1.1 	A bill for an act
1.2 	relating to human services; extending implementation
1.3 	of statewide elderly waiver services covered under the
1.4 	prepaid medical assistance program; specifying the
1.5 	evaluation of collaborative service models; amending
1.6 	Minnesota Statutes 2004, section 256B.69, subdivision
1.7 	6b.
1.8 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.9 	Section 1. Minnesota Statutes 2004, section 256B.69,
1.10 	subdivision 6b, is amended to read:
1.11 		Subd. 6b.Home and community-based waiver services.  (a)
1.12 	For individuals enrolled in the Minnesota senior health options
1.13 	project authorized under subdivision 23, elderly waiver services
1.14 	shall be covered according to the terms and conditions of the
1.15 	federal agreement governing that demonstration project.
1.16 	(b) For individuals under age 65 enrolled in demonstrations
1.17 	authorized under subdivision 23, home and community-based waiver
1.18 	services shall be covered according to the terms and conditions
1.19 	of the federal agreement governing that demonstration project.
1.20 	(c) The commissioner of human services shall issue requests
1.21 	for proposals for collaborative service models between counties
1.22 	and managed care organizations to integrate the home and
1.23 	community-based elderly waiver services and additional nursing
1.24 	home services into the prepaid medical assistance program. The
1.25 	transfer of home and community-based elderly waiver and
1.26 	additional nursing home services into the prepaid medical
2.1 	assistance program may not proceed until completion of the
2.2 	evaluation under paragraph (d).
2.3 	(d) Notwithstanding Minnesota Rules, part 9500.1457,
2.4 	subpart 1, item C, elderly waiver services shall be covered
2.5 	statewide no sooner than July 1, 2006 2008, under the prepaid
2.6 	medical assistance program for all individuals who are eligible
2.7 	according to section 256B.0915.  The commissioner may develop a
2.8 	schedule to phase in implementation of these waiver services,
2.9 	including collaborative service models under paragraph (c).  The
2.10 	commissioner shall phase in implementation beginning with those
2.11 	counties participating under section 256B.692, and those
2.12 	counties where a viable collaborative service model has been
2.13 	developed.  In consultation with counties and all managed care
2.14 	organizations that have expressed an interest in participating
2.15 	in collaborative service models, the commissioner shall evaluate
2.16 	the models.  The commissioner shall consider the evaluation in
2.17 	selecting the most appropriate models for statewide
2.18 	implementation.
2.19 	(e) The evaluation under paragraph (d) must include data
2.20 	collected from all elderly waiver services contractors,
2.21 	including the health plans and the counties who will provide
2.22 	these services, to ensure a consistent evaluation of services,
2.23 	satisfactory service outcomes, and continued systemwide
2.24 	improvements for all recipients of service.  The evaluation must
2.25 	include, but is not limited to, the consumer outcomes in clauses
2.26 	(1) to (5):
2.27 	(1) the rate of preventable hospitalizations remains the
2.28 	same or decreases from current levels;
2.29 	(2) there are no interruptions in service when a consumer
2.30 	transfers between elderly waiver services, alternative care
2.31 	waiver services, or other senior support services;
2.32 	(3) consumer satisfaction is at the 75th percentile or
2.33 	greater;
2.34 	(4) there are no disparities in consumer outcomes between
2.35 	ethnic or cultural groups; and 
2.36 	(5) the retention of county social service staff to ensure
3.1 	the outcomes in clause (1) to (4).