Waiver Basics
This is the number of waiver programs available in the State of MN.
6
[Alternative Care, Brain Injury, Community Access for Disability Inclusion, Community Alternative Care, Developmental Disabilities, Elderly Waiver]
Used to signify managed care funding, this 'pseudo code' replaces the Home Care billing codes.
x5609
245D is the broad umbrella of services used to describe this acronym.
HBCS: Home and Community Based Services
This item of 'continence- contention' may be authorized when someone is NOT in a Customize Living setting, to aid in disability-related continence care.
Pre-moistened cleansing wipes
Minnesota’s name for the federal Medicaid program that provides medical care for low-income persons.
Medical Assistance [MA]
Often used in haste, this is the full name for the acronym CADI.
Community Access for Disability Inclusion
Determined by the State Legislature and known as RMS for short, this is the correct and complete name for determining rates in MN.
Rate Management System
Becoming more common, this numbered form is completed by an agency wanting to provide Integrated Community Supports [ICS]
6790-O
Capped for many years, this waiver category got a big boost in 2024.
Specialized equipment and supplies
This program provides health care coverage for people aged 65 or older, all ages who have permanent kidney failure [treated with dialysis or a transplant], or younger than age 65 with certain disabilities.
Medicare
As a sub-set of the CADI and DD waivers, this is the correct and complete name for CDCS.
Consumer Directed Community Supports
After a long wait, this rate for Homemaking was approved for January 1st, 2024.
$7.90
Sometimes a difficult service to find, this 245D option provides non-medical care, supervision and socialization to a person aged 18 or older.
Companion Services
Covered under MA, AC, and EW, this enteral product is not covered under CAC/CADI/BI.
Oral nutritional products [Boost, Ensure]
DAILY DOUBLE!!!
As a requirement to being on the DD waiver, this specialized service must be an assessed need and included in the Support Plan.
As part of E1MN, this service strengthens a person’s knowledge, interests and preferences so they can make informed decisions about competitive employment.
Employment Exploration
Often causing mass confusion, this waiver situation occurs when a person in an existing care facility receives home and community-based services and the bed that person previously occupied is decertified and removed from the system.
Conversion
Positive Support Services are aimed to increase positive behavior and decrease or eliminate severe, challenging behavior. What 3 support levels does Positive Supports comprise of?
Support Analyst
Support Specialist
Under BI, CAC, CADI and DD, a person may request and receive up to of this amount of EAA per year, based on the service agreement header end-date.
$80,000
A division of the Department of Human Services, this group makes Blind and Disability determinations using criteria from the SSA.
State Medical Review Team [SMRT]
A.K.A "My Move Summary" this number form is required when a client wants to move or would like information about service alternatives and living somewhere else.
DHS-3936 [My Move Summary]
This classification of a person assessed needs, is used to establish individual community budgets under various programs.
Case Mix
Often controversial, Night Supervision requires overnight assistance and supervision in at least one of these areas:
Used by the county after assessment or reassessment, I help identify a decision in the program or service delivery. I also notify the recipient of their appeal rights regarding the action(s).
DHS-2828A
This Minnesota Health Care Program (MHCP) allows people with disabilities to qualify for or keep their Medical Assistance (MA) while working.
Medical Assistance for Employed Persons with Disabilities [MA-EPD]