1.1 A bill for an act
1.2 relating to human services; modifying disability waiver rates; amending Minnesota
1.3 Statutes 2024, section 256B.4914, subdivisions 5a, 6a, 6b, 6c, 7a, 7b, 7c, 8, 9.
1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.5 Section 1. Minnesota Statutes 2024, section 256B.4914, subdivision 5a, is amended to
1.6read:
1.7 Subd. 5a.Base wage index; calculations.The base wage index must be calculated as
1.8follows:
1.9 (1) for supervisory staff, 100 the sum of 60 percent of the median wage for social and
1.10community service manager (SOC code 11-9151) and 40 percent of the median wage for
1.11community and social services specialist (SOC code 21-1099), with the exception of the
1.12supervisor of positive supports professional, positive supports analyst, and positive supports
1.13specialist, which is 100 percent of the median wage for clinical counseling and school
1.14psychologist (SOC code 19-3031);
1.15 (2) for registered nurse staff, 100 percent of the median wage for registered nurses (SOC
1.16code 29-1141);
1.17 (3) for licensed practical nurse staff, 100 percent of the median wage for licensed practical
1.18nurses (SOC code 29-2061);
1.19 (4) for residential asleep-overnight staff, the minimum wage in Minnesota for large
1.20employers;
1.21 (5) for residential direct care staff, the sum of:
1Section 1.
REVISOR AGW/VJ 25-0084812/09/24
State of Minnesota
This Document can be made available
in alternative formats upon request
HOUSE OF REPRESENTATIVES
H. F. No. 382
NINETY-FOURTH SESSION
Authored by Curran, Schomacker, Noor, Gander, Baker and others02/13/2025
The bill was read for the first time and referred to the Committee on Human Services Finance and Policy 2.1 (i) 15 percent of the subtotal of 50 percent of the median wage for home health and
2.2personal care aide (SOC code 31-1120); 30 percent of the median wage for nursing assistant
2.3(SOC code 31-1131); and 20 percent of the median wage for social and human services
2.4aide (SOC code 21-1093); and
2.5 (ii) 85 percent of the subtotal of 40 percent of the median wage for home health and
2.6personal care aide (SOC code 31-1120); 20 percent of the median wage for nursing assistant
2.7(SOC code 31-1131); 20 percent of the median wage for psychiatric technician (SOC code
2.829-2053); and 20 percent of the median wage for social and human services aide (SOC code
2.921-1093);
2.10 (6) for adult day services staff, 70 percent of the median wage for nursing assistant (SOC
2.11code 31-1131); and 30 percent of the median wage for home health and personal care aide
2.12(SOC code 31-1120);
2.13 (7) for day support services staff and prevocational services staff, 20 percent of the
2.14median wage for nursing assistant (SOC code 31-1131); 20 percent of the median wage for
2.15psychiatric technician (SOC code 29-2053); and 60 percent of the median wage for social
2.16and human services aide (SOC code 21-1093);
2.17 (8) for positive supports analyst staff, 100 percent of the median wage for substance
2.18abuse, behavioral disorder, and mental health counselor (SOC code 21-1018);
2.19 (9) for positive supports professional staff, 100 percent of the median wage for clinical
2.20counseling and school psychologist (SOC code 19-3031);
2.21 (10) for positive supports specialist staff, 100 percent of the median wage for psychiatric
2.22technicians (SOC code 29-2053);
2.23 (11) for individualized home supports with family training staff, 20 percent of the median
2.24wage for nursing aide (SOC code 31-1131); 30 percent of the median wage for community
2.25social service specialist (SOC code 21-1099); 40 percent of the median wage for social and
2.26human services aide (SOC code 21-1093); and ten percent of the median wage for psychiatric
2.27technician (SOC code 29-2053);
2.28 (12) for individualized home supports with training services staff, 40 percent of the
2.29median wage for community social service specialist (SOC code 21-1099); 50 percent of
2.30the median wage for social and human services aide (SOC code 21-1093); and ten percent
2.31of the median wage for psychiatric technician (SOC code 29-2053);
2Section 1.
