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256S.15 ESTABLISHMENT OF ELDERLY WAIVER SERVICE RATES AND SERVICE RATE LIMITS.

Subdivision 1.Statewide service rates and service rate limits.

The commissioner shall establish statewide service rates and service rate limits. The commissioner shall publish updated service rates and service rate limits at least annually.

Subd. 2.Foster care limit.

The elderly waiver payment for the foster care service in combination with the payment for all other elderly waiver services, including case management, must not exceed the monthly case mix budget cap for the participant as specified in sections 256S.18, subdivision 3, and 256S.19, subdivision 3.

[See Note.]

Subd. 3.Billing limits.

(a) Effective January 1, 2027, or upon federal approval, whichever is later, billable unit maximums are established for the following services authorized under section 256B.0913 and this chapter:

(1) for adult companion services, a maximum of six hours per day per recipient and a maximum of 936 hours annually per recipient;

(2) for chore services, a maximum of 24 units per week per recipient, where a unit is defined as a 15-minute increment;

(3) for homemaker services, cleaning and home management may be provided for a maximum of 16 hours combined per week per recipient;

(4) for personal emergency response system services, a maximum of one unit per month per recipient; and

(5) for waiver transportation, a maximum of 28 one-way trips per week per participant.

(b) The limits in this subdivision do not limit a person's use of other waiver services. Billing limits under this subdivision apply only to the individual service listed and do not prohibit the recipient from accessing other services for which they are eligible on the same day, week, or month, subject to other applicable requirements.

NOTE: The amendment to subdivision 2 by Laws 2023, chapter 61, article 2, section 13, is effective upon federal approval. The commissioner of human services shall notify the revisor of statutes when approval is obtained. Laws 2023, chapter 61, article 2, section 13, the effective date.

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Revisor of Statutes