service. EW residential services, including customized living and adult foster care, are authorized and paid at a daily rate determined by the Residential Services Tool (RS Tool), which is completed by lead agencies.
More detailed information regarding payment rates can be found on the Rate methodologies for AC, ECS and EW service authorization web page in the CBSM. For the most current updates on rate limit changes, please review the long-term services and supports rates changes web page.
Elderly Waiver Customized Living Services Rate Adjustment
In 2024, the Minnesota Legislature approved adjustments to the rate floor (minimum daily rate) for customized living services providers designated as disproportionate share facilities.
Eligible facilities: To qualify for customized living services minimum daily rate adjustment payments in 2025, facilities must meet 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 receiving payments in 2024.
- At least 83.5% of the facility’s residents must be customized living residents utilizing EW, BI, or CADI waivers.
- A minimum of 70% of these customized living residents must be EW program participants.
Only facilities that were eligible as disproportionate share facilities through the September 2023 application period are eligible to apply.
Adjustment amount: The legislatively approved minimum daily rate adjustment is set at $141 for the calendar year 2025. Qualified facilities will receive adjustments up to this minimum daily rate for claims related to EW participants receiving 24-hour customized living services from January 1, 2025, to December 31, 2025. This rate 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 began in calendar year 2022. DHS adjusts the minimum daily rate value annually on January 1, as mandated by law. The historical minimum daily rate amounts are provided 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: Currently approved, eligible facilities can apply using the Disproportionate Share Facility Application, DHS-8157 (PDF). Applications must be submitted between September 1 and September 30, 2024. Please refer to the Billing section for further details.
Facilities are required to submit a separate application for each licensed assisted living facility. For facilities holding a single license for a setting that qualifies as an assisted living facility campus under Minnesota Statutes, 144G.08, subd. 4a, only one application is needed for the entire licensed campus. Providers exempt from assisted living licensure should submit an application for each building with a unique street address. As part of the application review, DHS may request a census list of waiver program participants in a secure, encrypted format to verify resident numbers.
DHS will designate eligible facilities by October 15. Qualified facilities will receive the minimum daily rate adjustment from January 1 through December 31 of the year following the application period.
Lead agency information: For additional information relevant to lead agencies, please consult the Customized living (including 24-hour customized living) section of the Community-Based Services Manual (CBSM) or contact [email protected].
Elderly Waiver Obligation and MA Spenddown
Elderly Waiver (EW) eligibility is determined based on two income thresholds:
- Individuals with incomes at or below the Special Income Standard (SIS) are eligible for EW without an MA spenddown. However, they are obligated to contribute any income exceeding the maintenance needs allowance and other applicable deductions towards the cost of services received under the EW program. This contribution is termed the waiver obligation.
- Individuals with incomes exceeding 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 assessing the financial obligation of EW members. Members will receive a notification if they have a waiver obligation or will be responsible for a spenddown.
The waiver obligation is characterized by:
- Being deducted from the total cost of services received under the Elderly Waiver. Importantly, the full waiver obligation does not need to be met each month.
- Representing the amount the member is responsible for paying towards the services they used that month, which could be a portion or the entirety of the waiver obligation.
An MA spenddown can be met through any combination of MA-covered services, including HCBS services, and must be satisfied each month.
The lead agency financial worker enters the waiver obligation or MA spenddown details into MMIS. DHS will communicate the amount providers can bill the member on the remittance advice. Claims reduced due to EW obligation or spenddown will show claim adjustment reason code PR 142 on the remittance advice. MCOs also receive reports on enrollees with waiver obligations and spenddowns, and each MCO has its own process for informing providers about these amounts. Further details can be found in the Special Income Standards (SIS), Appendix F, of the MHCP Eligibility Policy Manual.
MHCP enrollees can designate a specific provider to whom they will pay their obligation. Members wishing to use this option must notify their financial worker. 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 Provided for an MA-eligible Member Receiving EW Services
Individuals receiving Elderly Waiver (EW) services must first utilize the maximum extent of home care services covered under Medical Assistance (MA) before incorporating EW services into their community support plan.
MA covers a range of essential 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
- The managed care options for members enrolled in the Elderly Waiver program are Minnesota Senior Care Plus (MSC+) and Minnesota Senior Health Options (MSHO).
- For members on EW and served by an MCO, the MCO manages both state plan home care and waiver services.
- For members on Fee-For-Service (FFS) EW, state plan home care is also provided on an FFS basis.
- For EW members under managed care, the designated care coordinator is responsible for approving and arranging all home care and EW services. For those receiving FFS EW services, the county or tribal case manager handles the approval and provision of all home care and EW services.
Home Care and AC
For the Alternative Care program, the lead agency case manager is responsible for determining and authorizing the amount of home care services that count towards the member’s case mix budget. It’s important to note that AC does not include a Medical Assistance (MA) benefit.
Image alt text: A compassionate caregiver provides mobility assistance to a smiling senior woman, illustrating supportive alternative care programs.
Legal References
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)