REVISOR AGW/VJ 25-0084812/09/24 3.1 (13) for employment support services staff, 50 percent of the median wage for
3.2rehabilitation counselor (SOC code 21-1015); and 50 percent of the median wage for
3.3community and social services specialist (SOC code 21-1099);
3.4 (14) for employment exploration services staff, 50 percent of the median wage for
3.5education, guidance, school, and vocational counselor (SOC code 21-1012); and 50 percent
3.6of the median wage for community and social services specialist (SOC code 21-1099);
3.7 (15) for employment development services staff, 50 percent of the median wage for
3.8education, guidance, school, and vocational counselors (SOC code 21-1012); and 50 percent
3.9of the median wage for community and social services specialist (SOC code 21-1099);
3.10 (16) for individualized home support without training staff, 50 percent of the median
3.11wage for home health and personal care aide (SOC code 31-1120); and 50 percent of the
3.12median wage for nursing assistant (SOC code 31-1131); and
3.13 (17) for night supervision staff, 40 percent of the median wage for home health and
3.14personal care aide (SOC code 31-1120); 20 percent of the median wage for nursing assistant
3.15(SOC code 31-1131); 20 percent of the median wage for psychiatric technician (SOC code
3.1629-2053); and 20 percent of the median wage for social and human services aide (SOC code
3.1721-1093).
3.18 EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval,
3.19whichever is later. The commissioner of human services shall notify the revisor of statutes
3.20when federal approval is obtained.
3.21 Sec. 2. Minnesota Statutes 2024, section 256B.4914, subdivision 6a, is amended to read:
3.22 Subd. 6a.Community residential services; component values and calculation of
3.23payment rates.(a) Component values for community residential services are:
3.24 (1) effective upon federal approval until the effective date of clause (2), competitive
3.25workforce factor: 6.7 percent;
3.26 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
3.27workforce factor: 16.76 percent;
3.28 (2) (3) supervisory span of control ratio: 11 percent;
3.29 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
3.30 (4) (5) employee-related cost ratio: 23.6 percent;
3.31 (5) (6) general administrative support ratio: 13.25 percent;
3Sec. 2.
REVISOR AGW/VJ 25-0084812/09/24 4.1 (6) (7) program-related expense ratio: 1.3 percent; and
4.2 (7) (8) absence and utilization factor ratio: 3.9 percent.
4.3 (b) Payments for community residential services must be calculated as follows:
4.4 (1) determine the number of shared direct staffing and individual direct staffing hours
4.5to meet a recipient's needs provided on site or through monitoring technology;
4.6 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
4.7provided in subdivisions 5 and 5a;
4.8 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
4.9product of one plus the competitive workforce factor;
4.10 (4) for a recipient requiring customization for deaf and hard-of-hearing language
4.11accessibility under subdivision 12, add the customization rate provided in subdivision 12
4.12to the result of clause (3);
4.13 (5) multiply the number of shared direct staffing and individual direct staffing hours
4.14provided on site or through monitoring technology and nursing hours by the appropriate
4.15staff wages;
4.16 (6) multiply the number of shared direct staffing and individual direct staffing hours
4.17provided on site or through monitoring technology and nursing hours by the product of the
4.18supervision span of control ratio and the appropriate supervisory staff wage in subdivision
4.195a, clause (1);
4.20 (7) combine the results of clauses (5) and (6), excluding any shared direct staffing and
4.21individual direct staffing hours provided through monitoring technology, and multiply the
4.22result by one plus the employee vacation, sick, and training allowance ratio. This is defined
4.23as the direct staffing cost;
4.24 (8) for employee-related expenses, multiply the direct staffing cost, excluding any shared
4.25direct staffing and individual hours provided through monitoring technology, by one plus
4.26the employee-related cost ratio;
4.27 (9) for client programming and supports, add $2,260.21 divided by 365. The
4.28commissioner shall update the amount in this clause as specified in subdivision 5b;
4.29 (10) for transportation, if provided, add $1,742.62 divided by 365, or $3,111.81 divided
4.30by 365 if customized for adapted transport, based on the resident with the highest assessed
4.31need. The commissioner shall update the amounts in this clause as specified in subdivision
4.325b;
4Sec. 2.
