§ 256S.202 — CUSTOMIZED LIVING SERVICES; RATE LIMITS

Minnesota § 256S.202

• Jurisdiction: Minnesota
• Part: PUBLIC WELFARE AND RELATED ACTIVITIES
• Ch. 256S: MEDICAL ASSISTANCE ELDERLY WAIVER

Text

Subdivision 1.Customized living monthly service rate limits.
(a) Except for a participant assigned to case mix classification L, as described in section256S.18, subdivision1, paragraph (b), the customized living monthly service rate limit shall not exceed 50 percent of the monthly case mix budget cap, adjusted at least annually in the manner described under section256S.18, subdivisions 5and 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, parts9549.0051to9549.0059, to which elderly waiver service participants are assigned, adjusted at least annually in the manner described under section256S.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, parts9549.0051to9549.0059, to determine the applicable 24-hour customized living monthly service rate limit.

Legislative History

2019 c 54 art 1 s 22;2023 c 50 art 1 s 33