<a id="pl.1.3"></a><var>1.3</var>modifying provisions related to advisory task forces, nursing homes, resident <br/>
<a id="pl.1.4"></a><var>1.4</var>relocation, medical assistance, long-term care consultation services, assessments, <br/>
<a id="pl.1.5"></a><var>1.5</var>and reporting of maltreatment; requiring a report;amending Minnesota Statutes <br/>
<a id="pl.1.6"></a><var>1.6</var>2012, sections 15.014, subdivision 2; 144.0724, subdivision 12; 144A.071, <br/>
<a id="pl.1.7"></a><var>1.7</var>subdivision 4d; 144A.161; 256B.056, subdivision 3; 256B.057, subdivision 9; <br/>
<a id="pl.1.8"></a><var>1.8</var>256B.0652, subdivision 5; 256B.0659, subdivision 7, by adding a subdivision; <br/>
<a id="pl.1.9"></a><var>1.9</var>256B.0911, subdivision 3a; 256B.092, subdivision 7; 256B.441, subdivisions 1, <br/>
<a id="pl.1.10"></a><var>1.10</var>43, 63; 256B.49, subdivision 14; 256B.492; 626.557, subdivision 10; repealing <br/>
<a id="pl.1.11"></a><var>1.11</var>Minnesota Statutes 2012, section 256B.437, subdivision 8; Laws 2012, chapter <br/>
<a id="pl.1.12"></a><var>1.12</var>216, article 11, section 31.<br/>
<a id="pl.1.13"></a><var>1.13</var>BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:<br/>
<br/>
<a id="bill.0.1.0"></a><a id="pl.1.14"></a><var>1.14</var>    Section 1. Minnesota Statutes 2012, section 15.014, subdivision 2, is amended to read:<br/>
<a id="pl.1.15"></a><var>1.15</var>    Subd. 2. <b>Creation; limitations.</b> A commissioner of a state department, a state board <br/>
<a id="pl.1.16"></a><var>1.16</var>or other agency having the powers of a board as defined in section 
         <statute_ref>15.012</statute_ref>, may create <br/>
<a id="pl.1.17"></a><var>1.17</var>advisory task forces to advise the commissioner or agency on specific programs or topics <br/>
<a id="pl.1.18"></a><var>1.18</var>within the jurisdiction of the department or agency. A task force so created shall have <br/>
<a id="pl.1.19"></a><var>1.19</var>no more than 15 members. The task force shall expire and the terms and removal of <br/>
<a id="pl.1.20"></a><var>1.20</var>members shall be as provided in section 
         <statute_ref>15.059, subdivision 6</statute_ref>. The members of no more <br/>
<a id="pl.1.21"></a><var>1.21</var>than four task forces created pursuant to this section in a department or agency may be <br/>
<a id="pl.1.22"></a><var>1.22</var>paid expenses in the same manner and amount as authorized by the commissioner's plan <br/>
<a id="pl.1.23"></a><var>1.23</var>adopted according to section 
         <statute_ref>43A.18, subdivision 2</statute_ref>. Task forces mandated by court order <br/>
<a id="pl.1.24"></a><var>1.24</var>must not be counted for purposes of the limit on the number of task forces whose members <br/>
<a id="pl.1.25"></a><var>1.25</var>may be paid expenses. No member of a task force shall be compensated for services in a <br/>
<a id="pl.1.26"></a><var>1.26</var>manner not provided for in statute. A commissioner, board, council, committee, or other <br/>
<a id="pl.1.27"></a><var>1.27</var>state agency may not create any other multimember agency unless specifically authorized <br/>
<a id="pl.2.1"></a><var>2.1</var>by statute or unless the creation of the agency is authorized by federal law as a condition <br/>
<a id="pl.2.2"></a><var>2.2</var>precedent to the receipt of federal money.<br/>
<br/>
<a id="bill.0.2.0"></a><a id="pl.2.3"></a><var>2.3</var>    Sec. 2. Minnesota Statutes 2012, section 144.0724, subdivision 12, is amended to read:<br/>
<a id="pl.2.4"></a><var>2.4</var>    Subd. 12. <b>Appeal of nursing facility level of care determination.</b> A resident or <br/>
<a id="pl.2.5"></a><var>2.5</var>prospective resident whose level of care determination results in a denial of long-term <br/>
<a id="pl.2.6"></a><var>2.6</var>care services can appeal the determination as outlined in section 
         <statute_ref>256B.0911, subdivision <br/>
<a id="pl.2.7"></a><var>2.7</var>3a
         </statute_ref>, paragraph (h), clause (7) (9).<br/>
<br/>
<a id="bill.0.3.0"></a><a id="pl.2.8"></a><var>2.8</var>    Sec. 3. Minnesota Statutes 2012, section 144A.071, subdivision 4d, is amended to read:<br/>
<a id="pl.2.9"></a><var>2.9</var>    Subd. 4d. <b>Consolidation of nursing facilities.</b> (a) The commissioner of health, <br/>
<a id="pl.2.10"></a><var>2.10</var>in consultation with the commissioner of human services, may approve a request for <br/>
<a id="pl.2.11"></a><var>2.11</var>consolidation of nursing facilities which includes the closure of one or more facilities <br/>
<a id="pl.2.12"></a><var>2.12</var>and the upgrading of the physical plant of the remaining nursing facility or facilities, <br/>
<a id="pl.2.13"></a><var>2.13</var>the costs of which exceed the threshold project limit under subdivision 2, clause (a). <br/>
<a id="pl.2.14"></a><var>2.14</var>The commissioners shall consider the criteria in this section, section 
         <statute_ref>144A.073</statute_ref>, and <br/>
<a id="pl.2.15"></a><var>2.15</var>section 
         <statute_ref>256B.437</statute_ref>, in approving or rejecting a consolidation proposal. In the event the <br/>
<a id="pl.2.16"></a><var>2.16</var>commissioners approve the request, the commissioner of human services shall calculate a <br/>
<a id="pl.2.17"></a><var>2.17</var>property rate adjustment according to clauses (1) to (3):<br/>
<a id="pl.2.18"></a><var>2.18</var>(1) the closure of beds shall not be eligible for a planned closure rate adjustment <br/>
<a id="pl.2.19"></a><var>2.19</var>under section 
         <statute_ref>256B.437, subdivision 6</statute_ref>;<br/>
<a id="pl.2.20"></a><var>2.20</var>(2) the construction project permitted in this clause shall not be eligible for a <br/>
<a id="pl.2.21"></a><var>2.21</var>threshold project rate adjustment under section 
         <statute_ref>256B.434, subdivision 4f</statute_ref>, or a moratorium <br/>
<a id="pl.2.22"></a><var>2.22</var>exception adjustment under section 
         <statute_ref>144A.073</statute_ref>; and<br/>
<a id="pl.2.23"></a><var>2.23</var>(3) the property payment rate for a remaining facility or facilities shall be increased <br/>
<a id="pl.2.24"></a><var>2.24</var>by an amount equal to 65 percent of the projected net cost savings to the state calculated in <br/>
<a id="pl.2.25"></a><var>2.25</var>paragraph (b), divided by the state's medical assistance percentage of medical assistance <br/>
<a id="pl.2.26"></a><var>2.26</var>dollars, and then divided by estimated medical assistance resident days, as determined <br/>
<a id="pl.2.27"></a><var>2.27</var>in paragraph (c), of the remaining nursing facility or facilities in the request in this <br/>
<a id="pl.2.28"></a><var>2.28</var>paragraph. The rate adjustment is effective on the later of the first day of the month <br/>
<a id="pl.2.29"></a><var>2.29</var>following completion of the construction upgrades in the consolidation plan or the first <br/>
<a id="pl.2.30"></a><var>2.30</var>day of the month following the complete closure of a facility designated for closure in the <br/>
<a id="pl.2.31"></a><var>2.31</var>consolidation plan. If more than one facility is receiving upgrades in the consolidation <br/>
<a id="pl.2.32"></a><var>2.32</var>plan, each facility's date of construction completion must be evaluated separately.<br/>
<a id="pl.2.33"></a><var>2.33</var>(b) For purposes of calculating the net cost savings to the state, the commissioner <br/>
<a id="pl.2.34"></a><var>2.34</var>shall consider clauses (1) to (7):<br/>
<a id="pl.3.1"></a><var>3.1</var>(1) the annual savings from estimated medical assistance payments from the net <br/>
<a id="pl.3.2"></a><var>3.2</var>number of beds closed taking into consideration only beds that are in active service on the <br/>
<a id="pl.3.3"></a><var>3.3</var>date of the request and that have been in active service for at least three years;<br/>
<a id="pl.3.4"></a><var>3.4</var>(2) the estimated annual cost of increased case load of individuals receiving services <br/>
<a id="pl.3.5"></a><var>3.5</var>under the elderly waiver;<br/>
<a id="pl.3.6"></a><var>3.6</var>(3) the estimated annual cost of elderly waiver recipients receiving support under <br/>
<a id="pl.3.7"></a><var>3.7</var>group residential housing;<br/>
<a id="pl.3.8"></a><var>3.8</var>(4) the estimated annual cost of increased case load of individuals receiving services <br/>
<a id="pl.3.9"></a><var>3.9</var>under the alternative care program;<br/>
<a id="pl.3.10"></a><var>3.10</var>(5) the annual loss of license surcharge payments on closed beds;<br/>
<a id="pl.3.11"></a><var>3.11</var>(6) the savings from not paying planned closure rate adjustments that the facilities <br/>
<a id="pl.3.12"></a><var>3.12</var>would otherwise be eligible for under section 
         <statute_ref>256B.437</statute_ref>; and<br/>
<a id="pl.3.13"></a><var>3.13</var>(7) the savings from not paying property payment rate adjustments from submission <br/>
<a id="pl.3.14"></a><var>3.14</var>of renovation costs that would otherwise be eligible as threshold projects under section <br/>
<statute_ref><a id="pl.3.15"></a><var>3.15</var>256B.434, subdivision 4f
         </statute_ref>.<br/>
<a id="pl.3.16"></a><var>3.16</var>(c) For purposes of the calculation in paragraph (a), clause (3), the estimated medical <br/>
<a id="pl.3.17"></a><var>3.17</var>assistance resident days of the remaining facility or facilities shall be computed assuming <br/>
<a id="pl.3.18"></a><var>3.18</var>95 percent occupancy multiplied by the historical percentage of medical assistance <br/>
<a id="pl.3.19"></a><var>3.19</var>resident days of the remaining facility or facilities, as reported on the facility's or facilities' <br/>
<a id="pl.3.20"></a><var>3.20</var>most recent nursing facility statistical and cost report filed before the plan of closure <br/>
<a id="pl.3.21"></a><var>3.21</var>is submitted, multiplied by 365.<br/>
<a id="pl.3.22"></a><var>3.22</var>(d) For purposes of net cost of savings to the state in paragraph (b), the average <br/>
<a id="pl.3.23"></a><var>3.23</var>occupancy percentages will be those reported on the facility's or facilities' most recent <br/>
<a id="pl.3.24"></a><var>3.24</var>nursing facility statistical and cost report filed before the plan of closure is submitted, and <br/>
<a id="pl.3.25"></a><var>3.25</var>the average payment rates shall be calculated based on the approved payment rates in <br/>
<a id="pl.3.26"></a><var>3.26</var>effect at the time the consolidation request is submitted.<br/>
<a id="pl.3.27"></a><var>3.27</var>(e) To qualify for the property payment rate adjustment under this provision, the <br/>
<a id="pl.3.28"></a><var>3.28</var>closing facilities shall:<br/>
<a id="pl.3.29"></a><var>3.29</var>(1) submit an application for closure according to section 
         <statute_ref>256B.437, subdivision <br/>
</statute_ref><a id="pl.3.30"></a><var>3.30</var>3; and<br/>
<a id="pl.3.31"></a><var>3.31</var>(2) follow the resident relocation provisions of section 
         <statute_ref>144A.161</statute_ref>.<br/>
<a id="pl.3.32"></a><var>3.32</var>(f) The county or counties in which a facility or facilities are closed under this <br/>
<a id="pl.3.33"></a><var>3.33</var>subdivision shall not be eligible for designation as a hardship area under section 
         <statute_ref>144A.071</statute_ref>, <br/>
<a id="pl.3.34"></a><var>3.34</var>subdivision 3, for five years from the date of the approval of the proposed consolidation. <br/>
<a id="pl.3.35"></a><var>3.35</var>The applicant shall notify the county of this limitation and the county shall acknowledge <br/>
<a id="pl.3.36"></a><var>3.36</var>this in a letter of support.<br/>
<br/>
<a id="bill.0.4.0"></a><a id="pl.4.1"></a><var>4.1</var>    Sec. 4. Minnesota Statutes 2012, section 144A.161, is amended to read:<br/>
<a id="pl.4.2"></a><var>4.2</var><b>144A.161 NURSING HOME AND BOARDING CARE HOME RESIDENT </b><br/>
<a id="pl.4.3"></a><var>4.3</var><b>RELOCATION.</b><br/>
<a id="pl.4.4"></a><var>4.4</var>    Subdivision 1. <b>Definitions.</b> The definitions in this subdivision apply to subdivisions <br/>
<a id="pl.4.5"></a><var>4.5</var>2 to 10.<br/>
<a id="pl.4.6"></a><var>4.6</var>(a) "Change in operations" means any alteration in operations which would require <br/>
<a id="pl.4.7"></a><var>4.7</var>or encourage the relocation of residents.<br/>
<a id="pl.4.8"></a><var>4.8</var>(b) "Closure" or "closing" means the cessation of operations of a facility and the <br/>
<a id="pl.4.9"></a><var>4.9</var>delicensure and decertification of all beds within the facility.<br/>
<a id="pl.4.10"></a><var>4.10</var>(b) "Curtailment," "reduction," or "Change" refers to any change in operations which <br/>
<a id="pl.4.11"></a><var>4.11</var>would result in or encourage the relocation of residents.<br/>
<a id="pl.4.12"></a><var>4.12</var>(c) "Facility" means a nursing home licensed pursuant to this chapter, or a certified <br/>
<a id="pl.4.13"></a><var>4.13</var>boarding care home licensed pursuant to sections 144.50 to 144.56. "Contact information" <br/>
<a id="pl.4.14"></a><var>4.14</var>means name, address, and telephone number and, when available, e-mail address and <br/>
<a id="pl.4.15"></a><var>4.15</var>facsimile number.<br/>
<a id="pl.4.16"></a><var>4.16</var>(d) "Licensee" means the owner of the facility or the owner's designee or the <br/>
<a id="pl.4.17"></a><var>4.17</var>commissioner of health for a facility in receivership.<br/>
<a id="pl.4.18"></a><var>4.18</var>(e) (d) "County social services agency" means the county or multicounty social <br/>
<a id="pl.4.19"></a><var>4.19</var>service agency authorized under sections 393.01 and 393.07, as the agency responsible for <br/>
<a id="pl.4.20"></a><var>4.20</var>providing social services for the county in which the nursing home facility is located.<br/>
<a id="pl.4.21"></a><var>4.21</var>(e) "Facility" means a nursing home licensed pursuant to this chapter, or a boarding <br/>
<a id="pl.4.22"></a><var>4.22</var>care home licensed pursuant to sections 144.50 to 144.56.<br/>
<a id="pl.4.23"></a><var>4.23</var>(f) "Licensee" means the owner of the facility or the owner's designee or the <br/>
<a id="pl.4.24"></a><var>4.24</var>commissioner of health for a facility in receivership.<br/>
<a id="pl.4.25"></a><var>4.25</var>(f) (g) "Plan" or "relocation plan" means a description of the process developed <br/>
<a id="pl.4.26"></a><var>4.26</var>under subdivision 3, paragraph (b), for the relocation of residents in cases of a facility <br/>
<a id="pl.4.27"></a><var>4.27</var> closure, curtailment, reduction, or change in operations in a facility and the subsequent <br/>
<a id="pl.4.28"></a><var>4.28</var>relocation of residents.<br/>
<a id="pl.4.29"></a><var>4.29</var>(h) "Reduction" means a decrease in the number of beds that would require or <br/>
<a id="pl.4.30"></a><var>4.30</var>encourage the relocation of residents.<br/>
<a id="pl.4.31"></a><var>4.31</var>(g) (i) "Relocation" means the discharge of a resident and movement of the resident <br/>
<a id="pl.4.32"></a><var>4.32</var>to another facility or living arrangement as a result of the closing, curtailment, reduction, <br/>
<a id="pl.4.33"></a><var>4.33</var>or change in operations of a nursing home or boarding care home facility.<br/>
<a id="pl.4.34"></a><var>4.34</var>(j) "Responsible party" means an individual acting as a legal representative for the <br/>
<a id="pl.4.35"></a><var>4.35</var>resident.<br/>
<a id="pl.5.1"></a><var>5.1</var>    Subd. 1a. <b>Scope.</b> Where a facility is undertaking a closure, curtailment, reduction, <br/>
<a id="pl.5.2"></a><var>5.2</var>or change in operations, or where a housing with services unit registered under chapter <br/>
<a id="pl.5.3"></a><var>5.3</var>144D is closed because the space that it occupies is being replaced by a nursing facility <br/>
<a id="pl.5.4"></a><var>5.4</var>bed that is being reactivated from layaway status, the facility and the county social <br/>
<a id="pl.5.5"></a><var>5.5</var>services agency must comply with the requirements of this section.<br/>
<a id="pl.5.6"></a><var>5.6</var>    Subd. 2. <b>Initial notice from licensee.</b> (a) A licensee shall notify the following <br/>