REVISOR AGW/VJ 25-0084812/09/24 5.1 (11) subtotal clauses (8) to (10) and the direct staffing cost of any shared direct staffing
5.2and individual direct staffing hours provided through monitoring technology that was
5.3excluded in clause (8);
5.4 (12) sum the standard general administrative support ratio, the program-related expense
5.5ratio, and the absence and utilization factor ratio;
5.6 (13) divide the result of clause (11) by one minus the result of clause (12). This is the
5.7total payment amount; and
5.8 (14) adjust the result of clause (13) by a factor to be determined by the commissioner
5.9to adjust for regional differences in the cost of providing services.
5.10 EFFECTIVE DATE.This section is effective the day following final enactment.
5.11 Sec. 3. Minnesota Statutes 2024, section 256B.4914, subdivision 6b, is amended to read:
5.12 Subd. 6b.Family residential services; component values and calculation of payment
5.13rates.(a) Component values for family residential services are:
5.14 (1) effective upon federal approval until the effective date of clause (2), competitive
5.15workforce factor: 6.7 percent;
5.16 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
5.17workforce factor: 16.76 percent;
5.18 (2) (3) supervisory span of control ratio: 11 percent;
5.19 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
5.20 (4) (5) employee-related cost ratio: 23.6 percent;
5.21 (5) (6) general administrative support ratio: 3.3 percent;
5.22 (6) (7) program-related expense ratio: 1.3 percent; and
5.23 (7) (8) absence factor: 1.7 percent.
5.24 (b) Payments for family residential services must be calculated as follows:
5.25 (1) determine the number of shared direct staffing and individual direct staffing hours
5.26to meet a recipient's needs provided on site or through monitoring technology;
5.27 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
5.28provided in subdivisions 5 and 5a;
5.29 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
5.30product of one plus the competitive workforce factor;
5Sec. 3.
REVISOR AGW/VJ 25-0084812/09/24 6.1 (4) for a recipient requiring customization for deaf and hard-of-hearing language
6.2accessibility under subdivision 12, add the customization rate provided in subdivision 12
6.3to the result of clause (3);
6.4 (5) multiply the number of shared direct staffing and individual direct staffing hours
6.5provided on site or through monitoring technology and nursing hours by the appropriate
6.6staff wages;
6.7 (6) multiply the number of shared direct staffing and individual direct staffing hours
6.8provided on site or through monitoring technology and nursing hours by the product of the
6.9supervisory span of control ratio and the appropriate supervisory staff wage in subdivision
6.105a, clause (1);
6.11 (7) combine the results of clauses (5) and (6), excluding any shared direct staffing and
6.12individual direct staffing hours provided through monitoring technology, and multiply the
6.13result by one plus the employee vacation, sick, and training allowance ratio. This is defined
6.14as the direct staffing cost;
6.15 (8) for employee-related expenses, multiply the direct staffing cost, excluding any shared
6.16and individual direct staffing hours provided through monitoring technology, by one plus
6.17the employee-related cost ratio;
6.18 (9) for client programming and supports, add $2,260.21 divided by 365. The
6.19commissioner shall update the amount in this clause as specified in subdivision 5b;
6.20 (10) for transportation, if provided, add $1,742.62 divided by 365, or $3,111.81 divided
6.21by 365 if customized for adapted transport, based on the resident with the highest assessed
6.22need. The commissioner shall update the amounts in this clause as specified in subdivision
6.235b;
6.24 (11) subtotal clauses (8) to (10) and the direct staffing cost of any shared direct staffing
6.25and individual direct staffing hours provided through monitoring technology that was
6.26excluded in clause (8);
6.27 (12) sum the standard general administrative support ratio, the program-related expense
6.28ratio, and the absence and utilization factor ratio;
6.29 (13) divide the result of clause (11) by one minus the result of clause (12). This is the
6.30total payment rate; and
6.31 (14) adjust the result of clause (13) by a factor to be determined by the commissioner
6.32to adjust for regional differences in the cost of providing services.
