E Relating to human services; clarifying certain rate recommendation and adjustment requirements for residential programs under involuntary receivership, requiring the determination of recoveries through a review of actual costs and resident days in the receivership period; modifying certain provisions to improve access to home and community based options for individuals with disabilities; modifying the county guaranteed floor for semi-independent living services for persons with mental retardation or related conditions; reducing the limit on increases in payment rates for vendors of chemical dependency treatment services; providing for commissioner of human services payments to improve chemical dependency services to American Indians; authorizing commissioner grants to eligible vendors for the development, implementation and evaluation of case management services for individuals infected with the human immunodeficiency virus (HIV AIDS) to increase access to cost effective health care services, to reduce the risk of transmission, to ensure the meeting of basic client needs and to increase client access to community supports or services; modifying the purpose and goals of the consumer support grant program for individuals with functional limitations and the definition of supports, eliminating eligibility under the program for persons approved to receive services under the medical assistance (MA) alternative care program and the authority of the commissioner to limit participation of nursing or intermediate care facility (IDF MR) residents in the program, making optional the requirement for the commissioner to use a certain percentage of county allocations for administrative expenses and requiring annual return of unexpended grant funds to the state; modifying the authority of recipients of private duty nursing or personal care assistant services under medical assistance to use approved hours outside the home and eliminating the prohibition on reimbursement for services provided by certain relatives or legal guardians; extending eligibility for mental health case management services under medical assistance for residents of nursing or intermediate care facilities or hospitals; providing for relocation or home care targeted case management services under medical assistance for certain eligible persons, specifying certain provider qualification and certification standards, services eligible for reimbursement, certain timelines for the assignment of case managers and certain case manager documentation requirements, requiring commissioner evaluation of the delivery of the services and setting of payment rates; defining or redefining certain terms relating to home care assistant services under medical assistance and providing coverage for services and supports furnished to assist in accomplishing activities of daily living, amount and type of services authorized to be based on an assessment of recipient needs in certain areas; modifying certain exclusions from eligible personal care assistant services and providing for certain supervision options; increasing the limit on authorized skilled nurse visits without prior authorization and authorizing the commissioner to authorize a certain number of additional home health aide visits per day; authorizing private duty nursing services for complex and regular care after a certain date; replacing the fiscal agent option for personal care assistant services with a fiscal intermediary option and modifying certain requirements of recipients or responsible parties; modifying the basis for calculation of medical assistance payments for shared private duty nursing care; requiring and providing for the commissioner after receiving federal waiver authority to implement a consumer directed home care demonstration project to be administered by county agencies, tribal governments or administrative entities under contract with the state, providing for grant awards; providing medical assistance coverage for skilled nurse visits provided via telehomecare and for physical and occupational therapy services; providing certain hardship criteria for medical assistance coverage of private duty nursing services provided by certain relatives or legal guardians; requiring the commissioner to establish a quality assurance plan for personal care assistant services, specifying certain plan content requirements; requiring and providing for preadmission screening of certain younger individuals admitted to nursing facilities from hospitals; eliminating the requirement for approval of traumatic brain injury waiver eligibility or care plans under the traumatic brain injury program; extending the expiration date of the quality assurance project in Dodge, Fillmore, Freeborn, Goodhue, Houston, Mower, Olmsted, Rice, Steele, Wabasha and Winona counties and the region 10 quality assurance commission, requiring the commission to explore applications of the project to other populations or geographic areas and report to the commissioner by a certain date, requiring the commissioner to seek federal authority to waive provisions of ICF MR regulations to enable the demonstration and evaluation of the alternative quality assurance system for ICF MRs under the project and providing for a county option to participate, notice requirements; authorizing the commissioner to apply for home and community based service waivers to serve certain younger disabled persons determined to require the level of care provided in a nursing home or hospital, specifying certain waivered and case management services and assessment and reassessment requirements, requiring individualized service plans and providing for the payment of services and support costs; requiring the commissioner to increase the total payment rate for ICF MRs; defining institution and shelter costs under the Minnesota supplemental aid (MSA) act; increasing the standard of assistance under general assistance (GA) for the shelter needy, defining shelter needy; requiring the commissioner to develop recommendations to revise the funding methodology for SILS and to report to the legislature by a certain date and by a certain earlier date to seek federal approval to allow recipients of home and community based waivers for chronically ill children and disabled persons to choose either a waiver of deeming of spousal income or the spousal impoverishment protections; requiring commissioner of health grants to nonprofit corporations to continue a pilot project providing support and problem solving on an ongoing basis to individuals with traumatic brain injuries, requiring a report identifying pilot project results and making recommendations on project continuation to the legislature by a certain date; repealing the special grants to community health boards for case management services for AIDS infected persons, the requirement for the commissioner to maximize federal funds for the consumer support program, certain alternative care and waivered service program restructuring plan and modification requirements, the special reimbursement rates for home health aide services for Anoka, Aitkin, Polk and Pennington counties, the home and community based waiver study and application requirement for chronically ill children and disabled persons and certain rules regulating home health services and nursing facility preadmission screening (mk, ja)