HF 1717

as introduced - 80th Legislature (1997 - 1998) Posted on 12/15/2009 12:00am

  1.1                          A bill for an act
  1.2             relating to health; modifying requirements for 
  1.3             providers of case management services under the 
  1.4             alternative care program and the elderly waiver; 
  1.5             amending Minnesota Statutes 1996, sections 256B.0913, 
  1.6             subdivision 7; and 256B.0915, subdivision 1b. 
  1.7   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.8      Section 1.  Minnesota Statutes 1996, section 256B.0913, 
  1.9   subdivision 7, is amended to read: 
  1.10     Subd. 7.  [CASE MANAGEMENT.] The lead agency shall appoint 
  1.11  a social worker from the county agency or a registered nurse 
  1.12  from the county public health nursing service of the local board 
  1.13  of health to be the case manager for any person receiving 
  1.14  services funded by the alternative care program.  Providers of 
  1.15  case management services for persons receiving services funded 
  1.16  by the alternative care program must meet the qualification 
  1.17  requirements and standards specified in section 256B.0915, 
  1.18  subdivision 1b.  The case manager must ensure the health and 
  1.19  safety of the individual client and is responsible for the 
  1.20  cost-effectiveness of the alternative care individual care 
  1.21  plan.  The county may allow a case manager employed by the 
  1.22  county to delegate certain aspects of the case management 
  1.23  activity to another individual employed by the county provided 
  1.24  there is oversight of the individual by the case manager.  The 
  1.25  case manager may not delegate those aspects which require 
  1.26  professional judgment including assessments, reassessments, and 
  2.1   care plan development. 
  2.2      Sec. 2.  Minnesota Statutes 1996, section 256B.0915, 
  2.3   subdivision 1b, is amended to read: 
  2.4      Subd. 1b.  [PROVIDER QUALIFICATIONS AND STANDARDS.] The 
  2.5   commissioner must enroll qualified providers of elderly case 
  2.6   management services under the home and community-based waiver 
  2.7   for the elderly under section 1915(c) of the Social Security 
  2.8   Act.  The enrollment process shall ensure the provider's ability 
  2.9   to meet the qualification requirements and standards in this 
  2.10  subdivision and other federal and state requirements of this 
  2.11  service.  An elderly case management provider is an enrolled 
  2.12  medical assistance provider who is determined by the 
  2.13  commissioner to have all of the following characteristics: 
  2.14     (1) the legal authority for alternative care program 
  2.15  administration under section 256B.0913; 
  2.16     (2) the demonstrated capacity and experience to provide the 
  2.17  components of case management to coordinate and link community 
  2.18  resources needed by the eligible population; 
  2.19     (3) (2) administrative capacity and experience in serving 
  2.20  the target population for whom it will provide services and in 
  2.21  ensuring quality of services under state and federal 
  2.22  requirements; 
  2.23     (4) the legal authority to provide preadmission screening 
  2.24  under section 256B.0911, subdivision 4; 
  2.25     (5) (3) a financial management system that provides 
  2.26  accurate documentation of services and costs under state and 
  2.27  federal requirements; 
  2.28     (6) (4) the capacity to document and maintain individual 
  2.29  case records under state and federal requirements; and 
  2.30     (7) (5) the county may allow a case manager employed by the 
  2.31  county to delegate certain aspects of the case management 
  2.32  activity to another individual employed by the county provided 
  2.33  there is oversight of the individual by the case manager.  The 
  2.34  case manager may not delegate those aspects which require 
  2.35  professional judgment including assessments, reassessments, and 
  2.36  care plan development.