6Sec. 3.
REVISOR AGW/VJ 25-0084812/09/24 7.1 EFFECTIVE DATE.This section is effective the day following final enactment.
7.2 Sec. 4. Minnesota Statutes 2024, section 256B.4914, subdivision 6c, is amended to read:
7.3 Subd. 6c.Integrated community supports; component values and calculation of
7.4payment rates.(a) Component values for integrated community supports are:
7.5 (1) effective upon federal approval until the effective date of clause (2), competitive
7.6workforce factor: 6.7 percent;
7.7 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
7.8workforce factor: 16.76 percent;
7.9 (2) (3) supervisory span of control ratio: 11 percent;
7.10 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
7.11 (4) (5) employee-related cost ratio: 23.6 percent;
7.12 (5) (6) general administrative support ratio: 13.25 percent;
7.13 (6) (7) program-related expense ratio: 1.3 percent; and
7.14 (7) (8) absence and utilization factor ratio: 3.9 percent.
7.15 (b) Payments for integrated community supports must be calculated as follows:
7.16 (1) determine the number of shared direct staffing and individual direct staffing hours
7.17to meet a recipient's needs. The base shared direct staffing hours must be eight hours divided
7.18by the number of people receiving support in the integrated community support setting, and
7.19the individual direct staffing hours must be the average number of direct support hours
7.20provided directly to the service recipient;
7.21 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
7.22provided in subdivisions 5 and 5a;
7.23 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
7.24product of one plus the competitive workforce factor;
7.25 (4) for a recipient requiring customization for deaf and hard-of-hearing language
7.26accessibility under subdivision 12, add the customization rate provided in subdivision 12
7.27to the result of clause (3);
7.28 (5) multiply the number of shared direct staffing and individual direct staffing hours in
7.29clause (1) by the appropriate staff wages;
7Sec. 4.
REVISOR AGW/VJ 25-0084812/09/24 8.1 (6) multiply the number of shared direct staffing and individual direct staffing hours in
8.2clause (1) by the product of the supervisory span of control ratio and the appropriate
8.3supervisory staff wage in subdivision 5a, clause (1);
8.4 (7) combine the results of clauses (5) and (6) and multiply the result by one plus the
8.5employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
8.6cost;
8.7 (8) for employee-related expenses, multiply the direct staffing cost by one plus the
8.8employee-related cost ratio;
8.9 (9) for client programming and supports, add $2,260.21 divided by 365. The
8.10commissioner shall update the amount in this clause as specified in subdivision 5b;
8.11 (10) add the results of clauses (8) and (9);
8.12 (11) add the standard general administrative support ratio, the program-related expense
8.13ratio, and the absence and utilization factor ratio;
8.14 (12) divide the result of clause (10) by one minus the result of clause (11). This is the
8.15total payment amount; and
8.16 (13) adjust the result of clause (12) by a factor to be determined by the commissioner
8.17to adjust for regional differences in the cost of providing services.
8.18 EFFECTIVE DATE.This section is effective the day following final enactment.
8.19 Sec. 5. Minnesota Statutes 2024, section 256B.4914, subdivision 7a, is amended to read:
8.20 Subd. 7a.Adult day services; component values and calculation of payment rates.(a)
8.21Component values for adult day services are:
8.22 (1) effective upon federal approval until the effective date of clause (2), competitive
8.23workforce factor: 6.7 percent;
8.24 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
8.25workforce factor: 16.76 percent;
8.26 (2) (3) supervisory span of control ratio: 11 percent;
8.27 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
8.28 (4) (5) employee-related cost ratio: 23.6 percent;
8.29 (5) (6) program plan support ratio: 5.6 percent;
8Sec. 5.
REVISOR AGW/VJ 25-0084812/09/24 9.1 (6) (7) client programming and support ratio: 7.4 percent, updated as specified in
9.2subdivision 5b;
9.3 (7) (8) general administrative support ratio: 13.25 percent;
9.4 (8) (9) program-related expense ratio: 1.8 percent; and
9.5 (9) (10) absence and utilization factor ratio: 9.4 percent.