<a id="pl.5.7"></a><var>5.7</var>parties in writing when there is an intent to close or curtail, reduce, or change operations <br/>
<a id="pl.5.8"></a><var>5.8</var>which that would result in require or encourage the relocation of residents:<br/>
<a id="pl.5.9"></a><var>5.9</var>(1) the commissioner of health;<br/>
<a id="pl.5.10"></a><var>5.10</var>(2) the commissioner of human services;<br/>
<a id="pl.5.11"></a><var>5.11</var>(3) the county social services agency;<br/>
<a id="pl.5.12"></a><var>5.12</var>(4) the Office of Ombudsman for Long-Term Care; and<br/>
<a id="pl.5.13"></a><var>5.13</var>(5) the Office of Ombudsman for Mental Health and Developmental Disabilities.; and<br/>
<a id="pl.5.14"></a><var>5.14</var>(6) the managed care organizations contracting with Minnesota health care programs <br/>
<a id="pl.5.15"></a><var>5.15</var>within the county where the nursing facility is located.<br/>
<a id="pl.5.16"></a><var>5.16</var>(b) The written notice shall include the names, telephone numbers, facsimile <br/>
<a id="pl.5.17"></a><var>5.17</var>numbers, and e-mail addresses contact information of the persons in the facility <br/>
<a id="pl.5.18"></a><var>5.18</var>responsible for coordinating the licensee's efforts in the planning process, and the number <br/>
<a id="pl.5.19"></a><var>5.19</var>of residents potentially affected by the closure or curtailment, reduction, or change in <br/>
<a id="pl.5.20"></a><var>5.20</var>operations. Only the copy of the notice provided to the county social services agency shall <br/>
<a id="pl.5.21"></a><var>5.21</var>include a complete resident census, including resident name, date of birth, Social Security <br/>
<a id="pl.5.22"></a><var>5.22</var>number, and medical assistance identification number if it is available.<br/>
<a id="pl.5.23"></a><var>5.23</var>(c) For a facility that is reducing or changing operations, after providing written <br/>
<a id="pl.5.24"></a><var>5.24</var>notice under this section subdivision 5a, and prior to admission, the facility must fully <br/>
<a id="pl.5.25"></a><var>5.25</var>inform prospective residents and their families responsible parties of the intent to close or <br/>
<a id="pl.5.26"></a><var>5.26</var>curtail, reduce, or change operations, and of the relocation plan.<br/>
<a id="pl.5.27"></a><var>5.27</var>(d) A closing facility is prohibited from admitting any new residents on or after the <br/>
<a id="pl.5.28"></a><var>5.28</var>date of the written notice provided under subdivision 5a.<br/>
<a id="pl.5.29"></a><var>5.29</var>    Subd. 3. <b>Planning process.</b> (a) The county social services agency shall, within <br/>
<a id="pl.5.30"></a><var>5.30</var>five working days of receiving initial notice of the licensee's intent to close or curtail, <br/>
<a id="pl.5.31"></a><var>5.31</var>reduce, or change operations, provide the licensee and all parties identified in subdivision <br/>
<a id="pl.5.32"></a><var>5.32</var>2, paragraph (a), with the names, telephone numbers, facsimile numbers, and e-mail <br/>
<a id="pl.5.33"></a><var>5.33</var>addresses contact information of those persons responsible for coordinating county social <br/>
<a id="pl.5.34"></a><var>5.34</var>services agency efforts in the planning process.<br/>
<a id="pl.5.35"></a><var>5.35</var>(b) Within ten working days of receipt of the notice under subdivision 2, paragraph <br/>
<a id="pl.5.36"></a><var>5.36</var>(a), the county social services agency and licensee shall meet to develop the relocation <br/>
<a id="pl.6.1"></a><var>6.1</var>plan. The county social services agency shall inform the Departments Department of <br/>
<a id="pl.6.2"></a><var>6.2</var>Health and the Department of Human Services, the Office of Ombudsman for Long-Term <br/>
<a id="pl.6.3"></a><var>6.3</var>Care, and the Office of Ombudsman for Mental Health and Developmental Disabilities of <br/>
<a id="pl.6.4"></a><var>6.4</var>the date, time, and location of the meeting so that their representatives may attend. The <br/>
<a id="pl.6.5"></a><var>6.5</var>relocation plan must be completed within no later than 45 days of after receipt of the initial <br/>
<a id="pl.6.6"></a><var>6.6</var>notice in subdivision 2, paragraph (a). However, the plan may be finalized on an earlier <br/>
<a id="pl.6.7"></a><var>6.7</var>schedule agreed to by all parties. To the extent practicable, consistent with requirements <br/>
<a id="pl.6.8"></a><var>6.8</var>to protect the safety and health of residents, the commissioner may authorize the planning <br/>
<a id="pl.6.9"></a><var>6.9</var>process under this subdivision to occur concurrent with the 60-day notice required under <br/>
<a id="pl.6.10"></a><var>6.10</var>subdivision 5a. The plan shall:<br/>
<a id="pl.6.11"></a><var>6.11</var>(1) identify the expected date of closure, curtailment, reduction, or change in <br/>
<a id="pl.6.12"></a><var>6.12</var>operations;<br/>
<a id="pl.6.13"></a><var>6.13</var>(2) outline the process for public notification of the closure, curtailment, reduction, <br/>
<a id="pl.6.14"></a><var>6.14</var>or change in operations;<br/>
<a id="pl.6.15"></a><var>6.15</var>(3) identify efforts that will be made to include other stakeholders in the relocation <br/>
<a id="pl.6.16"></a><var>6.16</var>process;<br/>
<a id="pl.6.17"></a><var>6.17</var>(4) outline the process to ensure 60-day advance written notice to residents, family <br/>
<a id="pl.6.18"></a><var>6.18</var>members, and designated representatives;<br/>
<a id="pl.6.19"></a><var>6.19</var>(5) present an aggregate description of the resident population remaining to be <br/>
<a id="pl.6.20"></a><var>6.20</var>relocated and the population's needs;<br/>
<a id="pl.6.21"></a><var>6.21</var>(6) outline the individual resident assessment process to be utilized;<br/>
<a id="pl.6.22"></a><var>6.22</var>(7) identify an inventory of available relocation options and resources, including <br/>
<a id="pl.6.23"></a><var>6.23</var>home and community-based services;<br/>
<a id="pl.6.24"></a><var>6.24</var>(8) identify a timeline for submission of the list identified in subdivision 5c, <br/>
<a id="pl.6.25"></a><var>6.25</var>paragraph (b);<br/>
<a id="pl.6.26"></a><var>6.26</var>(9) (8) identify a schedule for the timely completion of each element of the plan; and<br/>
<a id="pl.6.27"></a><var>6.27</var>(10) (9) identify the steps the licensee and the county social services agency will <br/>
<a id="pl.6.28"></a><var>6.28</var>take to address the relocation needs of individual residents who may be difficult to place <br/>
<a id="pl.6.29"></a><var>6.29</var>due to specialized care needs such as behavioral health problems.; and<br/>
<a id="pl.6.30"></a><var>6.30</var>(10) identify the steps needed to share information and coordinate relocation efforts <br/>
<a id="pl.6.31"></a><var>6.31</var>with managed care organizations.<br/>
<a id="pl.6.32"></a><var>6.32</var>(c) All parties to the plan shall refrain from any public notification of the intent to <br/>
<a id="pl.6.33"></a><var>6.33</var>close or curtail, reduce, or change operations until a relocation plan has been established<br/>
<a id="pl.6.34"></a><var>6.34</var> and the notice in subdivision 5a is given. If the planning process occurs concurrently with <br/>
<a id="pl.6.35"></a><var>6.35</var>the 60-day notice period, this requirement does not apply once 60-day notice is given.<br/>
<a id="pl.7.1"></a><var>7.1</var>    Subd. 4. <b>Responsibilities of licensee for resident relocations.</b> The licensee shall <br/>
<a id="pl.7.2"></a><var>7.2</var>provide for the safe, orderly, and appropriate relocation of residents. The licensee and <br/>
<a id="pl.7.3"></a><var>7.3</var>facility staff shall cooperate with representatives from the county social services agency, <br/>
<a id="pl.7.4"></a><var>7.4</var>the Department of Health, the Department of Human Services, the Office of Ombudsman <br/>
<a id="pl.7.5"></a><var>7.5</var>for Long-Term Care, and the Office of Ombudsman for Mental Health and Developmental <br/>
<a id="pl.7.6"></a><var>7.6</var>Disabilities in planning for and implementing the relocation of residents.<br/>
<a id="pl.7.7"></a><var>7.7</var>    Subd. 5. <b>Licensee responsibilities </b><b>prior</b><b> related</b><b> to </b><b>relocation</b><b> sending the notice </b><br/>
<a id="pl.7.8"></a><var>7.8</var><b>in subdivision 5a</b><b>.</b> (a) The licensee shall establish an interdisciplinary team responsible <br/>
<a id="pl.7.9"></a><var>7.9</var>for coordinating and implementing the plan. The interdisciplinary team shall include <br/>
<a id="pl.7.10"></a><var>7.10</var>representatives from the county social services agency, the Office of Ombudsman for <br/>
<a id="pl.7.11"></a><var>7.11</var>Long-Term Care, the Office of the Ombudsman for Mental Health and Developmental <br/>
<a id="pl.7.12"></a><var>7.12</var>Disabilities, facility staff that provide direct care services to the residents, and facility <br/>
<a id="pl.7.13"></a><var>7.13</var>administration.<br/>
<a id="pl.7.14"></a><var>7.14</var>(b) Concurrent with the notice provided in subdivision 5a, the licensee shall <br/>
<a id="pl.7.15"></a><var>7.15</var>provide a an updated resident census summary document to the county social services <br/>
<a id="pl.7.16"></a><var>7.16</var>agency, the Ombudsman for Long-Term Care, and the Ombudsman for Mental Health <br/>
<a id="pl.7.17"></a><var>7.17</var>and Developmental Disabilities that includes the following information on each resident <br/>
<a id="pl.7.18"></a><var>7.18</var>to be relocated:<br/>
<a id="pl.7.19"></a><var>7.19</var>(1) resident name;<br/>
<a id="pl.7.20"></a><var>7.20</var>(2) date of birth;<br/>
<a id="pl.7.21"></a><var>7.21</var>(3) Social Security number;<br/>
<a id="pl.7.22"></a><var>7.22</var>(4) payment source and medical assistance identification number, if applicable;<br/>
<a id="pl.7.23"></a><var>7.23</var>(5) county of financial responsibility if the resident is enrolled in a Minnesota health <br/>
<a id="pl.7.24"></a><var>7.24</var>care program;<br/>
<a id="pl.7.25"></a><var>7.25</var>(6) date of admission to the facility;<br/>
<a id="pl.7.26"></a><var>7.26</var>(7) all current diagnoses;<br/>
<a id="pl.7.27"></a><var>7.27</var>(8) the name of and contact information for the resident's physician;<br/>
<a id="pl.7.28"></a><var>7.28</var>(9) the name and contact information for the resident's family or other designated <br/>
<a id="pl.7.29"></a><var>7.29</var>representative responsible party;<br/>
<a id="pl.7.30"></a><var>7.30</var>(10) the names name of and contact information for any case managers manager, <br/>
<a id="pl.7.31"></a><var>7.31</var>managed care coordinator, or other care coordinator, if known; and<br/>
<a id="pl.7.32"></a><var>7.32</var>(11) information on the resident's status related to commitment and probation.; and<br/>
<a id="pl.7.33"></a><var>7.33</var>(12) the name of the managed care organization in which the resident is enrolled, <br/>
<a id="pl.7.34"></a><var>7.34</var>if known.<br/>
<a id="pl.7.35"></a><var>7.35</var>(c) The licensee shall consult with the county social services agency on the <br/>
<a id="pl.7.36"></a><var>7.36</var>availability and development of available resources and on the resident relocation process.<br/>
<a id="pl.8.1"></a><var>8.1</var>    Subd. 5a. <b>Administrator and </b><b>licensee </b><b>responsibilities</b><b> </b><b>responsibility </b><b>to provide </b><br/>
<a id="pl.8.2"></a><var>8.2</var><b>notice.</b> At least 60 days before the proposed date of closing, curtailment, reduction, or <br/>
<a id="pl.8.3"></a><var>8.3</var>change in operations as agreed to in the plan, the licensee administrator shall send a <br/>
<a id="pl.8.4"></a><var>8.4</var>written notice of closure or curtailment, reduction, or change in operations to each resident <br/>
<a id="pl.8.5"></a><var>8.5</var>being relocated, the resident's family member or designated representative responsible <br/>
<a id="pl.8.6"></a><var>8.6</var>party, and the resident's managed care organization if it is known, the county social <br/>
<a id="pl.8.7"></a><var>8.7</var>services agency, the commissioner of health, the commissioner of human services, the <br/>
<a id="pl.8.8"></a><var>8.8</var>Office of Ombudsman for Long-Term Care and the Office of Ombudsman for Mental <br/>
<a id="pl.8.9"></a><var>8.9</var>Health and Developmental Disabilities, the resident's attending physician, and, in the case <br/>
<a id="pl.8.10"></a><var>8.10</var>of a complete facility closure, the Centers for Medicare and Medicaid Services regional <br/>
<a id="pl.8.11"></a><var>8.11</var>office designated representative. The notice must include the following:<br/>
<a id="pl.8.12"></a><var>8.12</var>(1) the date of the proposed closure, curtailment, reduction, or change in operations;<br/>
<a id="pl.8.13"></a><var>8.13</var>(2) the name, address, telephone number, facsimile number, and e-mail address<br/>
<a id="pl.8.14"></a><var>8.14</var> contact information of the individual or individuals in the facility responsible for providing <br/>
<a id="pl.8.15"></a><var>8.15</var>assistance and information;<br/>
<a id="pl.8.16"></a><var>8.16</var>(3) notification of upcoming meetings for residents, families and designated <br/>
<a id="pl.8.17"></a><var>8.17</var>representatives responsible parties, and resident and family councils to discuss the plan <br/>
<a id="pl.8.18"></a><var>8.18</var>for relocation of residents;<br/>
<a id="pl.8.19"></a><var>8.19</var>(4) the name, address, and telephone number contact information of the county <br/>
<a id="pl.8.20"></a><var>8.20</var>social services agency contact person; and<br/>
<a id="pl.8.21"></a><var>8.21</var>(5) the name, address, and telephone number contact information of the Office of <br/>
<a id="pl.8.22"></a><var>8.22</var>Ombudsman for Long-Term Care and the Office of Ombudsman for Mental Health and <br/>
<a id="pl.8.23"></a><var>8.23</var>Developmental Disabilities.<br/>
<a id="pl.8.24"></a><var>8.24</var>The notice must comply with all applicable state and federal requirements for notice <br/>
<a id="pl.8.25"></a><var>8.25</var>of transfer or discharge of nursing home residents.<br/>
<a id="pl.8.26"></a><var>8.26</var>    Subd. 5b. <b>Licensee responsibility regarding medical information.</b> The licensee <br/>
<a id="pl.8.27"></a><var>8.27</var>shall request the attending physician provide or arrange for the release of medical <br/>
<a id="pl.8.28"></a><var>8.28</var>information needed to update resident medical records and prepare all required forms <br/>
<a id="pl.8.29"></a><var>8.29</var>and discharge summaries.<br/>
<a id="pl.8.30"></a><var>8.30</var>    Subd. 5c. <b>Licensee responsibility regarding placement information.</b> (a) The <br/>
<a id="pl.8.31"></a><var>8.31</var>licensee shall provide sufficient preparation to residents each resident to ensure safe, and<br/>
<a id="pl.8.32"></a><var>8.32</var> orderly, and appropriate discharge and relocation. The licensee shall assist residents<br/>
<a id="pl.8.33"></a><var>8.33</var> each resident in finding placements that respond to personal preferences, such as desired <br/>
<a id="pl.8.34"></a><var>8.34</var>geographic location take into consideration quality, services, location, the resident's needs <br/>
<a id="pl.8.35"></a><var>8.35</var>and choices, and the best interests of each resident.<br/>
<a id="pl.9.1"></a><var>9.1</var>(b) The licensee shall prepare a resource list with several relocation options for each <br/>
<a id="pl.9.2"></a><var>9.2</var>resident. The list must contain the following information for each relocation option, <br/>
<a id="pl.9.3"></a><var>9.3</var>when applicable:<br/>
<a id="pl.9.4"></a><var>9.4</var>(1) the name, address, and telephone and facsimile numbers of each facility with <br/>
<a id="pl.9.5"></a><var>9.5</var>appropriate, available beds or services;<br/>
<a id="pl.9.6"></a><var>9.6</var>(2) the certification level of the available beds;<br/>
<a id="pl.9.7"></a><var>9.7</var>(3) the types of services available; and<br/>
<a id="pl.9.8"></a><var>9.8</var>(4) the name, address, and telephone and facsimile numbers of appropriate available <br/>
<a id="pl.9.9"></a><var>9.9</var>home and community-based placements, services, and settings or other options for <br/>
<a id="pl.9.10"></a><var>9.10</var>individuals with special needs.<br/>
