256B.0656 CONSUMER DIRECTED HOME CARE PROJECT.
(a) Upon the receipt of federal waiver authority, the commissioner shall implement
a consumer-directed home care demonstration project. The consumer-directed home care
demonstration project must demonstrate and evaluate the outcomes of a consumer-directed
service delivery alternative to improve access, increase consumer control and accountability over
available resources, and enable the use of supports that are more individualized and cost-effective
for eligible medical assistance recipients receiving certain medical assistance home care services.
The consumer-directed home care demonstration project will be administered locally by county
agencies, tribal governments, or administrative entities under contract with the state in regions
where counties choose not to provide this service.
(b) Grant awards for persons who have been receiving medical assistance covered personal
care, home health aide, or private duty nursing services for a period of 12 consecutive months
or more prior to enrollment in the consumer-directed home care demonstration project will be
established on a case-by-case basis using historical service expenditure data. An average monthly
expenditure for each continuing enrollee will be calculated based on historical expenditures made
on behalf of the enrollee for personal care, home health aide, or private duty nursing services
during the 12 month period directly prior to enrollment in the project. The grant award will equal
90 percent of the average monthly expenditure.
(c) Grant awards for project enrollees who have been receiving medical assistance covered
personal care, home health aide, or private duty nursing services for a period of less than 12
consecutive months prior to project enrollment will be calculated on a case-by-case basis using
the service authorization in place at the time of enrollment. The total number of units of personal
care, home health aide, or private duty nursing services the enrollee has been authorized to
receive will be converted to the total cost of the authorized services in a given month using the
statewide average service payment rates. To determine an estimated monthly expenditure, the
total authorized monthly personal care, home health aide or private duty nursing service costs
will be reduced by a percentage rate equivalent to the difference between the statewide average
service authorization and the statewide average utilization rate for each of the services by medical
assistance eligibles during the most recent fiscal year for which 12 months of data is available.
The grant award will equal 90 percent of the estimated monthly expenditure.
(d) The state of Minnesota, county agencies, tribal governments, or administrative entities
under contract with the state that participate in the implementation and administration of the
consumer-directed home care demonstration project, shall not be liable for damages, injuries, or
liabilities sustained through the purchase of support by the individual, the individual's family,
legal representative, or the authorized representative under this section with funds received
through the consumer-directed home care demonstration project. Liabilities include but are not
limited to: workers' compensation liability, the Federal Insurance Contributions Act (FICA), or
the Federal Unemployment Tax Act (FUTA).
(e) With federal approval, the commissioner may adjust methodologies in paragraphs (b) and
(c) to simplify program administration, improve consistency between state and federal programs,
and maximize federal financial participation.
History: 1986 c 444; 1990 c 568 art 3 s 51; 1991 c 292 art 7 s 12,25; 1992 c 391 s 3-6;
1992 c 464 art 2 s 1; 1992 c 513 art 7 s 50; 1Sp1993 c 1 art 5 s 51-53; 1995 c 207 art 6 s 52-55;
1996 c 451 art 5 s 17-20; 1997 c 203 art 4 s 28,29; 3Sp1997 c 3 s 9; 1998 c 407 art 4 s 29-31;
1999 c 245 art 4 s 50-58; 2000 c 474 s 8-11; 1Sp2001 c 9 art 3 s 29-41; 2002 c 375 art 2 s 17;
2002 c 379 art 1 s 113; 2003 c 15 art 1 s 33; 1Sp2003 c 14 art 3 s 26-28; 2005 c 10 art 1 s
49,50; 1Sp2005 c 4 art 7 s 15-19