9.6 (b) A unit of service for adult day services is either a day or 15 minutes. A day unit of
9.7service is six or more hours of time spent providing direct service.
9.8 (c) Payments for adult day services must be calculated as follows:
9.9 (1) determine the number of units of service and the staffing ratio to meet a recipient's
9.10needs;
9.11 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
9.12provided in subdivisions 5 and 5a;
9.13 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
9.14product of one plus the competitive workforce factor;
9.15 (4) for a recipient requiring customization for deaf and hard-of-hearing language
9.16accessibility under subdivision 12, add the customization rate provided in subdivision 12
9.17to the result of clause (3);
9.18 (5) multiply the number of day program direct staffing hours and nursing hours by the
9.19appropriate staff wage;
9.20 (6) multiply the number of day program direct staffing hours by the product of the
9.21supervisory span of control ratio and the appropriate supervisory staff wage in subdivision
9.225a, clause (1);
9.23 (7) combine the results of clauses (5) and (6), and multiply the result by one plus the
9.24employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
9.25rate;
9.26 (8) for program plan support, multiply the result of clause (7) by one plus the program
9.27plan support ratio;
9.28 (9) for employee-related expenses, multiply the result of clause (8) by one plus the
9.29employee-related cost ratio;
9.30 (10) for client programming and supports, multiply the result of clause (9) by one plus
9.31the client programming and support ratio;
9Sec. 5.
REVISOR AGW/VJ 25-0084812/09/24 10.1 (11) for program facility costs, add $19.30 per week with consideration of staffing ratios
10.2to meet individual needs, updated as specified in subdivision 5b;
10.3 (12) for adult day bath services, add $7.01 per 15 minute unit;
10.4 (13) this is the subtotal rate;
10.5 (14) sum the standard general administrative rate support ratio, the program-related
10.6expense ratio, and the absence and utilization factor ratio;
10.7 (15) divide the result of clause (13) by one minus the result of clause (14). This is the
10.8total payment amount; and
10.9 (16) adjust the result of clause (15) by a factor to be determined by the commissioner
10.10to adjust for regional differences in the cost of providing services.
10.11 EFFECTIVE DATE.This section is effective the day following final enactment.
10.12Sec. 6. Minnesota Statutes 2024, section 256B.4914, subdivision 7b, is amended to read:
10.13 Subd. 7b.Day support services; component values and calculation of payment
10.14rates.(a) Component values for day support services are:
10.15 (1) effective upon federal approval until the effective date of clause (2), competitive
10.16workforce factor: 6.7 percent;
10.17 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
10.18workforce factor: 16.76 percent;
10.19 (2) (3) supervisory span of control ratio: 11 percent;
10.20 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
10.21 (4) (5) employee-related cost ratio: 23.6 percent;
10.22 (5) (6) program plan support ratio: 5.6 percent;
10.23 (6) (7) client programming and support ratio: 10.37 percent, updated as specified in
10.24subdivision 5b;
10.25 (7) (8) general administrative support ratio: 13.25 percent;
10.26 (8) (9) program-related expense ratio: 1.8 percent; and
10.27 (9) (10) absence and utilization factor ratio: 9.4 percent.
10.28 (b) A unit of service for day support services is 15 minutes.
10.29 (c) Payments for day support services must be calculated as follows:
10Sec. 6.