<a id="pl.9.11"></a><var>9.11</var>The list shall be made available to residents and their families or designated <br/>
<a id="pl.9.12"></a><var>9.12</var>representatives, and upon request to the Office of Ombudsman for Long-Term Care, the <br/>
<a id="pl.9.13"></a><var>9.13</var>Office of Ombudsman for Mental Health and Developmental Disabilities, and the county <br/>
<a id="pl.9.14"></a><var>9.14</var>social services agency.<br/>
<a id="pl.9.15"></a><var>9.15</var>(c) The Senior LinkAge line may make available via a Web site the name, address, <br/>
<a id="pl.9.16"></a><var>9.16</var>and telephone and facsimile numbers of each facility with available beds, the certification <br/>
<a id="pl.9.17"></a><var>9.17</var>level of the available beds, the types of services available, and the number of beds that are <br/>
<a id="pl.9.18"></a><var>9.18</var>available as updated daily by the listed facilities. The licensee must provide residents, <br/>
<a id="pl.9.19"></a><var>9.19</var>their families or designated representatives, the Office of Ombudsman for Long-Term <br/>
<a id="pl.9.20"></a><var>9.20</var>Care, the Office of Ombudsman for Mental Health and Developmental Disabilities, and <br/>
<a id="pl.9.21"></a><var>9.21</var>the county social services agency with the toll-free number and Web site address for <br/>
<a id="pl.9.22"></a><var>9.22</var>the Senior LinkAge line.<br/>
<a id="pl.9.23"></a><var>9.23</var>    Subd. 5d. <b>Licensee responsibility to meet with residents and </b><b>families</b><b> responsible </b><br/>
<a id="pl.9.24"></a><var>9.24</var><b>parties</b><b>.</b> Following the establishment of the plan, the licensee shall conduct meetings with <br/>
<a id="pl.9.25"></a><var>9.25</var>residents, families and designated representatives responsible parties, and resident and <br/>
<a id="pl.9.26"></a><var>9.26</var>family councils to notify them of the process for resident relocation. Representatives from <br/>
<a id="pl.9.27"></a><var>9.27</var>the local county social services agency, the Office of Ombudsman for Long-Term Care, <br/>
<a id="pl.9.28"></a><var>9.28</var>the Office of Ombudsman for Mental Health and Developmental Disabilities, managed <br/>
<a id="pl.9.29"></a><var>9.29</var>care organizations with residents in the facility, the commissioner of health, and the <br/>
<a id="pl.9.30"></a><var>9.30</var>commissioner of human services shall receive advance notice of the meetings.<br/>
<a id="pl.9.31"></a><var>9.31</var>    Subd. 5e. <b>Licensee responsibility for site visits.</b> The licensee shall assist <br/>
<a id="pl.9.32"></a><var>9.32</var>residents desiring to make site visits to facilities with available beds or other appropriate <br/>
<a id="pl.9.33"></a><var>9.33</var>living options to which the resident may relocate, unless it is medically inadvisable, as <br/>
<a id="pl.9.34"></a><var>9.34</var>documented by the attending physician in the resident's care record. The licensee shall <br/>
<a id="pl.9.35"></a><var>9.35</var>provide or arrange make available to the resident at no charge transportation for up to <br/>
<a id="pl.9.36"></a><var>9.36</var>three site visits to facilities or other living options within a 50-mile radius to which the <br/>
<a id="pl.10.1"></a><var>10.1</var>resident may relocate, or within a larger radius if no suitable options are available within <br/>
<a id="pl.10.2"></a><var>10.2</var>50 miles. The licensee shall provide available written materials to residents on a potential <br/>
<a id="pl.10.3"></a><var>10.3</var>new facility or living option the county or contiguous counties.<br/>
<a id="pl.10.4"></a><var>10.4</var>    Subd. 5f. <b>Licensee </b><b>responsible</b><b> responsibility</b><b> for resident property, funds, and </b><br/>
<a id="pl.10.5"></a><var>10.5</var><b>telephone service</b><b> communication devices</b><b>.</b> (a) The licensee shall complete an inventory <br/>
<a id="pl.10.6"></a><var>10.6</var>of resident personal possessions and provide a copy of the final inventory to the resident <br/>
<a id="pl.10.7"></a><var>10.7</var>and the resident's designated representative responsible party prior to relocation. The <br/>
<a id="pl.10.8"></a><var>10.8</var>licensee shall be responsible for the transfer of the resident's possessions for all relocations <br/>
<a id="pl.10.9"></a><var>10.9</var>within a 50-mile radius of the facility, or within a larger radius if no suitable options are <br/>
<a id="pl.10.10"></a><var>10.10</var>available within 50 miles to a selected new location within the county or contiguous <br/>
<a id="pl.10.11"></a><var>10.11</var>counties. The licensee shall complete the transfer of resident possessions in a timely <br/>
<a id="pl.10.12"></a><var>10.12</var>manner, but no later than the date of the actual physical relocation of the resident.<br/>
<a id="pl.10.13"></a><var>10.13</var>(b) The licensee shall complete a final accounting of personal funds held in trust <br/>
<a id="pl.10.14"></a><var>10.14</var>by the facility and provide a copy of this accounting to the resident and the resident's <br/>
<a id="pl.10.15"></a><var>10.15</var>family or the resident's designated representative responsible party. The licensee shall be <br/>
<a id="pl.10.16"></a><var>10.16</var>responsible for the transfer of all personal funds held in trust by the facility. The licensee <br/>
<a id="pl.10.17"></a><var>10.17</var>shall complete the transfer of all personal funds in a timely manner.<br/>
<a id="pl.10.18"></a><var>10.18</var>(c) The licensee shall assist residents with the transfer and reconnection of service <br/>
<a id="pl.10.19"></a><var>10.19</var>for telephones or, for residents who are deaf or blind, other personal communication <br/>
<a id="pl.10.20"></a><var>10.20</var>devices or services. The licensee shall pay the costs associated with reestablishing <br/>
<a id="pl.10.21"></a><var>10.21</var>service for telephones or other personal communication devices or services, such as <br/>
<a id="pl.10.22"></a><var>10.22</var>connection fees or other onetime charges. The transfer or and reconnection of personal <br/>
<a id="pl.10.23"></a><var>10.23</var>communication devices or services shall be completed in a timely manner.<br/>
<a id="pl.10.24"></a><var>10.24</var>    Subd. 5g. <b>Licensee responsibilities for final </b><b>written discharge </b><b>notice and records </b><br/>
<a id="pl.10.25"></a><var>10.25</var><b>transfer.</b> (a) The licensee shall provide the resident, the resident's family or designated <br/>
<a id="pl.10.26"></a><var>10.26</var>representative responsible parties, the resident's managed care organization, if known, <br/>
<a id="pl.10.27"></a><var>10.27</var>and the resident's attending physician with a final written discharge notice prior to the <br/>
<a id="pl.10.28"></a><var>10.28</var>relocation of the resident. The notice must:<br/>
<a id="pl.10.29"></a><var>10.29</var>(1) be provided seven days prior to the actual relocation, unless the resident agrees <br/>
<a id="pl.10.30"></a><var>10.30</var>to waive the right to advance notice; and<br/>
<a id="pl.10.31"></a><var>10.31</var>(2) identify the effective date of the anticipated relocation and the destination to <br/>
<a id="pl.10.32"></a><var>10.32</var>which the resident is being relocated.<br/>
<a id="pl.10.33"></a><var>10.33</var>(b) The licensee shall provide the receiving facility or other health, housing, or care <br/>
<a id="pl.10.34"></a><var>10.34</var>entity with complete and accurate resident records including contact information on for<br/>
<a id="pl.10.35"></a><var>10.35</var> family members, designated representatives responsible parties, guardians, social service <br/>
<a id="pl.10.36"></a><var>10.36</var>or other caseworkers, or other contact information and managed care coordinators. These <br/>
<a id="pl.11.1"></a><var>11.1</var>records must also include all information necessary to provide appropriate medical care <br/>
<a id="pl.11.2"></a><var>11.2</var>and social services. This includes, but is not limited to, information on preadmission <br/>
<a id="pl.11.3"></a><var>11.3</var>screening, Level I and Level II screening, minimum data set (MDS), and all other <br/>
<a id="pl.11.4"></a><var>11.4</var>assessments, current resident diagnoses, social, behavioral, and medication information, <br/>
<a id="pl.11.5"></a><var>11.5</var>required forms, and discharge summaries.<br/>
<a id="pl.11.6"></a><var>11.6</var>(c) For residents with special care needs, the licensee shall consult with the receiving <br/>
<a id="pl.11.7"></a><var>11.7</var>facility or other placement entity and provide staff training or other preparation as needed <br/>
<a id="pl.11.8"></a><var>11.8</var>to assist in providing for the special needs.<br/>
<a id="pl.11.9"></a><var>11.9</var>    Subd. 6. <b>Responsibilities of licensee during relocation.</b> (a) The licensee shall, at <br/>
<a id="pl.11.10"></a><var>11.10</var>no charge to the resident, make arrangements or provide for the transportation of residents <br/>
<a id="pl.11.11"></a><var>11.11</var>to the new facility or placement within a 50-mile radius, or within a larger radius if no <br/>
<a id="pl.11.12"></a><var>11.12</var>suitable options are available within 50 miles location within the county or contiguous <br/>
<a id="pl.11.13"></a><var>11.13</var>counties. The licensee shall provide a staff person to accompany the resident during <br/>
<a id="pl.11.14"></a><var>11.14</var>transportation to the new location within the county or contiguous counties, upon request <br/>
<a id="pl.11.15"></a><var>11.15</var>of the resident, the resident's family, or designated representative responsible party. The <br/>
<a id="pl.11.16"></a><var>11.16</var>discharge and relocation of residents must comply with all applicable state and federal <br/>
<a id="pl.11.17"></a><var>11.17</var>requirements and must be conducted in a safe, and orderly, and appropriate manner. <br/>
<a id="pl.11.18"></a><var>11.18</var>The licensee must ensure that there is no disruption in providing meals, medications, or <br/>
<a id="pl.11.19"></a><var>11.19</var>treatments of a resident during the relocation process.<br/>
<a id="pl.11.20"></a><var>11.20</var>(b) Beginning the week following development of the initial relocation plan the <br/>
<a id="pl.11.21"></a><var>11.21</var>announcement in subdivision 5a, the licensee shall submit weekly status reports to the <br/>
<a id="pl.11.22"></a><var>11.22</var>commissioners commissioner of health and the commissioner of human services or their <br/>
<a id="pl.11.23"></a><var>11.23</var>designees, the Ombudsman for Long-Term Care and Ombudsman for Mental Health <br/>
<a id="pl.11.24"></a><var>11.24</var>and Developmental Disabilities, and to the county social services agency. The status <br/>
<a id="pl.11.25"></a><var>11.25</var>reports must be submitted in the format required by the commissioner of health and the <br/>
<a id="pl.11.26"></a><var>11.26</var>commissioner of human services. The initial status report must identify:<br/>
<a id="pl.11.27"></a><var>11.27</var>(1) the relocation plan developed;<br/>
<a id="pl.11.28"></a><var>11.28</var>(2) the interdisciplinary team members; and<br/>
<a id="pl.11.29"></a><var>11.29</var>(3) the number of residents to be relocated.<br/>
<a id="pl.11.30"></a><var>11.30</var>(c) Subsequent status reports must identify:<br/>
<a id="pl.11.31"></a><var>11.31</var>(1) any modifications to the plan;<br/>
<a id="pl.11.32"></a><var>11.32</var>(2) any change of interdisciplinary team members;<br/>
<a id="pl.11.33"></a><var>11.33</var>(3) the number of residents relocated;<br/>
<a id="pl.11.34"></a><var>11.34</var>(4) the destination to which residents have been relocated;<br/>
<a id="pl.11.35"></a><var>11.35</var>(5) the number of residents remaining to be relocated; and<br/>
<a id="pl.11.36"></a><var>11.36</var>(6) issues or problems encountered during the process and resolution of these issues.<br/>
<a id="pl.12.1"></a><var>12.1</var>    Subd. 7. <b>Responsibilities of licensee following relocation.</b> The licensee shall retain <br/>
<a id="pl.12.2"></a><var>12.2</var>or make arrangements for the retention of all remaining resident records for the period <br/>
<a id="pl.12.3"></a><var>12.3</var>required by law. The licensee shall provide the Department of Health access to these <br/>
<a id="pl.12.4"></a><var>12.4</var>records. The licensee shall notify the Department of Health of the location of any resident <br/>
<a id="pl.12.5"></a><var>12.5</var>records that have not been transferred to the new facility or other health care entity.<br/>
<a id="pl.12.6"></a><var>12.6</var>    Subd. 8. <b>Responsibilities of  county social services agency.</b> (a) The county social <br/>
<a id="pl.12.7"></a><var>12.7</var>services agency shall participate in the meeting as outlined in subdivision 3, paragraph <br/>
<a id="pl.12.8"></a><var>12.8</var>(b), to develop a relocation plan.<br/>
<a id="pl.12.9"></a><var>12.9</var>(b) The county social services agency shall designate a representative to the <br/>
<a id="pl.12.10"></a><var>12.10</var>interdisciplinary team established by the licensee responsible for coordinating the <br/>
<a id="pl.12.11"></a><var>12.11</var>relocation efforts.<br/>
<a id="pl.12.12"></a><var>12.12</var>(c) The county social services agency shall serve as a resource in the relocation <br/>
<a id="pl.12.13"></a><var>12.13</var>process.<br/>
<a id="pl.12.14"></a><var>12.14</var>(d) Concurrent with the notice sent to residents from the licensee as provided in <br/>
<a id="pl.12.15"></a><var>12.15</var>subdivision 5a, the county social services agency shall provide written notice to residents, <br/>
<a id="pl.12.16"></a><var>12.16</var>family, or designated representatives and responsible parties describing:<br/>
<a id="pl.12.17"></a><var>12.17</var>(1) the county's role in the relocation process and in the follow-up to relocations;<br/>
<a id="pl.12.18"></a><var>12.18</var>(2) a the county social services agency contact name, address, and telephone number<br/>
<a id="pl.12.19"></a><var>12.19</var> information; and<br/>
<a id="pl.12.20"></a><var>12.20</var>(3) the name, address, and telephone number of contact information for the Office <br/>
<a id="pl.12.21"></a><var>12.21</var>of Ombudsman for Long-Term Care and the Office of Ombudsman for Mental Health <br/>
<a id="pl.12.22"></a><var>12.22</var>and Developmental Disabilities.<br/>
<a id="pl.12.23"></a><var>12.23</var>(e) The county social services agency designee shall meet with appropriate facility <br/>
<a id="pl.12.24"></a><var>12.24</var>staff to coordinate any assistance in the relocation process. This coordination shall include <br/>
<a id="pl.12.25"></a><var>12.25</var>participating in group meetings with residents, families, and designated representatives<br/>
<a id="pl.12.26"></a><var>12.26</var> responsible parties to explain the relocation process.<br/>
<a id="pl.12.27"></a><var>12.27</var>(f) Beginning from the initial notice given in subdivision 2, the county social services <br/>
<a id="pl.12.28"></a><var>12.28</var>agency shall monitor compliance with all components of this section and the plan developed <br/>
<a id="pl.12.29"></a><var>12.29</var>under subdivision 3, paragraph (b). If the licensee is not in compliance, the county <br/>
<a id="pl.12.30"></a><var>12.30</var>social services agency shall notify the commissioners commissioner of the Departments<br/>
<a id="pl.12.31"></a><var>12.31</var> Department of  of Health and the commissioner of the Department of Human Services.<br/>
<a id="pl.12.32"></a><var>12.32</var>(g) Except as requested by the resident, family member, or designated representative<br/>
<a id="pl.12.33"></a><var>12.33</var> or responsible party and within the parameters of the Vulnerable Adults Act, the <br/>
<a id="pl.12.34"></a><var>12.34</var>county social services agency, in coordination with the commissioner of health and the <br/>
<a id="pl.12.35"></a><var>12.35</var>commissioner of human services, may halt a relocation that it deems inappropriate or <br/>
<a id="pl.12.36"></a><var>12.36</var>dangerous to the health or safety of a resident. In situations where a resident relocation <br/>
<a id="pl.13.1"></a><var>13.1</var>is halted, the county social services agency must notify the resident, family, responsible <br/>
