| 1 | 1 | | 1.1 A bill for an act |
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| 2 | 2 | | 1.2 relating to human services; directing the commissioner of human services to |
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| 3 | 3 | | 1.3 authorize indirect billing for individualized home supports. |
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| 4 | 4 | | 1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: |
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| 5 | 5 | | 1.5 Section 1. DIRECTION TO COMMISSIONER; BILLABLE INDIRECT TIME |
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| 6 | 6 | | 1.6AUTHORIZATION FOR INDIVIDUALIZED HOME SUPPORTS. |
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| 7 | 7 | | 1.7 (a) No later than December 1, 2025, the commissioner of human services must submit |
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| 8 | 8 | | 1.8to the federal Centers for Medicare and Medicaid Services all necessary amendments to |
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| 9 | 9 | | 1.9home and community-based services waiver plans to allow providers of individualized |
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| 10 | 10 | | 1.10home supports with training, individualized home supports without training, and |
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| 11 | 11 | | 1.11individualized home supports with family training to bill for the indirect provision of services |
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| 12 | 12 | | 1.12described in paragraph (c), provided: |
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| 13 | 13 | | 1.13 (1) the services are necessary to ensure continuity of other necessary services and supports |
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| 14 | 14 | | 1.14for the service recipient; |
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| 15 | 15 | | 1.15 (2) reasonable attempts have been made to directly involve the service recipient in the |
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| 16 | 16 | | 1.16service, or the recipient is not able to be directly involved due to illness, injury, or other |
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| 17 | 17 | | 1.17factors; or |
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| 18 | 18 | | 1.18 (3) the service recipient has made an informed choice to allow for services to be provided |
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| 19 | 19 | | 1.19without the service recipient's direct contact. |
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| 20 | 20 | | 1.20 (b) For the purposes of this section, "indirect provision of services" means services |
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| 21 | 21 | | 1.21provided without direct contact as defined in Minnesota Statutes, section 245C.02, |
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| 22 | 22 | | 1.22subdivision 11, and not through remote support as defined in the relevant waiver plan. |
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| 23 | 23 | | 1Section 1. |
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| 24 | 24 | | 25-00632 as introduced11/19/24 REVISOR DTT/HL |
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| 25 | 25 | | SENATE |
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| 26 | 26 | | STATE OF MINNESOTA |
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| 27 | 27 | | S.F. No. 400NINETY-FOURTH SESSION |
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| 28 | 28 | | (SENATE AUTHORS: UTKE, Hoffman and Abeler) |
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| 29 | 29 | | OFFICIAL STATUSD-PGDATE |
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| 30 | 30 | | Introduction and first reading01/21/2025 |
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| 31 | 31 | | Referred to Human Services 2.1 (c) In the waiver plan amendments submitted under paragraph (a), the commissioner |
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| 32 | 32 | | 2.2must seek federal approval of billing for the indirect provision of at least the following |
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| 33 | 33 | | 2.3allowable individualized home supports: |
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| 34 | 34 | | 2.4 (1) researching, coordinating, and arranging for transportation, necessary equipment, |
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| 35 | 35 | | 2.5and all support and training needed to allow a service recipient to safely access the |
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| 36 | 36 | | 2.6community; |
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| 37 | 37 | | 2.7 (2) arranging and coordinating access to all necessary health care, including scheduling |
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| 38 | 38 | | 2.8medical appointments, communicating with health professionals, benefits fact-gathering, |
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| 39 | 39 | | 2.9review and analysis, and all support and training needed to support the service recipient's |
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| 40 | 40 | | 2.10health and well-being; |
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| 41 | 41 | | 2.11 (3) coordinating and advocating to ensure needed legal support, crisis prevention, positive |
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| 42 | 42 | | 2.12support strategies, and all support and training needed to maintain the service recipient's |
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| 43 | 43 | | 2.13preferences; |
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| 44 | 44 | | 2.14 (4) collaborating with employers to ensure maintenance of the service recipient's desired |
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| 45 | 45 | | 2.15employment; |
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| 46 | 46 | | 2.16 (5) arranging and coordinating access to resources to meet basic needs, including |
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| 47 | 47 | | 2.17necessary shelter, food shelf, and telephone and Internet services; |
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| 48 | 48 | | 2.18 (6) coordinating to ensure the service recipient is able to continue to live independently |
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| 49 | 49 | | 2.19in the service recipient's own home, including collaborating with property management, |
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| 50 | 50 | | 2.20coordinating with other home and community-based service providers, meeting with the |
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| 51 | 51 | | 2.21recipient's interdisciplinary team members, and ensuring access to proper equipment and |
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| 52 | 52 | | 2.22technology and all support and training needed to maintain the service recipient's preferences; |
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| 53 | 53 | | 2.23and |
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| 54 | 54 | | 2.24 (7) coordinating with other service providers and natural supports as needed for status |
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| 55 | 55 | | 2.25changes and crisis management. |
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| 56 | 56 | | 2.26 EFFECTIVE DATE.This section is effective July 1, 2025. |
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| 57 | 57 | | 2Section 1. |
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| 58 | 58 | | 25-00632 as introduced11/19/24 REVISOR DTT/HL |
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