REVISOR AGW/VJ 25-0084812/09/24 11.1 (1) determine the number of units of service and the staffing ratio to meet a recipient's
11.2needs;
11.3 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
11.4provided in subdivisions 5 and 5a;
11.5 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
11.6product of one plus the competitive workforce factor;
11.7 (4) for a recipient requiring customization for deaf and hard-of-hearing language
11.8accessibility under subdivision 12, add the customization rate provided in subdivision 12
11.9to the result of clause (3);
11.10 (5) multiply the number of day program direct staffing hours and nursing hours by the
11.11appropriate staff wage;
11.12 (6) multiply the number of day program direct staffing hours by the product of the
11.13supervisory span of control ratio and the appropriate supervisory staff wage in subdivision
11.145a, clause (1);
11.15 (7) combine the results of clauses (5) and (6), and multiply the result by one plus the
11.16employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
11.17rate;
11.18 (8) for program plan support, multiply the result of clause (7) by one plus the program
11.19plan support ratio;
11.20 (9) for employee-related expenses, multiply the result of clause (8) by one plus the
11.21employee-related cost ratio;
11.22 (10) for client programming and supports, multiply the result of clause (9) by one plus
11.23the client programming and support ratio;
11.24 (11) for program facility costs, add $19.30 per week with consideration of staffing ratios
11.25to meet individual needs, updated as specified in subdivision 5b;
11.26 (12) this is the subtotal rate;
11.27 (13) sum the standard general administrative rate support ratio, the program-related
11.28expense ratio, and the absence and utilization factor ratio;
11.29 (14) divide the result of clause (12) by one minus the result of clause (13). This is the
11.30total payment amount; and
11Sec. 6.
REVISOR AGW/VJ 25-0084812/09/24 12.1 (15) adjust the result of clause (14) by a factor to be determined by the commissioner
12.2to adjust for regional differences in the cost of providing services.
12.3 EFFECTIVE DATE.This section is effective the day following final enactment.
12.4 Sec. 7. Minnesota Statutes 2024, section 256B.4914, subdivision 7c, is amended to read:
12.5 Subd. 7c.Prevocational services; component values and calculation of payment
12.6rates.(a) Component values for prevocational services are:
12.7 (1) effective upon federal approval until the effective date of clause (2), competitive
12.8workforce factor: 6.7 percent;
12.9 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
12.10workforce factor: 16.76 percent;
12.11 (2) (3) supervisory span of control ratio: 11 percent;
12.12 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
12.13 (4) (5) employee-related cost ratio: 23.6 percent;
12.14 (5) (6) program plan support ratio: 5.6 percent;
12.15 (6) (7) client programming and support ratio: 10.37 percent, updated as specified in
12.16subdivision 5b;
12.17 (7) (8) general administrative support ratio: 13.25 percent;
12.18 (8) (9) program-related expense ratio: 1.8 percent; and
12.19 (9) (10) absence and utilization factor ratio: 9.4 percent.
12.20 (b) A unit of service for prevocational services is either a day or 15 minutes. A day unit
12.21of service is six or more hours of time spent providing direct service.
12.22 (c) Payments for prevocational services must be calculated as follows:
12.23 (1) determine the number of units of service and the staffing ratio to meet a recipient's
12.24needs;
12.25 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
12.26provided in subdivisions 5 and 5a;
12.27 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
12.28product of one plus the competitive workforce factor;
12Sec. 7.
REVISOR AGW/VJ 25-0084812/09/24 13.1 (4) for a recipient requiring customization for deaf and hard-of-hearing language
13.2accessibility under subdivision 12, add the customization rate provided in subdivision 12
13.3to the result of clause (3);
13.4 (5) multiply the number of day program direct staffing hours and nursing hours by the
13.5appropriate staff wage;
13.6 (6) multiply the number of day program direct staffing hours by the product of the
13.7supervisory span of control ratio and the appropriate supervisory staff wage in subdivision
13.85a, clause (1);
13.9 (7) combine the results of clauses (5) and (6), and multiply the result by one plus the
13.10employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
13.11rate;
13.12 (8) for program plan support, multiply the result of clause (7) by one plus the program
13.13plan support ratio;
13.14 (9) for employee-related expenses, multiply the result of clause (8) by one plus the
13.15employee-related cost ratio;
13.16 (10) for client programming and supports, multiply the result of clause (9) by one plus
13.17the client programming and support ratio;
13.18 (11) for program facility costs, add $19.30 per week with consideration of staffing ratios
13.19to meet individual needs, updated as specified in subdivision 5b;
13.20 (12) this is the subtotal rate;
13.21 (13) sum the standard general administrative rate support ratio, the program-related
13.22expense ratio, and the absence and utilization factor ratio;
13.23 (14) divide the result of clause (12) by one minus the result of clause (13). This is the
13.24total payment amount; and
13.25 (15) adjust the result of clause (14) by a factor to be determined by the commissioner
13.26to adjust for regional differences in the cost of providing services.