<a id="pl.13.2"></a><var>13.2</var>parties, Office of the Ombudsman for Long-Term Care and Office of the Ombudsman for <br/>
<a id="pl.13.3"></a><var>13.3</var>Mental Health and Developmental Disabilities, and resident's managed care organization, <br/>
<a id="pl.13.4"></a><var>13.4</var>of this action. The county social services agency shall pursue remedies to protect the <br/>
<a id="pl.13.5"></a><var>13.5</var>resident during the relocation process, including, but not limited to, assisting the resident <br/>
<a id="pl.13.6"></a><var>13.6</var>with filing an appeal of transfer or discharge, notification of all appropriate licensing <br/>
<a id="pl.13.7"></a><var>13.7</var>boards and agencies, and other remedies available to the county under section 626.557, <br/>
<a id="pl.13.8"></a><var>13.8</var>subdivision 10.<br/>
<a id="pl.13.9"></a><var>13.9</var>(h) A member of the county social services agency staff shall visit follow up <br/>
<a id="pl.13.10"></a><var>13.10</var>with relocated residents relocated within 100 miles of the county within 30 days after <br/>
<a id="pl.13.11"></a><var>13.11</var>the relocation. This requirement does not apply to changes in operation where the <br/>
<a id="pl.13.12"></a><var>13.12</var>facility moved to a new location and residents chose to move to that new location. <br/>
<a id="pl.13.13"></a><var>13.13</var>The requirement also does not apply to residents admitted after the notice of closure<br/>
<a id="pl.13.14"></a><var>13.14</var> in subdivision 5a is given and discharged prior to the actual closure change in facility <br/>
<a id="pl.13.15"></a><var>13.15</var>operations or reduction. County social services agency staff shall interview the resident <br/>
<a id="pl.13.16"></a><var>13.16</var>and family or designated representative, observe the resident on site, responsible party and <br/>
<a id="pl.13.17"></a><var>13.17</var>review and discuss pertinent medical or social records with appropriate facility staff to:<br/>
<a id="pl.13.18"></a><var>13.18</var>(1) assess the adjustment of the resident to the new placement;<br/>
<a id="pl.13.19"></a><var>13.19</var>(2) recommend services or methods to meet any special needs of the resident; and<br/>
<a id="pl.13.20"></a><var>13.20</var>(3) identify residents at risk.<br/>
<a id="pl.13.21"></a><var>13.21</var>(i) The county social services agency may shall conduct subsequent follow-up visits<br/>
<a id="pl.13.22"></a><var>13.22</var> on-site in cases where the adjustment of the resident to the new placement is in question.<br/>
<a id="pl.13.23"></a><var>13.23</var>(j) Within 60 days of the completion of the follow-up visits under paragraphs (h) and <br/>
<a id="pl.13.24"></a><var>13.24</var>(i), the county social services agency shall submit a written summary of the follow-up <br/>
<a id="pl.13.25"></a><var>13.25</var>work to the Departments Department of Health and the Department of Human Services in <br/>
<a id="pl.13.26"></a><var>13.26</var>a manner approved by the commissioners.<br/>
<a id="pl.13.27"></a><var>13.27</var>(k) The county social services agency shall submit to the Departments Department<br/>
<a id="pl.13.28"></a><var>13.28</var> of Health and the Department of Human Services a report of any issues that may require <br/>
<a id="pl.13.29"></a><var>13.29</var>further review or monitoring.<br/>
<a id="pl.13.30"></a><var>13.30</var>(l) The county social services agency shall be responsible for the safe and orderly <br/>
<a id="pl.13.31"></a><var>13.31</var>relocation of residents in cases where an emergent need arises or when the licensee has <br/>
<a id="pl.13.32"></a><var>13.32</var>abrogated its responsibilities under the plan.<br/>
<a id="pl.13.33"></a><var>13.33</var>    Subd. 9. <b>Penalties.</b> Upon the recommendation of the commissioner of health, <br/>
<a id="pl.13.34"></a><var>13.34</var>the commissioner of human services may eliminate a closure rate adjustment under <br/>
<a id="pl.13.35"></a><var>13.35</var>subdivision 10 for violations of this section.<br/>
<a id="pl.14.1"></a><var>14.1</var>    Subd. 10. <b>Facility closure rate adjustment.</b> Upon the request of a closing facility, <br/>
<a id="pl.14.2"></a><var>14.2</var>the commissioner of human services must allow the facility a closure rate adjustment equal <br/>
<a id="pl.14.3"></a><var>14.3</var>to a 50 percent payment rate increase to reimburse relocation costs or other costs related to <br/>
<a id="pl.14.4"></a><var>14.4</var>facility closure. This rate increase is effective on the date the facility's occupancy decreases <br/>
<a id="pl.14.5"></a><var>14.5</var>to 90 percent of capacity days after the written notice of closure is distributed under <br/>
<a id="pl.14.6"></a><var>14.6</var>subdivision 5 and shall remain in effect for a period of up to 60 days. The commissioner <br/>
<a id="pl.14.7"></a><var>14.7</var>shall delay the implementation of rate adjustments under section 
         <statute_ref>256B.437, subdivisions <br/>
<a id="pl.14.8"></a><var>14.8</var>3, paragraph (b)
         </statute_ref>, and 6, paragraph (a), to offset the cost of this rate adjustment.<br/>
<a id="pl.14.9"></a><var>14.9</var>    Subd. 11. <b>County costs.</b> The commissioner of human services shall allocate up <br/>
<a id="pl.14.10"></a><var>14.10</var>to $450 in total state and federal funds per nursing facility bed that is closing, within <br/>
<a id="pl.14.11"></a><var>14.11</var>the limits of the appropriation specified for this purpose, to be used for relocation costs <br/>
<a id="pl.14.12"></a><var>14.12</var>incurred by counties for resident relocation under this section or planned closures under <br/>
<a id="pl.14.13"></a><var>14.13</var>section 
<statute_ref>256B.437</statute_ref>. To be eligible for this allocation, a county in which a nursing facility <br/>
<a id="pl.14.14"></a><var>14.14</var>closes must provide to the commissioner a detailed statement in a form provided by the <br/>
<a id="pl.14.15"></a><var>14.15</var>commissioner of additional costs, not to exceed $450 in total state and federal funds per <br/>
<a id="pl.14.16"></a><var>14.16</var>bed closed, that are directly incurred related to the county's role in the relocation process.<br/>
<br/>
<a id="bill.0.5.0"></a><a id="pl.14.17"></a><var>14.17</var>    Sec. 5. Minnesota Statutes 2012, section 256B.056, subdivision 3, is amended to read:<br/>
<a id="pl.14.18"></a><var>14.18</var>    Subd. 3. <b>Asset limitations for individuals and families.</b> (a) To be eligible for <br/>
<a id="pl.14.19"></a><var>14.19</var>medical assistance, a person must not individually own more than $3,000 in assets, or if a <br/>
<a id="pl.14.20"></a><var>14.20</var>member of a household with two family members, husband and wife, or parent and child, <br/>
<a id="pl.14.21"></a><var>14.21</var>the household must not own more than $6,000 in assets, plus $200 for each additional <br/>
<a id="pl.14.22"></a><var>14.22</var>legal dependent. In addition to these maximum amounts, an eligible individual or family <br/>
<a id="pl.14.23"></a><var>14.23</var>may accrue interest on these amounts, but they must be reduced to the maximum at the <br/>
<a id="pl.14.24"></a><var>14.24</var>time of an eligibility redetermination. The accumulation of the clothing and personal <br/>
<a id="pl.14.25"></a><var>14.25</var>needs allowance according to section 
         <statute_ref>256B.35</statute_ref> must also be reduced to the maximum at <br/>
<a id="pl.14.26"></a><var>14.26</var>the time of the eligibility redetermination. The value of assets that are not considered in <br/>
<a id="pl.14.27"></a><var>14.27</var>determining eligibility for medical assistance is the value of those assets excluded under <br/>
<a id="pl.14.28"></a><var>14.28</var>the supplemental security income program for aged, blind, and disabled persons, with <br/>
<a id="pl.14.29"></a><var>14.29</var>the following exceptions:<br/>
<a id="pl.14.30"></a><var>14.30</var>    (1) household goods and personal effects are not considered;<br/>
<a id="pl.14.31"></a><var>14.31</var>    (2) capital and operating assets of a trade or business that the local agency determines <br/>
<a id="pl.14.32"></a><var>14.32</var>are necessary to the person's ability to earn an income are not considered;<br/>
<a id="pl.14.33"></a><var>14.33</var>    (3) motor vehicles are excluded to the same extent excluded by the supplemental <br/>
<a id="pl.14.34"></a><var>14.34</var>security income program;<br/>
<a id="pl.15.1"></a><var>15.1</var>    (4) assets designated as burial expenses are excluded to the same extent excluded by <br/>
<a id="pl.15.2"></a><var>15.2</var>the supplemental security income program. Burial expenses funded by annuity contracts <br/>
<a id="pl.15.3"></a><var>15.3</var>or life insurance policies must irrevocably designate the individual's estate as contingent <br/>
<a id="pl.15.4"></a><var>15.4</var>beneficiary to the extent proceeds are not used for payment of selected burial expenses;<br/>
<a id="pl.15.5"></a><var>15.5</var>    (5) for a person who no longer qualifies as an employed person with a disability due <br/>
<a id="pl.15.6"></a><var>15.6</var>to loss of earnings, assets allowed while eligible for medical assistance under section <br/>
<statute_ref><a id="pl.15.7"></a><var>15.7</var>256B.057, subdivision 9
         </statute_ref>, are not considered for 12 months, beginning with the first month <br/>
<a id="pl.15.8"></a><var>15.8</var>of ineligibility as an employed person with a disability, to the extent that the person's total <br/>
<a id="pl.15.9"></a><var>15.9</var>assets remain within the allowed limits of section 
         <statute_ref>256B.057, subdivision 9</statute_ref>, paragraph (d);<br/>
<a id="pl.15.10"></a><var>15.10</var>    (6) when a person enrolled in medical assistance under section 
         <statute_ref>256B.057, subdivision <br/>
<a id="pl.15.11"></a><var>15.11</var>9
         </statute_ref>, is age 65 or older and has been enrolled during each of the 24 consecutive months <br/>
<a id="pl.15.12"></a><var>15.12</var>before the person's 65th birthday, the assets owned by the person and the person's spouse <br/>
<a id="pl.15.13"></a><var>15.13</var>must be disregarded, up to the limits of section 
         <statute_ref>256B.057, subdivision 9</statute_ref>, paragraph (d), <br/>
<a id="pl.15.14"></a><var>15.14</var>when determining eligibility for medical assistance under section 
         <statute_ref>256B.055, subdivision <br/>
<a id="pl.15.15"></a><var>15.15</var>7
         </statute_ref>. The income of a spouse of a person enrolled in medical assistance under section <br/>
<statute_ref><a id="pl.15.16"></a><var>15.16</var>256B.057, subdivision 9
         </statute_ref>, during each of the 24 consecutive months before the person's <br/>
<a id="pl.15.17"></a><var>15.17</var>65th birthday must be disregarded when determining eligibility for medical assistance <br/>
<a id="pl.15.18"></a><var>15.18</var>under section 
         <statute_ref>256B.055, subdivision 7</statute_ref>. Persons eligible under this clause are not subject to <br/>
<a id="pl.15.19"></a><var>15.19</var>the provisions in section 
         <statute_ref>256B.059</statute_ref>. A person whose 65th birthday occurs in 2012 or 2013 <br/>
<a id="pl.15.20"></a><var>15.20</var>is required to have qualified for medical assistance under section 
<statute_ref>256B.057, subdivision 9</statute_ref>, <br/>
<a id="pl.15.21"></a><var>15.21</var>prior to age 65 for at least 20 months in the 24 months prior to reaching age 65; and<br/>
<a id="pl.15.22"></a><var>15.22</var>    (7) effective July 1, 2009, certain assets owned by American Indians are excluded as <br/>
<a id="pl.15.23"></a><var>15.23</var>required by section 5006 of the American Recovery and Reinvestment Act of 2009, Public <br/>
<a id="pl.15.24"></a><var>15.24</var>Law 111-5. For purposes of this clause, an American Indian is any person who meets the <br/>
<a id="pl.15.25"></a><var>15.25</var>definition of Indian according to Code of Federal Regulations, title 42, section 
         <statute_ref>447.50</statute_ref>.<br/>
<a id="pl.15.26"></a><var>15.26</var>    (b) No asset limit shall apply to persons eligible under section 
         <statute_ref>256B.055</statute_ref>, subdivision <br/>
<a id="pl.15.27"></a><var>15.27</var>15.<br/>
<a id="pl.15.28"></a><var>15.28</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2014.<br/>
<br/>
<a id="bill.0.6.0"></a><a id="pl.15.29"></a><var>15.29</var>    Sec. 6. Minnesota Statutes 2012, section 256B.057, subdivision 9, is amended to read:<br/>
<a id="pl.15.30"></a><var>15.30</var>    Subd. 9. <b>Employed persons with disabilities.</b> (a) Medical assistance may be paid <br/>
<a id="pl.15.31"></a><var>15.31</var>for a person who is employed and who:<br/>
<a id="pl.15.32"></a><var>15.32</var>(1) but for excess earnings or assets, meets the definition of disabled under the <br/>
<a id="pl.15.33"></a><var>15.33</var>Supplemental Security Income program;<br/>
<a id="pl.15.34"></a><var>15.34</var>(2) meets the asset limits in paragraph (d); and<br/>
<a id="pl.15.35"></a><var>15.35</var>(3) pays a premium and other obligations under paragraph (e).<br/>
<a id="pl.16.1"></a><var>16.1</var>    (b) For purposes of eligibility, there is a $65 earned income disregard. To be eligible <br/>
<a id="pl.16.2"></a><var>16.2</var>for medical assistance under this subdivision, a person must have more than $65 of earned <br/>
<a id="pl.16.3"></a><var>16.3</var>income. Earned income must have Medicare, Social Security, and applicable state and <br/>
<a id="pl.16.4"></a><var>16.4</var>federal taxes withheld. The person must document earned income tax withholding. Any <br/>
<a id="pl.16.5"></a><var>16.5</var>spousal income or assets shall be disregarded for purposes of eligibility and premium <br/>
<a id="pl.16.6"></a><var>16.6</var>determinations.<br/>
<a id="pl.16.7"></a><var>16.7</var>(c) After the month of enrollment, a person enrolled in medical assistance under <br/>
<a id="pl.16.8"></a><var>16.8</var>this subdivision who:<br/>
<a id="pl.16.9"></a><var>16.9</var>(1) is temporarily unable to work and without receipt of earned income due to a <br/>
<a id="pl.16.10"></a><var>16.10</var>medical condition, as verified by a physician; or<br/>
<a id="pl.16.11"></a><var>16.11</var>(2) loses employment for reasons not attributable to the enrollee, and is without <br/>
<a id="pl.16.12"></a><var>16.12</var>receipt of earned income may retain eligibility for up to four consecutive months after the <br/>
<a id="pl.16.13"></a><var>16.13</var>month of job loss. To receive a four-month extension, enrollees must verify the medical <br/>
<a id="pl.16.14"></a><var>16.14</var>condition or provide notification of job loss. All other eligibility requirements must be met <br/>
<a id="pl.16.15"></a><var>16.15</var>and the enrollee must pay all calculated premium costs for continued eligibility.<br/>
<a id="pl.16.16"></a><var>16.16</var>(d) For purposes of determining eligibility under this subdivision, a person's assets <br/>
<a id="pl.16.17"></a><var>16.17</var>must not exceed $20,000, excluding:<br/>
<a id="pl.16.18"></a><var>16.18</var>(1) all assets excluded under section 
         <statute_ref>256B.056</statute_ref>;<br/>
<a id="pl.16.19"></a><var>16.19</var>(2) retirement accounts, including individual accounts, 401(k) plans, 403(b) plans, <br/>
<a id="pl.16.20"></a><var>16.20</var>Keogh plans, and pension plans;<br/>
<a id="pl.16.21"></a><var>16.21</var>(3) medical expense accounts set up through the person's employer; and<br/>
<a id="pl.16.22"></a><var>16.22</var>(4) spousal assets, including spouse's share of jointly held assets.<br/>
<a id="pl.16.23"></a><var>16.23</var>(e) All enrollees must pay a premium to be eligible for medical assistance under this <br/>
<a id="pl.16.24"></a><var>16.24</var>subdivision, except as provided under clause (5).<br/>
<a id="pl.16.25"></a><var>16.25</var>(1) An enrollee must pay the greater of a $65 premium or the premium calculated <br/>
<a id="pl.16.26"></a><var>16.26</var>based on the person's gross earned and unearned income and the applicable family size <br/>
<a id="pl.16.27"></a><var>16.27</var>using a sliding fee scale established by the commissioner, which begins at one percent of <br/>
