Subdivision 1. Customized living monthly service rate limits. (a) Except for a participant assigned to case mix classification L, as described in section 256S.18, subdivision 1, paragraph (b), the customized living monthly service rate limit shall not exceed 50 percent of the monthly case mix budget cap, less the maintenance needs allowance, adjusted at least annually in the manner described under section 256S.18, subdivisions 5 and 6.
(b) The customized living monthly service rate limit for participants assigned to case mix classification L must be the monthly service rate limit for participants assigned to case mix classification A, reduced by 25 percent.
Subd. 2. 24-hour customized living monthly service rate limits. (a) The 24-hour customized living monthly service rate limit is the 95th percentile of statewide monthly authorizations for 24-hour customized living services in effect and in the Medicaid management information systems on March 31, 2009, for each case mix resident class under Minnesota Rules, parts 9549.0051 to 9549.0059, to which elderly waiver service participants are assigned, adjusted at least annually in the manner described under section 256S.18, subdivisions 5 and 6.
(b) If there are fewer than 50 authorizations in effect in the case mix resident class, the commissioner shall multiply the calculated 24-hour customized living monthly service rate limit for case mix classification A by the standard weight for that classification under Minnesota Rules, parts 9549.0051 to 9549.0059, to determine the applicable 24-hour customized living monthly service rate limit.
2019 c 54 art 1 s 22
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.