Subdivision 1. Choice of case management provider. An eligible participant may choose any qualified provider of elderly waiver case management.
Subd. 2. Case management activities. Elderly waiver case management activities provided to or arranged for a participant include:
(1) development of the support plan under section 256S.10;
(2) informing the participant or the participant's legal guardian or conservator of service options and options for elderly waiver case management and providers;
(3) consulting with relevant medical experts or service providers;
(4) assisting the participant in identifying potential providers;
(5) assisting the participant with gaining access to needed elderly waiver and other state plan services;
(6) assisting the participant with gaining access to needed medical, social, educational, and other services regardless of the funding source for the services to which access is gained;
(7) coordination of services;
(8) ongoing evaluation and monitoring of the provision of services included in the participant's support plan under subdivision 3; and
(9) assisting the participant in appeals under section 256.045.
Subd. 3. Support plan development, review, and monitoring. (a) Elderly waiver case managers shall collaborate with the participant, the participant's family, the participant's legal representatives, and relevant medical experts and service providers to develop and periodically review the participant's support plan.
(b) Case managers shall initiate the process of reassessment and review of the participant's support plan and review the plan at intervals specified in the elderly waiver plan.
(c) The case manager's evaluation and monitoring of a participant's services must incorporate at least one annual face-to-face visit by the case manager with each participant.
2019 c 54 art 1 s 9; 2022 c 98 art 17 s 26
Structure Minnesota Statutes
Chapters 245 - 267 — Public Welfare And Related Activities
Chapter 256S — Medical Assistance Elderly Waiver
Section 256S.02 — Definitions.
Section 256S.03 — Administration By Tribes.
Section 256S.04 — Limits Of Elderly Waiver Cases.
Section 256S.05 — Eligibility.
Section 256S.06 — Assessments And Reassessments.
Section 256S.07 — Case Management Administration.
Section 256S.08 — Case Management Provider Qualifications And Standards.
Section 256S.09 — Case Management Activities.
Section 256S.10 — Support Plans.
Section 256S.11 — Approval Required For Certain State Plan Home Care Services.
Section 256S.12 — Adult Day Services.
Section 256S.13 — Individual Community Living Supports.
Section 256S.14 — Termination Of Elderly Waiver Services.
Section 256S.15 — Establishment Of Elderly Waiver Service Rates And Service Rate Limits.
Section 256S.16 — Authorization Of Elderly Waiver Services And Service Rates.
Section 256S.17 — Costs Excluded From Elderly Waiver Service Rates.
Section 256S.18 — Monthly Case Mix Budget Caps; Generally.
Section 256S.19 — Monthly Case Mix Budget Caps; Nursing Facility Residents.
Section 256S.20 — Customized Living Services; Policy.
Section 256S.201 — Customized Living Services; Rates.
Section 256S.202 — Customized Living Services; Rate Limits.
Section 256S.203 — Customized Living Services; Managed Care Rates.
Section 256S.204 — Alternative Rate System For 24-hour Customized Living Services.
Section 256S.205 — Customized Living Services; Disproportionate Share Rate Adjustments.
Section 256S.21 — Rate Setting; Application.
Section 256S.2101 — Rate Setting; Phase-in.
Section 256S.211 — Rate Setting; Rate Establishment.
Section 256S.212 — Rate Setting; Base Wage Index.
Section 256S.213 — Rate Setting; Factors.