<a id="pl.16.28"></a><var>16.28</var>income at 100 percent of the federal poverty guidelines and increases to 7.5 percent of <br/>
<a id="pl.16.29"></a><var>16.29</var>income for those with incomes at or above 300 percent of the federal poverty guidelines.<br/>
<a id="pl.16.30"></a><var>16.30</var>(2) Annual adjustments in the premium schedule based upon changes in the federal <br/>
<a id="pl.16.31"></a><var>16.31</var>poverty guidelines shall be effective for premiums due in July of each year.<br/>
<a id="pl.16.32"></a><var>16.32</var>(3) All enrollees who receive unearned income must pay five percent of unearned <br/>
<a id="pl.16.33"></a><var>16.33</var>income in addition to the premium amount, except as provided under clause (5).<br/>
<a id="pl.16.34"></a><var>16.34</var>(4) Increases in benefits under title II of the Social Security Act shall not be counted <br/>
<a id="pl.16.35"></a><var>16.35</var>as income for purposes of this subdivision until July 1 of each year.<br/>
<a id="pl.17.1"></a><var>17.1</var>(5) Effective July 1, 2009, American Indians are exempt from paying premiums as <br/>
<a id="pl.17.2"></a><var>17.2</var>required by section 5006 of the American Recovery and Reinvestment Act of 2009, Public <br/>
<a id="pl.17.3"></a><var>17.3</var>Law 111-5. For purposes of this clause, an American Indian is any person who meets the <br/>
<a id="pl.17.4"></a><var>17.4</var>definition of Indian according to Code of Federal Regulations, title 42, section 
         <statute_ref>447.50</statute_ref>.<br/>
<a id="pl.17.5"></a><var>17.5</var>(f) A person's eligibility and premium shall be determined by the local county <br/>
<a id="pl.17.6"></a><var>17.6</var>agency. Premiums must be paid to the commissioner. All premiums are dedicated to <br/>
<a id="pl.17.7"></a><var>17.7</var>the commissioner.<br/>
<a id="pl.17.8"></a><var>17.8</var>(g) Any required premium shall be determined at application and redetermined at <br/>
<a id="pl.17.9"></a><var>17.9</var>the enrollee's six-month income review or when a change in income or household size is <br/>
<a id="pl.17.10"></a><var>17.10</var>reported. Enrollees must report any change in income or household size within ten days <br/>
<a id="pl.17.11"></a><var>17.11</var>of when the change occurs. A decreased premium resulting from a reported change in <br/>
<a id="pl.17.12"></a><var>17.12</var>income or household size shall be effective the first day of the next available billing month <br/>
<a id="pl.17.13"></a><var>17.13</var>after the change is reported. Except for changes occurring from annual cost-of-living <br/>
<a id="pl.17.14"></a><var>17.14</var>increases, a change resulting in an increased premium shall not affect the premium amount <br/>
<a id="pl.17.15"></a><var>17.15</var>until the next six-month review.<br/>
<a id="pl.17.16"></a><var>17.16</var>(h) Premium payment is due upon notification from the commissioner of the <br/>
<a id="pl.17.17"></a><var>17.17</var>premium amount required. Premiums may be paid in installments at the discretion of <br/>
<a id="pl.17.18"></a><var>17.18</var>the commissioner.<br/>
<a id="pl.17.19"></a><var>17.19</var>(i) Nonpayment of the premium shall result in denial or termination of medical <br/>
<a id="pl.17.20"></a><var>17.20</var>assistance unless the person demonstrates good cause for nonpayment. Good cause exists <br/>
<a id="pl.17.21"></a><var>17.21</var>if the requirements specified in Minnesota Rules, part 9506.0040, subpart 7, items B to <br/>
<a id="pl.17.22"></a><var>17.22</var>D, are met. Except when an installment agreement is accepted by the commissioner, all <br/>
<a id="pl.17.23"></a><var>17.23</var>persons disenrolled for nonpayment of a premium must pay any past due premiums as well <br/>
<a id="pl.17.24"></a><var>17.24</var>as current premiums due prior to being reenrolled. Nonpayment shall include payment with <br/>
<a id="pl.17.25"></a><var>17.25</var>a returned, refused, or dishonored instrument. The commissioner may require a guaranteed <br/>
<a id="pl.17.26"></a><var>17.26</var>form of payment as the only means to replace a returned, refused, or dishonored instrument.<br/>
<a id="pl.17.27"></a><var>17.27</var>(j) The commissioner shall notify enrollees annually beginning at least 24 months <br/>
<a id="pl.17.28"></a><var>17.28</var>before the person's 65th birthday of the medical assistance eligibility rules affecting <br/>
<a id="pl.17.29"></a><var>17.29</var>income, assets, and treatment of a spouse's income and assets that will be applied upon <br/>
<a id="pl.17.30"></a><var>17.30</var>reaching age 65.<br/>
<a id="pl.17.31"></a><var>17.31</var>(k) (j) For enrollees whose income does not exceed 200 percent of the federal <br/>
<a id="pl.17.32"></a><var>17.32</var>poverty guidelines and who are also enrolled in Medicare, the commissioner shall <br/>
<a id="pl.17.33"></a><var>17.33</var>reimburse the enrollee for Medicare part B premiums under section 
         <statute_ref>256B.0625, <br/>
<a id="pl.17.34"></a><var>17.34</var>subdivision 15
         </statute_ref>, paragraph (a).<br/>
<br/>
<a id="bill.0.7.0"></a><a id="pl.17.35"></a><var>17.35</var>    Sec. 7. Minnesota Statutes 2012, section 256B.0652, subdivision 5, is amended to read:<br/>
<a id="pl.18.1"></a><var>18.1</var>    Subd. 5. <b>Authorization; private duty nursing services.</b> (a) All private duty <br/>
<a id="pl.18.2"></a><var>18.2</var>nursing services shall be authorized by the commissioner or the commissioner's designee. <br/>
<a id="pl.18.3"></a><var>18.3</var>Authorization for private duty nursing services shall be based on medical necessity and <br/>
<a id="pl.18.4"></a><var>18.4</var>cost-effectiveness when compared with alternative care options. The commissioner may <br/>
<a id="pl.18.5"></a><var>18.5</var>authorize medically necessary private duty nursing services in quarter-hour units when:<br/>
<a id="pl.18.6"></a><var>18.6</var>(1) the recipient requires more individual and continuous care than can be provided <br/>
<a id="pl.18.7"></a><var>18.7</var>during a skilled nurse visit; or<br/>
<a id="pl.18.8"></a><var>18.8</var>(2) the cares are outside of the scope of services that can be provided by a home <br/>
<a id="pl.18.9"></a><var>18.9</var>health aide or personal care assistant.<br/>
<a id="pl.18.10"></a><var>18.10</var>(b) The commissioner may authorize:<br/>
<a id="pl.18.11"></a><var>18.11</var>(1) up to two times the average amount of direct care hours provided in nursing <br/>
<a id="pl.18.12"></a><var>18.12</var>facilities statewide for case mix classification "K" as established by the annual cost report <br/>
<a id="pl.18.13"></a><var>18.13</var>submitted to the department by nursing facilities in May 1992;<br/>
<a id="pl.18.14"></a><var>18.14</var>(2) private duty nursing in combination with other home care services up to the total <br/>
<a id="pl.18.15"></a><var>18.15</var>cost allowed under this subdivision and section 
         <statute_ref>256B.0652</statute_ref>, subdivision 6 subdivision 7;<br/>
<a id="pl.18.16"></a><var>18.16</var>(3) up to 16 hours per day if the recipient requires more nursing than the maximum <br/>
<a id="pl.18.17"></a><var>18.17</var>number of direct care hours as established in clause (1) and the recipient meets the hospital <br/>
<a id="pl.18.18"></a><var>18.18</var>admission criteria established under Minnesota Rules, parts 9505.0501 to 9505.0540, but <br/>
<a id="pl.18.19"></a><var>18.19</var>for the provision of the nursing services, the recipient would require a hospital level of <br/>
<a id="pl.18.20"></a><var>18.20</var>care as defined in Code of Federal Regulations, title 42, section 440.10.<br/>
<a id="pl.18.21"></a><var>18.21</var>(c) The commissioner may authorize up to 16 hours per day of medically necessary <br/>
<a id="pl.18.22"></a><var>18.22</var>private duty nursing services or up to 24 hours per day of medically necessary private duty <br/>
<a id="pl.18.23"></a><var>18.23</var>nursing services until such time as the commissioner is able to make a determination of <br/>
<a id="pl.18.24"></a><var>18.24</var>eligibility for recipients who are cooperatively applying for home care services under <br/>
<a id="pl.18.25"></a><var>18.25</var>the community alternative care program developed under section 
         <statute_ref>256B.49</statute_ref>, or until it is <br/>
<a id="pl.18.26"></a><var>18.26</var>determined by the appropriate regulatory agency that a health benefit plan is or is not <br/>
<a id="pl.18.27"></a><var>18.27</var>required to pay for appropriate medically necessary health care services. Recipients or their <br/>
<a id="pl.18.28"></a><var>18.28</var>representatives must cooperatively assist the commissioner in obtaining this determination. <br/>
<a id="pl.18.29"></a><var>18.29</var>Recipients who are eligible for the community alternative care program may not receive <br/>
<a id="pl.18.30"></a><var>18.30</var>more hours of nursing under this section and sections 
         <statute_ref>256B.0651</statute_ref>, 
         <statute_ref>256B.0653</statute_ref>, 
         <statute_ref>256B.0656, <br/>
<a id="pl.18.31"></a><var>18.31</var>and 256B.0659
         </statute_ref> than would otherwise be authorized under section 
         <statute_ref>256B.49</statute_ref>.<br/>
<br/>
<a id="bill.0.8.0"></a><a id="pl.18.32"></a><var>18.32</var>    Sec. 8. Minnesota Statutes 2012, section 256B.0659, subdivision 7, is amended to read:<br/>
<a id="pl.18.33"></a><var>18.33</var>    Subd. 7. <b>Personal care assistance care plan.</b> (a) Each recipient must have a <br/>
<a id="pl.18.34"></a><var>18.34</var>current personal care assistance care plan based on the service plan in subdivision 6 that is <br/>
<a id="pl.18.35"></a><var>18.35</var>developed by the qualified professional with the recipient and responsible party. A copy of <br/>
<a id="pl.19.1"></a><var>19.1</var>the most current personal care assistance care plan is required to be in the recipient's home <br/>
<a id="pl.19.2"></a><var>19.2</var>and in the recipient's file at the provider agency.<br/>
<a id="pl.19.3"></a><var>19.3</var>    (b) The personal care assistance care plan must have the following components:<br/>
<a id="pl.19.4"></a><var>19.4</var>    (1) start and end date of the care plan;<br/>
<a id="pl.19.5"></a><var>19.5</var>    (2) recipient demographic information, including name and telephone number;<br/>
<a id="pl.19.6"></a><var>19.6</var>    (3) emergency numbers, procedures, and a description of measures to address <br/>
<a id="pl.19.7"></a><var>19.7</var>identified safety and vulnerability issues, including a backup staffing plan;<br/>
<a id="pl.19.8"></a><var>19.8</var>    (4) name of responsible party and instructions for contact;<br/>
<a id="pl.19.9"></a><var>19.9</var>    (5) description of the recipient's individualized needs for assistance with activities of <br/>
<a id="pl.19.10"></a><var>19.10</var>daily living, instrumental activities of daily living, health-related tasks, and behaviors; and<br/>
<a id="pl.19.11"></a><var>19.11</var>    (6) dated signatures of recipient or responsible party and qualified professional.<br/>
<a id="pl.19.12"></a><var>19.12</var>    (c) The personal care assistance care plan must have instructions and comments <br/>
<a id="pl.19.13"></a><var>19.13</var>about the recipient's needs for assistance and any special instructions or procedures <br/>
<a id="pl.19.14"></a><var>19.14</var>required, including whether or not the recipient has requested a personal care assistant <br/>
<a id="pl.19.15"></a><var>19.15</var>of the same gender. The month-to-month plan for the use of personal care assistance <br/>
<a id="pl.19.16"></a><var>19.16</var>services is part of the personal care assistance care plan. The personal care assistance <br/>
<a id="pl.19.17"></a><var>19.17</var>care plan must be completed within the first week after start of services with a personal <br/>
<a id="pl.19.18"></a><var>19.18</var>care provider agency and must be updated as needed when there is a change in need for <br/>
<a id="pl.19.19"></a><var>19.19</var>personal care assistance services. A new personal care assistance care plan is required <br/>
<a id="pl.19.20"></a><var>19.20</var>annually at the time of the reassessment.<br/>
<br/>
<a id="bill.0.9.0"></a><a id="pl.19.21"></a><var>19.21</var>    Sec. 9. Minnesota Statutes 2012, section 256B.0659, is amended by adding a <br/>
<a id="pl.19.22"></a><var>19.22</var>subdivision to read:<br/>
<a id="pl.19.23"></a><var>19.23</var>    Subd. 7a. <b>Special instructions; gender.</b> If a recipient requests a personal care <br/>
<a id="pl.19.24"></a><var>19.24</var>assistant of the same gender as the recipient, the personal care assistance agency must <br/>
<a id="pl.19.25"></a><var>19.25</var>make a reasonable effort to fulfill the request.<br/>
<br/>
<a id="bill.0.10.0"></a><a id="pl.19.26"></a><var>19.26</var>    Sec. 10. Minnesota Statutes 2012, section 256B.0911, subdivision 3a, is amended to <br/>
<a id="pl.19.27"></a><var>19.27</var>read:<br/>
<a id="pl.19.28"></a><var>19.28</var>    Subd. 3a. <b>Assessment and support planning.</b> (a) Persons requesting assessment, <br/>
<a id="pl.19.29"></a><var>19.29</var>services planning, or other assistance intended to support community-based living, <br/>
<a id="pl.19.30"></a><var>19.30</var>including persons who need assessment in order to determine waiver or alternative care <br/>
<a id="pl.19.31"></a><var>19.31</var>program eligibility, must be visited by a long-term care consultation team within 20 <br/>
<a id="pl.19.32"></a><var>19.32</var>calendar days after the date on which an assessment was requested or recommended. <br/>
<a id="pl.19.33"></a><var>19.33</var>Upon statewide implementation of subdivisions 2b, 2c, and 5, this requirement also <br/>
<a id="pl.19.34"></a><var>19.34</var>applies to an assessment of a person requesting personal care assistance services and <br/>
<a id="pl.20.1"></a><var>20.1</var>private duty nursing. The commissioner shall provide at least a 90-day notice to lead <br/>
<a id="pl.20.2"></a><var>20.2</var>agencies prior to the effective date of this requirement. Face-to-face assessments must be <br/>
<a id="pl.20.3"></a><var>20.3</var>conducted according to paragraphs (b) to (i).<br/>
<a id="pl.20.4"></a><var>20.4</var>    (b) The lead agency may utilize a team of either the social worker or public health <br/>
<a id="pl.20.5"></a><var>20.5</var>nurse, or both. Upon implementation of subdivisions 2b, 2c, and 5, lead agencies shall <br/>
<a id="pl.20.6"></a><var>20.6</var>use certified assessors to conduct the assessment. The consultation team members must <br/>
<a id="pl.20.7"></a><var>20.7</var>confer regarding the most appropriate care for each individual screened or assessed. For <br/>
<a id="pl.20.8"></a><var>20.8</var>a person with complex health care needs, a public health or registered nurse from the <br/>
<a id="pl.20.9"></a><var>20.9</var>team must be consulted.<br/>
<a id="pl.20.10"></a><var>20.10</var>    (c) The assessment must be comprehensive and include a person-centered assessment <br/>
<a id="pl.20.11"></a><var>20.11</var>of the health, psychological, functional, environmental, and social needs of referred <br/>
<a id="pl.20.12"></a><var>20.12</var>individuals and provide information necessary to develop a community support plan that <br/>
<a id="pl.20.13"></a><var>20.13</var>meets the consumers needs, using an assessment form provided by the commissioner.<br/>
<a id="pl.20.14"></a><var>20.14</var>    (d) The assessment must be conducted in a face-to-face interview with the person <br/>
<a id="pl.20.15"></a><var>20.15</var>being assessed and the person's legal representative, and other individuals as requested by <br/>
<a id="pl.20.16"></a><var>20.16</var>the person, who can provide information on the needs, strengths, and preferences of the <br/>
<a id="pl.20.17"></a><var>20.17</var>person necessary to develop a community support plan that ensures the person's health and <br/>
<a id="pl.20.18"></a><var>20.18</var>safety, but who is not a provider of service or has any financial interest in the provision <br/>
<a id="pl.20.19"></a><var>20.19</var>of services. For persons who are to be assessed for elderly waiver customized living <br/>