13.27 EFFECTIVE DATE.This section is effective the day following final enactment.
13.28Sec. 8. Minnesota Statutes 2024, section 256B.4914, subdivision 8, is amended to read:
13.29 Subd. 8. Unit-based services with programming; component values and calculation
13.30of payment rates.(a) For the purpose of this section, unit-based services with programming
13.31include employment exploration services, employment development services, employment
13Sec. 8.
REVISOR AGW/VJ 25-0084812/09/24 14.1support services, individualized home supports with family training, individualized home
14.2supports with training, and positive support services provided to an individual outside of
14.3any service plan for a day program or residential support service.
14.4 (b) Component values for unit-based services with programming are:
14.5 (1) effective upon federal approval until the effective date of clause (2), competitive
14.6workforce factor: 6.7 percent;
14.7 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
14.8workforce factor: 16.76 percent;
14.9 (2) (3) supervisory span of control ratio: 11 percent;
14.10 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
14.11 (4) (5) employee-related cost ratio: 23.6 percent;
14.12 (5) (6) program plan support ratio: 15.5 percent;
14.13 (6) (7) client programming and support ratio: 4.7 percent, updated as specified in
14.14subdivision 5b;
14.15 (7) (8) general administrative support ratio: 13.25 percent;
14.16 (8) (9) program-related expense ratio: 6.1 percent; and
14.17 (9) (10) absence and utilization factor ratio: 3.9 percent.
14.18 (c) A unit of service for unit-based services with programming is 15 minutes.
14.19 (d) Payments for unit-based services with programming must be calculated as follows,
14.20unless the services are reimbursed separately as part of a residential support services or day
14.21program payment rate:
14.22 (1) determine the number of units of service to meet a recipient's needs;
14.23 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
14.24provided in subdivisions 5 and 5a;
14.25 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
14.26product of one plus the competitive workforce factor;
14.27 (4) for a recipient requiring customization for deaf and hard-of-hearing language
14.28accessibility under subdivision 12, add the customization rate provided in subdivision 12
14.29to the result of clause (3);
14.30 (5) multiply the number of direct staffing hours by the appropriate staff wage;
14Sec. 8.
REVISOR AGW/VJ 25-0084812/09/24 15.1 (6) multiply the number of direct staffing hours by the product of the supervisory span
15.2of control ratio and the appropriate supervisory staff wage in subdivision 5a, clause (1);
15.3 (7) combine the results of clauses (5) and (6), and multiply the result by one plus the
15.4employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
15.5rate;
15.6 (8) for program plan support, multiply the result of clause (7) by one plus the program
15.7plan support ratio;
15.8 (9) for employee-related expenses, multiply the result of clause (8) by one plus the
15.9employee-related cost ratio;
15.10 (10) for client programming and supports, multiply the result of clause (9) by one plus
15.11the client programming and support ratio;
15.12 (11) this is the subtotal rate;
15.13 (12) sum the standard general administrative support ratio, the program-related expense
15.14ratio, and the absence and utilization factor ratio;
15.15 (13) divide the result of clause (11) by one minus the result of clause (12). This is the
15.16total payment amount;
15.17 (14) for services provided in a shared manner, divide the total payment in clause (13)
15.18as follows:
15.19 (i) for employment exploration services, divide by the number of service recipients, not
15.20to exceed five;
15.21 (ii) for employment support services, divide by the number of service recipients, not to
15.22exceed six;
15.23 (iii) for individualized home supports with training and individualized home supports
15.24with family training, divide by the number of service recipients, not to exceed three; and
15.25 (iv) for night supervision, divide by the number of service recipients, not to exceed two;
15.26and
15.27 (15) adjust the result of clause (14) by a factor to be determined by the commissioner
15.28to adjust for regional differences in the cost of providing services.
