HF 1095

as introduced - 94th Legislature (2025 - 2026) Posted on 02/27/2025 06:03pm

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

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

Section 1. new text begin DIRECTION TO COMMISSIONER; BILLABLE INDIRECT TIME
AUTHORIZATION FOR INDIVIDUALIZED HOME SUPPORTS.
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new text begin (a) No later than December 1, 2025, the commissioner of human services must submit
to the federal Centers for Medicare and Medicaid Services all necessary amendments to
home and community-based services waiver plans to allow providers of individualized
home supports with training, individualized home supports without training, and
individualized home supports with family training to bill for the indirect provision of services
described in paragraph (c), provided:
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new text begin (1) the services are necessary to ensure continuity of other necessary services and supports
for the service recipient;
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new text begin (2) reasonable attempts have been made to directly involve the service recipient in the
service, or the recipient is not able to be directly involved due to illness, injury, or other
factors; or
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new text begin (3) the service recipient has made an informed choice to allow for services to be provided
without the service recipient's direct contact.
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new text begin (b) For the purposes of this section, "indirect provision of services" means services
provided without direct contact as defined in Minnesota Statutes, section 245C.02,
subdivision 11, and not through remote support as defined in the relevant waiver plan.
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new text begin (c) In the waiver plan amendments submitted under paragraph (a), the commissioner
must seek federal approval of billing for the indirect provision of at least the following
allowable individualized home supports:
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new text begin (1) researching, coordinating, and arranging for transportation, necessary equipment,
and all support and training needed to allow a service recipient to safely access the
community;
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new text begin (2) arranging and coordinating access to all necessary health care, including scheduling
medical appointments, communicating with health professionals, benefits fact-gathering,
review and analysis, and all support and training needed to support the service recipient's
health and well-being;
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new text begin (3) coordinating and advocating to ensure needed legal support, crisis prevention, positive
support strategies, and all support and training needed to maintain the service recipient's
preferences;
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new text begin (4) collaborating with employers to ensure maintenance of the service recipient's desired
employment;
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new text begin (5) arranging and coordinating access to resources to meet basic needs, including
necessary shelter, food shelf, and telephone and Internet services;
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new text begin (6) coordinating to ensure the service recipient is able to continue to live independently
in the service recipient's own home, including collaborating with property management,
coordinating with other home and community-based service providers, meeting with the
recipient's interdisciplinary team members, and ensuring access to proper equipment and
technology and all support and training needed to maintain the service recipient's preferences;
and
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new text begin (7) coordinating with other service providers and natural supports as needed for status
changes and crisis management.
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new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2025.
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