<a id="pl.20.20"></a><var>20.20</var>services under section 
         <statute_ref>256B.0915</statute_ref>, with the permission of the person being assessed or <br/>
<a id="pl.20.21"></a><var>20.21</var>the person's designated or legal representative, the client's current or proposed provider <br/>
<a id="pl.20.22"></a><var>20.22</var>of services may submit a copy of the provider's nursing assessment or written report <br/>
<a id="pl.20.23"></a><var>20.23</var>outlining its recommendations regarding the client's care needs. The person conducting <br/>
<a id="pl.20.24"></a><var>20.24</var>the assessment will notify the provider of the date by which this information is to be <br/>
<a id="pl.20.25"></a><var>20.25</var>submitted. This information shall be provided to the person conducting the assessment <br/>
<a id="pl.20.26"></a><var>20.26</var>prior to the assessment. For a person who is to be assessed for waiver services under <br/>
<a id="pl.20.27"></a><var>20.27</var>section 256B.092 or 256B.49, with the permission of the person being assessed or the <br/>
<a id="pl.20.28"></a><var>20.28</var>person's designated legal representative, the person's current provider of services may <br/>
<a id="pl.20.29"></a><var>20.29</var>submit a written report outlining recommendations regarding the person's care needs <br/>
<a id="pl.20.30"></a><var>20.30</var>prepared by a direct service employee with a least 20 hours of service to that client. The <br/>
<a id="pl.20.31"></a><var>20.31</var>person conducting the assessment or reassessment must notify the provider of the date <br/>
<a id="pl.20.32"></a><var>20.32</var>by which this information is to be submitted. This information shall be provided to the <br/>
<a id="pl.20.33"></a><var>20.33</var>person conducting the assessment and the person or the person's legal representative, and <br/>
<a id="pl.20.34"></a><var>20.34</var>must be considered prior to the finalization of the assessment or reassessment.<br/>
<a id="pl.20.35"></a><var>20.35</var>    (e) If the person chooses to use community-based services, the person or the person's <br/>
<a id="pl.20.36"></a><var>20.36</var>legal representative must be provided with a written community support plan within 40 <br/>
<a id="pl.21.1"></a><var>21.1</var>calendar days of the assessment visit, regardless of whether the individual is eligible for <br/>
<a id="pl.21.2"></a><var>21.2</var>Minnesota health care programs. The written community support plan must include:<br/>
<a id="pl.21.3"></a><var>21.3</var>(1) a summary of assessed needs as defined in paragraphs (c) and (d);<br/>
<a id="pl.21.4"></a><var>21.4</var>(2) the individual's options and choices to meet identified needs, including all <br/>
<a id="pl.21.5"></a><var>21.5</var>available options for case management services and providers;<br/>
<a id="pl.21.6"></a><var>21.6</var>(3) identification of health and safety risks and how those risks will be addressed, <br/>
<a id="pl.21.7"></a><var>21.7</var>including personal risk management strategies;<br/>
<a id="pl.21.8"></a><var>21.8</var>(4) referral information; and<br/>
<a id="pl.21.9"></a><var>21.9</var>(5) informal caregiver supports, if applicable.<br/>
<a id="pl.21.10"></a><var>21.10</var>For a person determined eligible for state plan home care under subdivision 1a, <br/>
<a id="pl.21.11"></a><var>21.11</var>paragraph (b), clause (1), the person or person's representative must also receive a copy of <br/>
<a id="pl.21.12"></a><var>21.12</var>the home care service plan developed by the certified assessor.<br/>
<a id="pl.21.13"></a><var>21.13</var>(f) A person may request assistance in identifying community supports without <br/>
<a id="pl.21.14"></a><var>21.14</var>participating in a complete assessment. Upon a request for assistance identifying <br/>
<a id="pl.21.15"></a><var>21.15</var>community support, the person must be transferred or referred to long-term care options <br/>
<a id="pl.21.16"></a><var>21.16</var>counseling services available under sections 
         <statute_ref>256.975, subdivision 7</statute_ref>, and 
         <statute_ref>256.01</statute_ref>, <br/>
<a id="pl.21.17"></a><var>21.17</var>subdivision 24, for telephone assistance and follow up.<br/>
<a id="pl.21.18"></a><var>21.18</var>    (g) The person has the right to make the final decision between institutional <br/>
<a id="pl.21.19"></a><var>21.19</var>placement and community placement after the recommendations have been provided, <br/>
<a id="pl.21.20"></a><var>21.20</var>except as provided in subdivision 4a, paragraph (c).<br/>
<a id="pl.21.21"></a><var>21.21</var>    (h) The lead agency must give the person receiving assessment or support planning, <br/>
<a id="pl.21.22"></a><var>21.22</var>or the person's legal representative, materials, and forms supplied by the commissioner <br/>
<a id="pl.21.23"></a><var>21.23</var>containing the following information:<br/>
<a id="pl.21.24"></a><var>21.24</var>    (1) written recommendations for community-based services and consumer-directed <br/>
<a id="pl.21.25"></a><var>21.25</var>options;<br/>
<a id="pl.21.26"></a><var>21.26</var>(2) documentation that the most cost-effective alternatives available were offered to <br/>
<a id="pl.21.27"></a><var>21.27</var>the individual. For purposes of this clause, "cost-effective" means community services and <br/>
<a id="pl.21.28"></a><var>21.28</var>living arrangements that cost the same as or less than institutional care. For an individual <br/>
<a id="pl.21.29"></a><var>21.29</var>found to meet eligibility criteria for home and community-based service programs under <br/>
<a id="pl.21.30"></a><var>21.30</var>section 
         <statute_ref>256B.0915</statute_ref> or 
         <statute_ref>256B.49</statute_ref>, "cost-effectiveness" has the meaning found in the federally <br/>
<a id="pl.21.31"></a><var>21.31</var>approved waiver plan for each program;<br/>
<a id="pl.21.32"></a><var>21.32</var>(3) the need for and purpose of preadmission screening if the person selects nursing <br/>
<a id="pl.21.33"></a><var>21.33</var>facility placement;<br/>
<a id="pl.21.34"></a><var>21.34</var>    (4) the role of long-term care consultation assessment and support planning in <br/>
<a id="pl.21.35"></a><var>21.35</var>eligibility determination for waiver and alternative care programs, and state plan home <br/>
<a id="pl.22.1"></a><var>22.1</var>care, case management, and other services as defined in subdivision 1a, paragraphs (a), <br/>
<a id="pl.22.2"></a><var>22.2</var>clause (7), and (b);<br/>
<a id="pl.22.3"></a><var>22.3</var>    (5) information about Minnesota health care programs;<br/>
<a id="pl.22.4"></a><var>22.4</var>    (6) the person's freedom to accept or reject the recommendations of the team;<br/>
<a id="pl.22.5"></a><var>22.5</var>    (7) the person's right to confidentiality under the Minnesota Government Data <br/>
<a id="pl.22.6"></a><var>22.6</var>Practices Act, chapter 13;<br/>
<a id="pl.22.7"></a><var>22.7</var>    (8) the certified assessor's decision regarding the person's need for institutional level <br/>
<a id="pl.22.8"></a><var>22.8</var>of care as determined under criteria established in section 
         <statute_ref>256B.0911, subdivision 4a</statute_ref>, <br/>
<a id="pl.22.9"></a><var>22.9</var>paragraph (d), and the certified assessor's decision regarding eligibility for all services and <br/>
<a id="pl.22.10"></a><var>22.10</var>programs as defined in subdivision 1a, paragraphs (a), clause (7), and (b); and<br/>
<a id="pl.22.11"></a><var>22.11</var>    (9) the person's right to appeal the certified assessor's decision regarding eligibility <br/>
<a id="pl.22.12"></a><var>22.12</var>for all services and programs as defined in subdivision 1a, paragraphs (a), clause clauses<br/>
<a id="pl.22.13"></a><var>22.13</var> (7), (8), and (9), and (b), and incorporating the decision regarding the need for institutional <br/>
<a id="pl.22.14"></a><var>22.14</var>level of care or the lead agency's final decisions regarding public programs eligibility <br/>
<a id="pl.22.15"></a><var>22.15</var>according to section 
         <statute_ref>256.045, subdivision 3</statute_ref>.<br/>
<a id="pl.22.16"></a><var>22.16</var>    (i) Face-to-face assessment completed as part of eligibility determination for <br/>
<a id="pl.22.17"></a><var>22.17</var>the alternative care, elderly waiver, community alternatives for disabled individuals, <br/>
<a id="pl.22.18"></a><var>22.18</var>community alternative care, and brain injury waiver programs under sections 
         <statute_ref>256B.0913</statute_ref>, <br/>
<statute_ref><a id="pl.22.19"></a><var>22.19</var>256B.0915
         </statute_ref>, and 
         <statute_ref>256B.49</statute_ref> is valid to establish service eligibility for no more than 60 <br/>
<a id="pl.22.20"></a><var>22.20</var>calendar days after the date of assessment.<br/>
<a id="pl.22.21"></a><var>22.21</var>(j) The effective eligibility start date for programs in paragraph (i) can never be <br/>
<a id="pl.22.22"></a><var>22.22</var>prior to the date of assessment. If an assessment was completed more than 60 days <br/>
<a id="pl.22.23"></a><var>22.23</var>before the effective waiver or alternative care program eligibility start date, assessment <br/>
<a id="pl.22.24"></a><var>22.24</var>and support plan information must be updated in a face-to-face visit and documented in <br/>
<a id="pl.22.25"></a><var>22.25</var>the department's Medicaid Management Information System (MMIS). Notwithstanding <br/>
<a id="pl.22.26"></a><var>22.26</var>retroactive medical assistance coverage of state plan services, the effective date of <br/>
<a id="pl.22.27"></a><var>22.27</var>eligibility for programs included in paragraph (i) cannot be prior to the date the most <br/>
<a id="pl.22.28"></a><var>22.28</var>recent updated assessment is completed.<br/>
<br/>
<a id="bill.0.11.0"></a><a id="pl.22.29"></a><var>22.29</var>    Sec. 11. Minnesota Statutes 2012, section 256B.092, subdivision 7, is amended to read:<br/>
<a id="pl.22.30"></a><var>22.30</var>    Subd. 7. <b>Screening teams</b><b> Assessments</b><b>.</b> (a) Assessments and reassessments shall <br/>
<a id="pl.22.31"></a><var>22.31</var>be conducted by certified assessors according to section 256B.0911, and must incorporate <br/>
<a id="pl.22.32"></a><var>22.32</var>appropriate referrals to determine eligibility for case management under subdivision 1a. <br/>
<a id="pl.22.33"></a><var>22.33</var>(b) For persons with developmental disabilities, screening teams a certified assessor<br/>
<a id="pl.22.34"></a><var>22.34</var> shall be established which shall evaluate the need for the an institutional level of care <br/>
<a id="pl.22.35"></a><var>22.35</var>provided by residential-based habilitation services, residential services, training and <br/>
<a id="pl.23.1"></a><var>23.1</var>habilitation services, and nursing facility services. The evaluation assessment shall <br/>
<a id="pl.23.2"></a><var>23.2</var>address whether home and community-based services are appropriate for persons who <br/>
<a id="pl.23.3"></a><var>23.3</var>are at risk of placement in an intermediate care facility for persons with developmental <br/>
<a id="pl.23.4"></a><var>23.4</var>disabilities, or for whom there is reasonable indication that they might require this level of <br/>
<a id="pl.23.5"></a><var>23.5</var>care. The screening team certified assessor shall make an evaluation of need within 60<br/>
<a id="pl.23.6"></a><var>23.6</var> five working days of a request for service by a person with a developmental disability, <br/>
<a id="pl.23.7"></a><var>23.7</var>and within five working days of an emergency admission of a person to an intermediate <br/>
<a id="pl.23.8"></a><var>23.8</var>care facility for persons with developmental disabilities.<br/>
<a id="pl.23.9"></a><var>23.9</var>(b) The screening team shall consist of the case manager for persons with <br/>
<a id="pl.23.10"></a><var>23.10</var>developmental disabilities, the person, the person's legal guardian or conservator, or the <br/>
<a id="pl.23.11"></a><var>23.11</var>parent if the person is a minor, and a qualified developmental disability professional, as <br/>
<a id="pl.23.12"></a><var>23.12</var>defined in Code of Federal Regulations, title 42, section 483.430, as amended through <br/>
<a id="pl.23.13"></a><var>23.13</var>June 3, 1988. The case manager may also act as the qualified developmental disability <br/>
<a id="pl.23.14"></a><var>23.14</var>professional if the case manager meets the federal definition.<br/>
<a id="pl.23.15"></a><var>23.15</var>(c) County social service agencies may contract with a public or private agency <br/>
<a id="pl.23.16"></a><var>23.16</var>or individual who is not a service provider for the person for the public guardianship <br/>
<a id="pl.23.17"></a><var>23.17</var>representation required by the screening or individual service planning process. The <br/>
<a id="pl.23.18"></a><var>23.18</var>contract shall be limited to public guardianship representation for the screening and <br/>
<a id="pl.23.19"></a><var>23.19</var>individual service planning activities. The contract shall require compliance with the <br/>
<a id="pl.23.20"></a><var>23.20</var>commissioner's instructions and may be for paid or voluntary services.<br/>
<a id="pl.23.21"></a><var>23.21</var>(d) For persons determined to have overriding health care needs and are <br/>
<a id="pl.23.22"></a><var>23.22</var>seeking admission to a nursing facility or an ICF/MR, or seeking access to home and <br/>
<a id="pl.23.23"></a><var>23.23</var>community-based waivered services, a registered nurse must be designated as either the <br/>
<a id="pl.23.24"></a><var>23.24</var>case manager or the qualified developmental disability professional.<br/>
<a id="pl.23.25"></a><var>23.25</var>(e) For persons under the jurisdiction of a correctional agency, the case manager <br/>
<a id="pl.23.26"></a><var>23.26</var>must consult with the corrections administrator regarding additional health, safety, and <br/>
<a id="pl.23.27"></a><var>23.27</var>supervision needs.<br/>
<a id="pl.23.28"></a><var>23.28</var>(f) (c) The case manager certified assessor, with the concurrence of the person, the <br/>
<a id="pl.23.29"></a><var>23.29</var>person's legal guardian or conservator, or the parent if the person is a minor, may invite other <br/>
<a id="pl.23.30"></a><var>23.30</var>individuals to attend meetings of the screening team the assessment. With the permission <br/>
<a id="pl.23.31"></a><var>23.31</var>of the person being screened assessed or the person's designated legal representative, <br/>
<a id="pl.23.32"></a><var>23.32</var>the person's current provider of services may submit a written report outlining their <br/>
<a id="pl.23.33"></a><var>23.33</var>recommendations regarding the person's care needs prepared by a direct service employee <br/>
<a id="pl.23.34"></a><var>23.34</var>with at least 20 hours of service to that client. The screening team assessor must notify <br/>
<a id="pl.23.35"></a><var>23.35</var>the provider of the date by which this information is to be submitted. This information <br/>
<a id="pl.24.1"></a><var>24.1</var>must be provided to the screening team assessor and the person or the person's legal <br/>
<a id="pl.24.2"></a><var>24.2</var>representative and must be considered prior to the finalization of the screening assessment.<br/>
<a id="pl.24.3"></a><var>24.3</var>(g) No member of the screening team shall have any direct or indirect service <br/>
<a id="pl.24.4"></a><var>24.4</var>provider interest in the case.<br/>
<a id="pl.24.5"></a><var>24.5</var>(h) Nothing in this section shall be construed as requiring the screening team <br/>
<a id="pl.24.6"></a><var>24.6</var>meeting to be separate from the service planning meeting.<br/>
<br/>
<a id="bill.0.12.0"></a><a id="pl.24.7"></a><var>24.7</var>    Sec. 12. Minnesota Statutes 2012, section 256B.441, subdivision 1, is amended to read:<br/>
<a id="pl.24.8"></a><var>24.8</var>    Subdivision 1. <b> Rebasing of nursing facility operating payment rates.</b> (a) The <br/>
<a id="pl.24.9"></a><var>24.9</var>commissioner shall rebase nursing facility operating payment rates to align payments to <br/>
