HF 3835

as introduced - 93rd Legislature (2023 - 2024) Posted on 02/28/2024 05:43pm

A bill for an act
relating to human services; directing the commissioner of human services to
authorize indirect billing for individualized home supports.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1. new text begin DIRECTION TO COMMISSIONER; INDIRECT BILLING
AUTHORIZATION FOR INDIVIDUALIZED HOME SUPPORTS.
new text end

new text begin (a) No later than December 1, 2024, the commissioner of human services shall submit
to the federal Centers for Medicare and Medicaid Services any necessary amendments to
home and community-based services waiver plans to allow for providers providing
individualized home supports with training, individualized home supports without training,
and individualized home supports with family training to bill for services that do not require
direct contact with the service recipient but are within an allowable community living service
category. Allowable tasks that may be billed under paragraph (b) that do not require direct
contact with the service recipient include but are not limited to:
new text end

new text begin (1) researching, coordinating, and arranging for transportation, necessary equipment,
and all support and training needed to allow a service recipient to safely access the
community;
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new text begin (2) arranging and coordinating access to all necessary health care, including scheduling
medical appointments, communicating with health professionals, benefits fact-gathering,
review and analysis, and all support and training needed to support the service recipient's
health and well-being;
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new text begin (3) coordinating and advocating to ensure needed legal support, crisis prevention, positive
support strategies, and all support and training needed to maintain the service recipient's
preferences;
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new text begin (4) collaborating with employers to ensure maintenance of the service recipient's desired
employment;
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new text begin (5) arranging and coordinating access to resources to meet basic needs, including
necessary shelter, food shelf, and phone and Internet services;
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new text begin (6) coordinating to ensure the service recipient is able to continue to live independently
in their own home, including collaborating with property management, coordinating with
other home and community-based service providers, meeting with the recipient's
interdisciplinary team members, and ensuring access to proper equipment and technology
and all support and training needed to maintain the service recipient's preferences; and
new text end

new text begin (7) coordinating with other service providers and natural supports as needed for status
changes and crisis management.
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new text begin (b) Individualized home supports services that do not require direct contact with the
recipient may only be billed if:
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new text begin (1) the services are necessary to ensure continuity of other necessary services and supports
for the service recipient; and
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new text begin (2) reasonable attempts have been made to directly involve the service recipient in the
allowable service, or the recipient is not able to be directly involved due to illness, injury,
or other factors; or
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new text begin (3) the service recipient has made an informed choice to allow for services to be provided
without their direct contact.
new text end