15.29 EFFECTIVE DATE.This section is effective the day following final enactment.
15Sec. 8.
REVISOR AGW/VJ 25-0084812/09/24 16.1 Sec. 9. Minnesota Statutes 2024, section 256B.4914, subdivision 9, is amended to read:
16.2 Subd. 9. Unit-based services without programming; component values and
16.3calculation of payment rates.(a) For the purposes of this section, unit-based services
16.4without programming include individualized home supports without training and night
16.5supervision provided to an individual outside of any service plan for a day program or
16.6residential support service. Unit-based services without programming do not include respite.
16.7 (b) Component values for unit-based services without programming are:
16.8 (1) effective upon federal approval until the effective date of clause (2), competitive
16.9workforce factor: 6.7 percent;
16.10 (2) effective January 1, 2026, or upon federal approval, whichever is later, competitive
16.11workforce factor: 16.76 percent;
16.12 (2) (3) supervisory span of control ratio: 11 percent;
16.13 (3) (4) employee vacation, sick, and training allowance ratio: 8.71 percent;
16.14 (4) (5) employee-related cost ratio: 23.6 percent;
16.15 (5) (6) program plan support ratio: 7.0 percent;
16.16 (6) (7) client programming and support ratio: 2.3 percent, updated as specified in
16.17subdivision 5b;
16.18 (7) (8) general administrative support ratio: 13.25 percent;
16.19 (8) (9) program-related expense ratio: 2.9 percent; and
16.20 (9) (10) absence and utilization factor ratio: 3.9 percent.
16.21 (c) A unit of service for unit-based services without programming is 15 minutes.
16.22 (d) Payments for unit-based services without programming must be calculated as follows
16.23unless the services are reimbursed separately as part of a residential support services or day
16.24program payment rate:
16.25 (1) determine the number of units of service to meet a recipient's needs;
16.26 (2) determine the appropriate hourly staff wage rates derived by the commissioner as
16.27provided in subdivisions 5 to 5a;
16.28 (3) except for subdivision 5a, clauses (1) to (4), multiply the result of clause (2) by the
16.29product of one plus the competitive workforce factor;
16Sec. 9.
REVISOR AGW/VJ 25-0084812/09/24 17.1 (4) for a recipient requiring customization for deaf and hard-of-hearing language
17.2accessibility under subdivision 12, add the customization rate provided in subdivision 12
17.3to the result of clause (3);
17.4 (5) multiply the number of direct staffing hours by the appropriate staff wage;
17.5 (6) multiply the number of direct staffing hours by the product of the supervisory span
17.6of control ratio and the appropriate supervisory staff wage in subdivision 5a, clause (1);
17.7 (7) combine the results of clauses (5) and (6), and multiply the result by one plus the
17.8employee vacation, sick, and training allowance ratio. This is defined as the direct staffing
17.9rate;
17.10 (8) for program plan support, multiply the result of clause (7) by one plus the program
17.11plan support ratio;
17.12 (9) for employee-related expenses, multiply the result of clause (8) by one plus the
17.13employee-related cost ratio;
17.14 (10) for client programming and supports, multiply the result of clause (9) by one plus
17.15the client programming and support ratio;
17.16 (11) this is the subtotal rate;
17.17 (12) sum the standard general administrative support ratio, the program-related expense
17.18ratio, and the absence and utilization factor ratio;
17.19 (13) divide the result of clause (11) by one minus the result of clause (12). This is the
17.20total payment amount;
17.21 (14) for individualized home supports without training provided in a shared manner,
17.22divide the total payment amount in clause (13) by the number of service recipients, not to
17.23exceed three; and
17.24 (15) adjust the result of clause (14) by a factor to be determined by the commissioner
17.25to adjust for regional differences in the cost of providing services.
17.26 EFFECTIVE DATE.This section is effective the day following final enactment.
17Sec. 9.
REVISOR AGW/VJ 25-0084812/09/24