<a id="pl.24.10"></a><var>24.10</var>facilities with the cost of providing care. The rebased operating payment rates shall be <br/>
<a id="pl.24.11"></a><var>24.11</var>calculated using the statistical and cost report filed by each nursing facility for the report <br/>
<a id="pl.24.12"></a><var>24.12</var>period ending one year prior to the rate year.<br/>
<a id="pl.24.13"></a><var>24.13</var>    (b) The new operating payment rates based on this section shall take effect beginning <br/>
<a id="pl.24.14"></a><var>24.14</var>with the rate year beginning October 1, 2008, and shall be phased in over eight rate years <br/>
<a id="pl.24.15"></a><var>24.15</var>through October 1, 2015. For each year of the phase-in, the operating payment rates shall <br/>
<a id="pl.24.16"></a><var>24.16</var>be calculated using the statistical and cost report filed by each nursing facility for the <br/>
<a id="pl.24.17"></a><var>24.17</var>report period ending one year prior to the rate year.<br/>
<a id="pl.24.18"></a><var>24.18</var>    (c) Operating payment rates shall be rebased on October 1, 2016, and every two <br/>
<a id="pl.24.19"></a><var>24.19</var>years after that date.<br/>
<a id="pl.24.20"></a><var>24.20</var>    (d) Each cost reporting year shall begin on October 1 and end on the following <br/>
<a id="pl.24.21"></a><var>24.21</var>September 30. Beginning in 2006 2014, a statistical and cost report shall be filed by each <br/>
<a id="pl.24.22"></a><var>24.22</var>nursing facility by January 15 February 1. Notice of rates shall be distributed by August <br/>
<a id="pl.24.23"></a><var>24.23</var>15 and the rates shall go into effect on October 1 for one year.<br/>
<a id="pl.24.24"></a><var>24.24</var>    (e) Effective October 1, 2014, property rates shall be rebased in accordance with <br/>
<a id="pl.24.25"></a><var>24.25</var>section 
         <statute_ref>256B.431</statute_ref> and Minnesota Rules, chapter 9549. The commissioner shall determine <br/>
<a id="pl.24.26"></a><var>24.26</var>what the property payment rate for a nursing facility would be had the facility not had its <br/>
<a id="pl.24.27"></a><var>24.27</var>property rate determined under section 
         <statute_ref>256B.434</statute_ref>. The commissioner shall allow nursing <br/>
<a id="pl.24.28"></a><var>24.28</var>facilities to provide information affecting this rate determination that would have been <br/>
<a id="pl.24.29"></a><var>24.29</var>filed annually under Minnesota Rules, chapter 9549, and nursing facilities shall report <br/>
<a id="pl.24.30"></a><var>24.30</var>information necessary to determine allowable debt. The commissioner shall use this <br/>
<a id="pl.24.31"></a><var>24.31</var>information to determine the property payment rate.<br/>
<br/>
<a id="bill.0.13.0"></a><a id="pl.24.32"></a><var>24.32</var>    Sec. 13. Minnesota Statutes 2012, section 256B.441, subdivision 43, is amended to read:<br/>
<a id="pl.24.33"></a><var>24.33</var>    Subd. 43. <b>Reporting of statistical and cost information.</b> (a) Beginning in 2006, <br/>
<a id="pl.24.34"></a><var>24.34</var>all nursing facilities shall provide information annually to the commissioner on a form <br/>
<a id="pl.25.1"></a><var>25.1</var>and in a manner determined by the commissioner. The commissioner may also require <br/>
<a id="pl.25.2"></a><var>25.2</var>nursing facilities to provide statistical and cost information for a subset of the items in <br/>
<a id="pl.25.3"></a><var>25.3</var>the annual report on a semiannual basis. Nursing facilities shall report only costs directly <br/>
<a id="pl.25.4"></a><var>25.4</var>related to the operation of the nursing facility. The facility shall not include costs which <br/>
<a id="pl.25.5"></a><var>25.5</var>are separately reimbursed by residents, medical assistance, or other payors. Allocations <br/>
<a id="pl.25.6"></a><var>25.6</var>of costs from central, affiliated, or corporate office and related organization transactions <br/>
<a id="pl.25.7"></a><var>25.7</var>shall be reported according to section 
         <statute_ref>256B.432</statute_ref>. Beginning with the September 30, 2013, <br/>
<a id="pl.25.8"></a><var>25.8</var>reporting year, the commissioner may shall no longer grant to facilities one extension of <br/>
<a id="pl.25.9"></a><var>25.9</var>up to 15 days for the filing of this report if the extension is requested by December 15 and <br/>
<a id="pl.25.10"></a><var>25.10</var>the commissioner determines that the extension will not prevent the commissioner from <br/>
<a id="pl.25.11"></a><var>25.11</var>establishing rates in a timely manner required by law extensions to the filing deadline. <br/>
<a id="pl.25.12"></a><var>25.12</var>The commissioner may separately require facilities to submit in a manner specified by <br/>
<a id="pl.25.13"></a><var>25.13</var>the commissioner documentation of statistical and cost information included in the report <br/>
<a id="pl.25.14"></a><var>25.14</var>to ensure accuracy in establishing payment rates and to perform audit and appeal review <br/>
<a id="pl.25.15"></a><var>25.15</var>functions under this section. Facilities shall retain all records necessary to document <br/>
<a id="pl.25.16"></a><var>25.16</var>statistical and cost information on the report for a period of no less than seven years. <br/>
<a id="pl.25.17"></a><var>25.17</var>The commissioner may amend information in the report according to subdivision 47. <br/>
<a id="pl.25.18"></a><var>25.18</var>The commissioner may reject a report filed by a nursing facility under this section if the <br/>
<a id="pl.25.19"></a><var>25.19</var>commissioner determines that the report has been filed in a form that is incomplete or <br/>
<a id="pl.25.20"></a><var>25.20</var>inaccurate and the information is insufficient to establish accurate payment rates. In the <br/>
<a id="pl.25.21"></a><var>25.21</var>event that a complete report is not submitted in a timely manner, the commissioner shall <br/>
<a id="pl.25.22"></a><var>25.22</var>reduce the reimbursement payments to a nursing facility to 85 percent of amounts due <br/>
<a id="pl.25.23"></a><var>25.23</var>until the information is filed. The release of withheld payments shall be retroactive for <br/>
<a id="pl.25.24"></a><var>25.24</var>no more than 90 days. A nursing facility that does not submit a report or whose report is <br/>
<a id="pl.25.25"></a><var>25.25</var>filed in a timely manner but determined to be incomplete shall be given written notice that <br/>
<a id="pl.25.26"></a><var>25.26</var>a payment reduction is to be implemented and allowed ten days to complete the report <br/>
<a id="pl.25.27"></a><var>25.27</var>prior to any payment reduction. The commissioner may delay the payment withhold under <br/>
<a id="pl.25.28"></a><var>25.28</var>exceptional circumstances to be determined at the sole discretion of the commissioner.<br/>
<a id="pl.25.29"></a><var>25.29</var>(b) Nursing facilities may, within 12 months of the due date of a statistical and <br/>
<a id="pl.25.30"></a><var>25.30</var>cost report, file an amendment when errors or omissions in the annual statistical and <br/>
<a id="pl.25.31"></a><var>25.31</var>cost report are discovered and an amendment would result in a rate increase of at least <br/>
<a id="pl.25.32"></a><var>25.32</var>0.15 percent of the statewide weighted average operating payment rate and shall, at any <br/>
<a id="pl.25.33"></a><var>25.33</var>time, file an amendment which would result in a rate reduction of at least 0.15 percent of <br/>
<a id="pl.25.34"></a><var>25.34</var>the statewide weighted average operating payment rate. The commissioner shall make <br/>
<a id="pl.25.35"></a><var>25.35</var>retroactive adjustments to the total payment rate of a nursing facility if an amendment is <br/>
<a id="pl.25.36"></a><var>25.36</var>accepted. Where a retroactive adjustment is to be made as a result of an amended report, <br/>
<a id="pl.26.1"></a><var>26.1</var>audit findings, or other determination of an incorrect payment rate, the commissioner may <br/>
<a id="pl.26.2"></a><var>26.2</var>settle the payment error through a negotiated agreement with the facility and a gross <br/>
<a id="pl.26.3"></a><var>26.3</var>adjustment of the payments to the facility. Retroactive adjustments shall not be applied <br/>
<a id="pl.26.4"></a><var>26.4</var>to private pay residents. An error or omission for purposes of this item does not include <br/>
<a id="pl.26.5"></a><var>26.5</var>a nursing facility's determination that an election between permissible alternatives was <br/>
<a id="pl.26.6"></a><var>26.6</var>not advantageous and should be changed.<br/>
<a id="pl.26.7"></a><var>26.7</var>(c) If the commissioner determines that a nursing facility knowingly supplied <br/>
<a id="pl.26.8"></a><var>26.8</var>inaccurate or false information or failed to file an amendment to a statistical and cost report <br/>
<a id="pl.26.9"></a><var>26.9</var>that resulted in or would result in an overpayment, the commissioner shall immediately <br/>
<a id="pl.26.10"></a><var>26.10</var>adjust the nursing facility's payment rate and recover the entire overpayment. The <br/>
<a id="pl.26.11"></a><var>26.11</var>commissioner may also terminate the commissioner's agreement with the nursing facility <br/>
<a id="pl.26.12"></a><var>26.12</var>and prosecute under applicable state or federal law.<br/>
<br/>
<a id="bill.0.14.0"></a><a id="pl.26.13"></a><var>26.13</var>    Sec. 14. Minnesota Statutes 2012, section 256B.441, subdivision 63, is amended to read:<br/>
<a id="pl.26.14"></a><var>26.14</var>    Subd. 63. <b>Critical access nursing facilities.</b> (a) The commissioner, in consultation <br/>
<a id="pl.26.15"></a><var>26.15</var>with the commissioner of health, may designate certain nursing facilities as critical access <br/>
<a id="pl.26.16"></a><var>26.16</var>nursing facilities. The designation shall be granted on a competitive basis, within the <br/>
<a id="pl.26.17"></a><var>26.17</var>limits of funds appropriated for this purpose.<br/>
<a id="pl.26.18"></a><var>26.18</var>(b) The commissioner shall request proposals from nursing facilities every two years. <br/>
<a id="pl.26.19"></a><var>26.19</var>Proposals must be submitted in the form and according to the timelines established by <br/>
<a id="pl.26.20"></a><var>26.20</var>the commissioner. In selecting applicants to designate, the commissioner, in consultation <br/>
<a id="pl.26.21"></a><var>26.21</var>with the commissioner of health, and with input from stakeholders, shall develop criteria <br/>
<a id="pl.26.22"></a><var>26.22</var>designed to preserve access to nursing facility services in isolated areas, rebalance <br/>
<a id="pl.26.23"></a><var>26.23</var>long-term care, and improve quality.<br/>
<a id="pl.26.24"></a><var>26.24</var>(c) The commissioner shall allow the benefits in clauses (1) to (5) for nursing <br/>
<a id="pl.26.25"></a><var>26.25</var>facilities designated as critical access nursing facilities:<br/>
<a id="pl.26.26"></a><var>26.26</var>(1) partial rebasing, with operating payment rates being the sum of 60 percent of the <br/>
<a id="pl.26.27"></a><var>26.27</var>operating payment rate determined in accordance with subdivision 54 and 40 percent of the <br/>
<a id="pl.26.28"></a><var>26.28</var>operating payment rate that would have been allowed had the facility not been designated;<br/>
<a id="pl.26.29"></a><var>26.29</var>(2) enhanced payments for leave days. Notwithstanding section 
         <statute_ref>256B.431</statute_ref>, <br/>
<a id="pl.26.30"></a><var>26.30</var>subdivision 2r, upon designation as a critical access nursing facility, the commissioner <br/>
<a id="pl.26.31"></a><var>26.31</var>shall limit payment for leave days to 60 percent of that nursing facility's total payment rate <br/>
<a id="pl.26.32"></a><var>26.32</var>for the involved resident, and shall allow this payment only when the occupancy of the <br/>
<a id="pl.26.33"></a><var>26.33</var>nursing facility, inclusive of bed hold days, is equal to or greater than 90 percent;<br/>
<a id="pl.26.34"></a><var>26.34</var>(3) two designated critical access nursing facilities, with up to 100 beds in active <br/>
<a id="pl.26.35"></a><var>26.35</var>service, may jointly apply to the commissioner of health for a waiver of Minnesota <br/>
<a id="pl.27.1"></a><var>27.1</var>Rules, part 4658.0500, subpart 2, in order to jointly employ a director of nursing. The <br/>
<a id="pl.27.2"></a><var>27.2</var>commissioner of health will consider each waiver request independently based on the <br/>
<a id="pl.27.3"></a><var>27.3</var>criteria under Minnesota Rules, part 4658.0040;<br/>
<a id="pl.27.4"></a><var>27.4</var>(4) the minimum threshold under section 256B.431, subdivisions 3f, paragraph (a), <br/>
<a id="pl.27.5"></a><var>27.5</var>and 17e subdivision 15, paragraph (e), shall be 40 percent of the amount that would <br/>
<a id="pl.27.6"></a><var>27.6</var>otherwise apply; and<br/>
<a id="pl.27.7"></a><var>27.7</var>(5) notwithstanding subdivision 58, beginning October 1, 2014, the quality-based <br/>
<a id="pl.27.8"></a><var>27.8</var>rate limits under subdivision 50 shall apply to designated critical access nursing facilities.<br/>
<a id="pl.27.9"></a><var>27.9</var>(d) Designation of a critical access nursing facility shall be for a period of two <br/>
<a id="pl.27.10"></a><var>27.10</var>years, after which the benefits allowed under paragraph (c) shall be removed. Designated <br/>
<a id="pl.27.11"></a><var>27.11</var>facilities may apply for continued designation.<br/>
<a id="pl.27.12"></a><var>27.12</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.0.15.0"></a><a id="pl.27.13"></a><var>27.13</var>    Sec. 15. Minnesota Statutes 2012, section 256B.49, subdivision 14, is amended to read:<br/>
<a id="pl.27.14"></a><var>27.14</var>    Subd. 14. <b>Assessment and reassessment.</b> (a) Assessments and reassessments <br/>
<a id="pl.27.15"></a><var>27.15</var>shall be conducted by certified assessors according to section 256B.0911, subdivision 2b. <br/>
<a id="pl.27.16"></a><var>27.16</var>The certified assessor, with the permission of the recipient or the recipient's designated <br/>
<a id="pl.27.17"></a><var>27.17</var>legal representative, may invite other individuals to attend the assessment. With the <br/>
<a id="pl.27.18"></a><var>27.18</var>permission of the recipient or the recipient's designated legal representative, the recipient's <br/>
<a id="pl.27.19"></a><var>27.19</var>current provider of services may submit a written report outlining their recommendations <br/>
<a id="pl.27.20"></a><var>27.20</var>regarding the recipient's care needs prepared by a direct service employee with at least <br/>
<a id="pl.27.21"></a><var>27.21</var>20 hours of service to that client. The person conducting the assessment or reassessment<br/>
<a id="pl.27.22"></a><var>27.22</var> certified assessor must notify the provider of the date by which this information is to be <br/>
<a id="pl.27.23"></a><var>27.23</var>submitted. This information shall be provided to the person conducting the assessment<br/>
<a id="pl.27.24"></a><var>27.24</var> certified assessor and the person or the person's legal representative and must be <br/>
<a id="pl.27.25"></a><var>27.25</var>considered prior to the finalization of the assessment or reassessment.<br/>
<a id="pl.27.26"></a><var>27.26</var>(b) There must be a determination that the client requires a hospital level of care or a <br/>
<a id="pl.27.27"></a><var>27.27</var>nursing facility level of care as defined in section 
         <statute_ref>256B.0911</statute_ref>, subdivision 4a, paragraph <br/>
<a id="pl.27.28"></a><var>27.28</var>(d), at initial and subsequent assessments to initiate and maintain participation in the <br/>
<a id="pl.27.29"></a><var>27.29</var>waiver program.<br/>
<a id="pl.27.30"></a><var>27.30</var>(c) Regardless of other assessments identified in section 
         <statute_ref>144.0724, subdivision 4</statute_ref>, as <br/>
<a id="pl.27.31"></a><var>27.31</var>appropriate to determine nursing facility level of care for purposes of medical assistance <br/>
<a id="pl.27.32"></a><var>27.32</var>payment for nursing facility services, only face-to-face assessments conducted according <br/>
<a id="pl.27.33"></a><var>27.33</var>to section 
