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HF 524

as introduced - 88th Legislature (2013 - 2014) Posted on 02/14/2013 01:55pm

KEY: stricken = removed, old language.
underscored = added, new language.

Bill Text Versions

Engrossments
Introduction Posted on 02/13/2013

Current Version - as introduced

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A bill for an act
relating to human services; modifying reduction of rates for congregate living
for individuals with lower needs; amending Laws 2011, First Special Session
chapter 9, article 10, section 3, subdivision 3, as amended.

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

Section 1.

Laws 2011, First Special Session chapter 9, article 10, section 3, subdivision
3, as amended by Laws 2012, chapter 247, article 4, section 43, is amended to read:


Subd. 3.

Forecasted Programs

The amounts that may be spent from this
appropriation for each purpose are as follows:

(a) MFIP/DWP Grants
Appropriations by Fund
General
84,680,000
91,978,000
Federal TANF
84,425,000
75,417,000
(b) MFIP Child Care Assistance Grants
55,456,000
30,923,000
(c) General Assistance Grants
49,192,000
46,938,000

General Assistance Standard. The
commissioner shall set the monthly standard
of assistance for general assistance units
consisting of an adult recipient who is
childless and unmarried or living apart
from parents or a legal guardian at $203.
The commissioner may reduce this amount
according to Laws 1997, chapter 85, article
3, section 54.

Emergency General Assistance. The
amount appropriated for emergency general
assistance funds is limited to no more than
$6,689,812 in fiscal year 2012 and $6,729,812
in fiscal year 2013. Funds to counties shall
be allocated by the commissioner using the
allocation method specified in Minnesota
Statutes, section 256D.06.

(d) Minnesota Supplemental Aid Grants
38,095,000
39,120,000
(e) Group Residential Housing Grants
121,080,000
129,238,000
(f) MinnesotaCare Grants
295,046,000
317,272,000

This appropriation is from the health care
access fund.

(g) Medical Assistance Grants
4,501,582,000
4,437,282,000

Managed Care Incentive Payments. The
commissioner shall not make managed care
incentive payments for expanding preventive
services during fiscal years beginning July 1,
2011, and July 1, 2012.

Reduction of Rates for Congregate
Living for Individuals with Lower Needs.
Beginning October 1, 2011, lead agencies
must reduce rates in effect on January 1,
2011, by ten percent for individuals with
lower needs living in foster care settings
where the license holder does not share the
residence with recipients on the CADI and
DD waivers and customized living settings
for CADI. Lead agencies shall consult
with providers to review individual service
plans and identify changes or modifications
to reduce the utilization of services while
maintaining the health and safety of the
individual receiving services. Lead agencies
must adjust contracts within 60 days of the
effective date. If federal waiver approval
is obtained under the long-term care
realignment waiver application submitted
on February 13, 2012, and federal financial
participation is authorized for the alternative
care program, the commissioner shall adjust
this payment rate reduction from ten to five
percent for services rendered on or after
July 1, 2012, or the first day of the month
following federal approval, whichever is
later.new text begin Effective August 1, 2013, this provision
does not apply to individuals living in foster
care settings where the license holder is
certified under the requirements of Minnesota
Statutes, section 245A.03, subdivision 6a.
new text end

Reduction of Lead Agency Waiver
Allocations to Implement Rate Reductions
for Congregate Living for Individuals
with Lower Needs.
Beginning October 1,
2011, the commissioner shall reduce lead
agency waiver allocations to implement the
reduction of rates for individuals with lower
needs living in foster care settings where the
license holder does not share the residence
with recipients on the CADI and DD waivers
and customized living settings for CADI.

Reduce customized living and 24-hour
customized living component rates.

Effective July 1, 2011, the commissioner
shall reduce elderly waiver customized living
and 24-hour customized living component
service spending by five percent through
reductions in component rates and service
rate limits. The commissioner shall adjust
the elderly waiver capitation payment
rates for managed care organizations paid
under Minnesota Statutes, section 256B.69,
subdivisions 6a
and 23, to reflect reductions
in component spending for customized living
services and 24-hour customized living
services under Minnesota Statutes, section
256B.0915, subdivisions 3e and 3h, for the
contract period beginning January 1, 2012.
To implement the reduction specified in
this provision, capitation rates paid by the
commissioner to managed care organizations
under Minnesota Statutes, section 256B.69,
shall reflect a ten percent reduction for the
specified services for the period January 1,
2012, to June 30, 2012, and a five percent
reduction for those services on or after July
1, 2012.

Limit Growth in the Developmental
Disability Waiver.
The commissioner
shall limit growth in the developmental
disability waiver to six diversion allocations
per month beginning July 1, 2011, through
June 30, 2013, and 15 diversion allocations
per month beginning July 1, 2013, through
June 30, 2015. Waiver allocations shall
be targeted to individuals who meet the
priorities for accessing waiver services
identified in Minnesota Statutes, 256B.092,
subdivision 12
. The limits do not include
conversions from intermediate care facilities
for persons with developmental disabilities.
Notwithstanding any contrary provisions in
this article, this paragraph expires June 30,
2015.

Limit Growth in the Community
Alternatives for Disabled Individuals
Waiver.
The commissioner shall limit
growth in the community alternatives for
disabled individuals waiver to 60 allocations
per month beginning July 1, 2011, through
June 30, 2013, and 85 allocations per
month beginning July 1, 2013, through
June 30, 2015. Waiver allocations must
be targeted to individuals who meet the
priorities for accessing waiver services
identified in Minnesota Statutes, section
256B.49, subdivision 11a. The limits include
conversions and diversions, unless the
commissioner has approved a plan to convert
funding due to the closure or downsizing
of a residential facility or nursing facility
to serve directly affected individuals on
the community alternatives for disabled
individuals waiver. Notwithstanding any
contrary provisions in this article, this
paragraph expires June 30, 2015.

Personal Care Assistance Relative
Care.
The commissioner shall adjust the
capitation payment rates for managed care
organizations paid under Minnesota Statutes,
section 256B.69, to reflect the rate reductions
for personal care assistance provided by
a relative pursuant to Minnesota Statutes,
section 256B.0659, subdivision 11. This rate
reduction is effective July 1, 2013.

(h) Alternative Care Grants
46,421,000
46,035,000

Alternative Care Transfer. Any money
allocated to the alternative care program that
is not spent for the purposes indicated does
not cancel but shall be transferred to the
medical assistance account.

(i) Chemical Dependency Entitlement Grants
94,675,000
93,298,000

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2013.
new text end