         <statute_ref>256B.0911, subdivisions 3a</statute_ref>, 3b, and 4d, that result in a hospital level of care <br/>
<a id="pl.27.34"></a><var>27.34</var>determination or a nursing facility level of care determination must be accepted for <br/>
<a id="pl.27.35"></a><var>27.35</var>purposes of initial and ongoing access to waiver services payment.<br/>
<a id="pl.28.1"></a><var>28.1</var>(d) Recipients who are found eligible for home and community-based services under <br/>
<a id="pl.28.2"></a><var>28.2</var>this section before their 65th birthday may remain eligible for these services after their <br/>
<a id="pl.28.3"></a><var>28.3</var>65th birthday if they continue to meet all other eligibility factors.<br/>
<a id="pl.28.4"></a><var>28.4</var>(e) The commissioner shall develop criteria to identify recipients whose level of <br/>
<a id="pl.28.5"></a><var>28.5</var>functioning is reasonably expected to improve and reassess these recipients to establish <br/>
<a id="pl.28.6"></a><var>28.6</var>a baseline assessment. Recipients who meet these criteria must have a comprehensive <br/>
<a id="pl.28.7"></a><var>28.7</var>transitional service plan developed under subdivision 15, paragraphs (b) and (c), and be <br/>
<a id="pl.28.8"></a><var>28.8</var>reassessed every six months until there has been no significant change in the recipient's <br/>
<a id="pl.28.9"></a><var>28.9</var>functioning for at least 12 months. After there has been no significant change in the <br/>
<a id="pl.28.10"></a><var>28.10</var>recipient's functioning for at least 12 months, reassessments of the recipient's strengths, <br/>
<a id="pl.28.11"></a><var>28.11</var>informal support systems, and need for services shall be conducted at least every 12 <br/>
<a id="pl.28.12"></a><var>28.12</var>months and at other times when there has been a significant change in the recipient's <br/>
<a id="pl.28.13"></a><var>28.13</var>functioning. Counties, case managers, and service providers are responsible for <br/>
<a id="pl.28.14"></a><var>28.14</var>conducting these reassessments and shall complete the reassessments out of existing funds.<br/>
<br/>
<a id="bill.0.16.0"></a><a id="pl.28.15"></a><var>28.15</var>    Sec. 16. Minnesota Statutes 2012, section 256B.492, is amended to read:<br/>
<a id="pl.28.16"></a><var>28.16</var><b>256B.492 HOME AND COMMUNITY-BASED SETTINGS FOR PEOPLE </b><br/>
<a id="pl.28.17"></a><var>28.17</var><b>WITH DISABILITIES.</b><br/>
<a id="pl.28.18"></a><var>28.18</var>(a) Individuals receiving services under a home and community-based waiver under <br/>
<a id="pl.28.19"></a><var>28.19</var>section 
         <statute_ref>256B.092</statute_ref> or 
         <statute_ref>256B.49</statute_ref> may receive services in the following settings:<br/>
<a id="pl.28.20"></a><var>28.20</var>(1) an individual's own home or family home;<br/>
<a id="pl.28.21"></a><var>28.21</var>(2) a licensed adult foster care or child foster care setting of up to five people; and<br/>
<a id="pl.28.22"></a><var>28.22</var>(3) community living settings as defined in section 
         <statute_ref>256B.49</statute_ref>, subdivision 23, where <br/>
<a id="pl.28.23"></a><var>28.23</var>individuals with disabilities may reside in all of the units in a building of four or fewer <br/>
<a id="pl.28.24"></a><var>28.24</var>units, and no more than the greater of four or 25 percent of the units in a multifamily <br/>
<a id="pl.28.25"></a><var>28.25</var>building of more than four units.<br/>
<a id="pl.28.26"></a><var>28.26</var>(b) The settings in paragraph (a) must not:<br/>
<a id="pl.28.27"></a><var>28.27</var>(1) be located in a building that is a publicly or privately operated facility that <br/>
<a id="pl.28.28"></a><var>28.28</var>provides institutional treatment or custodial care;<br/>
<a id="pl.28.29"></a><var>28.29</var>(2) be located in a building on the grounds of or adjacent to a public or private <br/>
<a id="pl.28.30"></a><var>28.30</var>institution;<br/>
<a id="pl.28.31"></a><var>28.31</var>(3) be a housing complex designed expressly around an individual's diagnosis or <br/>
<a id="pl.28.32"></a><var>28.32</var>disability;<br/>
<a id="pl.28.33"></a><var>28.33</var>(4) be segregated based on a disability, either physically or because of setting <br/>
<a id="pl.28.34"></a><var>28.34</var>characteristics, from the larger community; and<br/>
<a id="pl.29.1"></a><var>29.1</var>(5) have the qualities of an institution which include, but are not limited to: <br/>
<a id="pl.29.2"></a><var>29.2</var>regimented meal and sleep times, limitations on visitors, and lack of privacy. Restrictions <br/>
<a id="pl.29.3"></a><var>29.3</var>agreed to and documented in the person's individual service plan shall not result in a <br/>
<a id="pl.29.4"></a><var>29.4</var>residence having the qualities of an institution as long as the restrictions for the person are <br/>
<a id="pl.29.5"></a><var>29.5</var>not imposed upon others in the same residence and are the least restrictive alternative, <br/>
<a id="pl.29.6"></a><var>29.6</var>imposed for the shortest possible time to meet the person's needs.<br/>
<a id="pl.29.7"></a><var>29.7</var>(c) The provisions of paragraphs (a) and (b) do not apply to any setting in which <br/>
<a id="pl.29.8"></a><var>29.8</var>individuals receive services under a home and community-based waiver as of July 1, <br/>
<a id="pl.29.9"></a><var>29.9</var>2012, and the setting does not meet the criteria of this section.<br/>
<a id="pl.29.10"></a><var>29.10</var>(d) Notwithstanding paragraph (c), a program in Hennepin County established as <br/>
<a id="pl.29.11"></a><var>29.11</var>part of a Hennepin County demonstration project is qualified for the exception allowed <br/>
<a id="pl.29.12"></a><var>29.12</var>under paragraph (c).<br/>
<a id="pl.29.13"></a><var>29.13</var>(e) The commissioner shall submit an amendment to the waiver plan no later than <br/>
<a id="pl.29.14"></a><var>29.14</var>December 31, 2012.<br/>
<br/>
<a id="bill.0.17.0"></a><a id="pl.29.15"></a><var>29.15</var>    Sec. 17. Minnesota Statutes 2012, section 626.557, subdivision 10, is amended to read:<br/>
<a id="pl.29.16"></a><var>29.16</var>    Subd. 10. <b>Duties of county social service agency.</b> (a) Upon receipt of a report from <br/>
<a id="pl.29.17"></a><var>29.17</var>the common entry point staff, the county social service agency shall immediately assess <br/>
<a id="pl.29.18"></a><var>29.18</var>and offer emergency and continuing protective social services for purposes of preventing <br/>
<a id="pl.29.19"></a><var>29.19</var>further maltreatment and for safeguarding the welfare of the maltreated vulnerable adult. <br/>
<a id="pl.29.20"></a><var>29.20</var>The county shall use a standardized tool made available by the commissioner. The <br/>
<a id="pl.29.21"></a><var>29.21</var>information entered by the county into the standardized tool must be accessible to the <br/>
<a id="pl.29.22"></a><var>29.22</var>Department of Human Services. In cases of suspected sexual abuse, the county social <br/>
<a id="pl.29.23"></a><var>29.23</var>service agency shall immediately arrange for and make available to the vulnerable adult <br/>
<a id="pl.29.24"></a><var>29.24</var>appropriate medical examination and treatment. When necessary in order to protect the <br/>
<a id="pl.29.25"></a><var>29.25</var>vulnerable adult from further harm, the county social service agency shall seek authority <br/>
<a id="pl.29.26"></a><var>29.26</var>to remove the vulnerable adult from the situation in which the maltreatment occurred. The <br/>
<a id="pl.29.27"></a><var>29.27</var>county social service agency may also investigate to determine whether the conditions <br/>
<a id="pl.29.28"></a><var>29.28</var>which resulted in the reported maltreatment place other vulnerable adults in jeopardy of <br/>
<a id="pl.29.29"></a><var>29.29</var>being maltreated and offer protective social services that are called for by its determination.<br/>
<a id="pl.29.30"></a><var>29.30</var>(b) County social service agencies may enter facilities and inspect and copy records <br/>
<a id="pl.29.31"></a><var>29.31</var>as part of an investigation. The county social service agency has access to not public <br/>
<a id="pl.29.32"></a><var>29.32</var>data, as defined in section 
         <statute_ref>13.02</statute_ref>, and medical records under sections 
         <statute_ref>144.291</statute_ref> to 144.298, <br/>
<a id="pl.29.33"></a><var>29.33</var>that are maintained by facilities to the extent necessary to conduct its investigation. The <br/>
<a id="pl.29.34"></a><var>29.34</var>inquiry is not limited to the written records of the facility, but may include every other <br/>
<a id="pl.29.35"></a><var>29.35</var>available source of information.<br/>
<a id="pl.30.1"></a><var>30.1</var>(c) When necessary in order to protect a vulnerable adult from serious harm, the <br/>
<a id="pl.30.2"></a><var>30.2</var>county social service agency shall immediately intervene on behalf of that adult to help <br/>
<a id="pl.30.3"></a><var>30.3</var>the family, vulnerable adult, or other interested person by seeking any of the following:<br/>
<a id="pl.30.4"></a><var>30.4</var>(1) a restraining order or a court order for removal of the perpetrator from the <br/>
<a id="pl.30.5"></a><var>30.5</var>residence of the vulnerable adult pursuant to section 
         <statute_ref>518B.01</statute_ref>;<br/>
<a id="pl.30.6"></a><var>30.6</var>(2) the appointment of a guardian or conservator pursuant to sections 
         <statute_ref>524.5-101</statute_ref> to <br/>
<statute_ref><a id="pl.30.7"></a><var>30.7</var>524.5-502
         </statute_ref>, or guardianship or conservatorship pursuant to chapter 252A;<br/>
<a id="pl.30.8"></a><var>30.8</var>(3) replacement of a guardian or conservator suspected of maltreatment and <br/>
<a id="pl.30.9"></a><var>30.9</var>appointment of a suitable person as guardian or conservator, pursuant to sections <br/>
<statute_ref><a id="pl.30.10"></a><var>30.10</var>524.5-101
         </statute_ref> to 
         <statute_ref>524.5-502</statute_ref>; or<br/>
<a id="pl.30.11"></a><var>30.11</var>(4) a referral to the prosecuting attorney for possible criminal prosecution of the <br/>
<a id="pl.30.12"></a><var>30.12</var>perpetrator under chapter 609.<br/>
<a id="pl.30.13"></a><var>30.13</var>The expenses of legal intervention must be paid by the county in the case of indigent <br/>
<a id="pl.30.14"></a><var>30.14</var>persons, under section 
         <statute_ref>524.5-502</statute_ref> and chapter 563.<br/>
<a id="pl.30.15"></a><var>30.15</var>In proceedings under sections 
         <statute_ref>524.5-101</statute_ref> to 
         <statute_ref>524.5-502</statute_ref>, if a suitable relative or <br/>
<a id="pl.30.16"></a><var>30.16</var>other person is not available to petition for guardianship or conservatorship, a county <br/>
<a id="pl.30.17"></a><var>30.17</var>employee shall present the petition with representation by the county attorney. The county <br/>
<a id="pl.30.18"></a><var>30.18</var>shall contract with or arrange for a suitable person or organization to provide ongoing <br/>
<a id="pl.30.19"></a><var>30.19</var>guardianship services. If the county presents evidence to the court exercising probate <br/>
<a id="pl.30.20"></a><var>30.20</var>jurisdiction that it has made a diligent effort and no other suitable person can be found, <br/>
<a id="pl.30.21"></a><var>30.21</var>a county employee may serve as guardian or conservator. The county shall not retaliate <br/>
<a id="pl.30.22"></a><var>30.22</var>against the employee for any action taken on behalf of the ward or protected person even <br/>
<a id="pl.30.23"></a><var>30.23</var>if the action is adverse to the county's interest. Any person retaliated against in violation <br/>
<a id="pl.30.24"></a><var>30.24</var>of this subdivision shall have a cause of action against the county and shall be entitled to <br/>
<a id="pl.30.25"></a><var>30.25</var>reasonable attorney fees and costs of the action if the action is upheld by the court.<br/>
<br/>
<a id="bill.0.18.0"></a><a id="pl.30.26"></a><var>30.26</var>    Sec. 18. <b>THIRD-PARTY REIMBURSEMENT FOR LONG-TERM CARE </b><br/>
<a id="pl.30.27"></a><var>30.27</var><b>CONSULTATION SERVICES.</b><br/>
<a id="pl.30.28"></a><var>30.28</var>    The commissioner of human services shall submit a request within 60 days of <br/>
<a id="pl.30.29"></a><var>30.29</var>final enactment to the federal government to amend the Medicaid cost allocation plan <br/>
<a id="pl.30.30"></a><var>30.30</var>to allow county or tribal agencies to contract with nongovernmental organizations to <br/>
<a id="pl.30.31"></a><var>30.31</var>conduct assessments under Minnesota Statutes, section 256B.0911, and be reimbursed for <br/>
<a id="pl.30.32"></a><var>30.32</var>assessments conducted under contract. Upon federal approval, this shall be incorporated <br/>
<a id="pl.30.33"></a><var>30.33</var>into the alternative payment methodology under Minnesota Statutes, section 256B.0911, <br/>
<a id="pl.30.34"></a><var>30.34</var>subdivision 6, paragraph (h).<br/>
<br/>
<a id="bill.0.19.0"></a><a id="pl.31.1"></a><var>31.1</var>    Sec. 19. <b>RECOMMENDATIONS FOR FURTHER CASE MANAGEMENT </b><br/>
<a id="pl.31.2"></a><var>31.2</var><b>REDESIGN.</b><br/>
<a id="pl.31.3"></a><var>31.3</var>    (a) By February 1, 2014, the commissioner of human services shall develop a <br/>
<a id="pl.31.4"></a><var>31.4</var>legislative report with specific recommendations and language for proposed legislation to:<br/>
<a id="pl.31.5"></a><var>31.5</var>    (1) increase opportunities for choice of case management service provider;<br/>
<a id="pl.31.6"></a><var>31.6</var>    (2) define the service of case management to include the identification of roles and <br/>
<a id="pl.31.7"></a><var>31.7</var>activities of a case manager to avoid duplication of services;<br/>
<a id="pl.31.8"></a><var>31.8</var>    (3) provide guidance on caseload size to reduce variation across the state;<br/>
<a id="pl.31.9"></a><var>31.9</var>    (4) develop a statewide system to standardize case management provider standards, <br/>
<a id="pl.31.10"></a><var>31.10</var>which may include establishing a licensure or certification process;<br/>
<a id="pl.31.11"></a><var>31.11</var>    (5) develop reporting measures to determine outcomes for case management services <br/>
<a id="pl.31.12"></a><var>31.12</var>to increase continuous quality improvement;<br/>
<a id="pl.31.13"></a><var>31.13</var>    (6) establish rates for the service of case management that are transparent and <br/>
<a id="pl.31.14"></a><var>31.14</var>consistent for all medical assistance-paid case management;<br/>
<a id="pl.31.15"></a><var>31.15</var>    (7) develop information for case management recipients to make an informed choice <br/>
<a id="pl.31.16"></a><var>31.16</var>of case management service provider; and<br/>
<a id="pl.31.17"></a><var>31.17</var>    (8) provide waiver case management recipients with an itemized list of case <br/>
<a id="pl.31.18"></a><var>31.18</var>management services provided on a monthly basis.<br/>
<a id="pl.31.19"></a><var>31.19</var>    (b) The commissioner shall consult with existing stakeholder groups which include <br/>
<a id="pl.31.20"></a><var>31.20</var>representatives of counties, tribes, disability and senior advocacy groups including mental <br/>
<a id="pl.31.21"></a><var>31.21</var>health stakeholders, managed care organizations, and service providers in preparing the <br/>
<a id="pl.31.22"></a><var>31.22</var>recommendations and language for proposed legislation. The commissioner shall present <br/>
<a id="pl.31.23"></a><var>31.23</var>findings, recommendations, and proposed legislation to the chairs and ranking minority <br/>
<a id="pl.31.24"></a><var>31.24</var>members of the legislative committees with jurisdiction over health and human services <br/>
<a id="pl.31.25"></a><var>31.25</var>policy and finance by February 1, 2014.<br/>
<br/>
<a id="bill.0.20.0"></a><a id="pl.31.26"></a><var>31.26</var>    Sec. 20. <b> REPEALER.</b><br/>
<a id="pl.31.27"></a><var>31.27</var>(a) Minnesota Statutes 2012, section 256B.437, subdivision 8, is repealed.<br/>
<a id="pl.31.28"></a><var>31.28</var>(b) Laws 2012, chapter 216, article 11, section 31, is repealed.<br/>