1.1 A bill for an act
1.2 relating to human services;
modifying disability waiver rate system unit-based
1.3 services with programming
limits;amending Minnesota Statutes 2025 Supplement,
1.4 section 256B.4914,
subdivision 8.
1.5 BE IT ENACTED BY THE
LEGISLATURE OF THE STATE OF MINNESOTA:
1.6 Section 1. Minnesota Statutes
2025 Supplement, section 256B.4914, subdivision 8, is
1.7 amended to read:
1.8 Subd. 8.Unit-based
services with programming; component values and calculation
1.9 of payment rates.
(a) For the purpose of this section, unit-based services with programming
1.10 include employment exploration
services, employment development services, employment
1.11 support services,
individualized home supports with family training, individualized home
1.12 supports with training, and
positive support services provided to an individual outside of
1.13 any service plan for a day
program or residential support service.
1.14 (b) Component values for
unit-based services with programming are:
1.15 (1) competitive workforce
factor: 6.7 percent;
1.16 (2) supervisory span of control
ratio: 11 percent;
1.17 (3) employee vacation, sick,
and training allowance ratio: 8.71 percent;
1.18 (4) employee-related cost
ratio: 23.6 percent;
1.19 (5) program plan support ratio:
15.5 percent;
1.20 (6) client programming and
support ratio: 4.7 percent, updated as specified in subdivision
1.21 5b;
2.1 (7) general administrative
support ratio: 13.25 percent;
2.2 (8) program-related expense
ratio: 6.1 percent; and
2.3 (9) absence and utilization
factor ratio: 3.9 percent.
2.4 (c) A unit of service for
unit-based services with programming is 15 minutes.
2.5 (d) Payments for unit-based
services with programming must be calculated as follows,
2.6 unless the services are
reimbursed separately as part of a residential support services or day
2.7 program payment rate:
2.8 (1) determine the number of
units of service to meet a recipient's needs;
2.9 (2) determine the appropriate
hourly staff wage rates derived by the commissioner as
2.10 provided in subdivisions 5 and
5a;
2.11 (3) except for subdivision 5a,
clauses (1) to (4), multiply the result of clause (2) by the
2.12 product of one plus the
competitive workforce factor;
2.13 (4) for a recipient requiring
customization for deaf and hard-of-hearing language
2.14 accessibility under subdivision
12, add the customization rate provided in subdivision 12
2.15 to the result of clause (3);
2.16 (5) multiply the number of
direct staffing hours by the appropriate staff wage;
2.17 (6) multiply the number of
direct staffing hours by the product of the supervisory span
2.18 of control ratio and the
appropriate supervisory staff wage in subdivision 5a, clause (1);
2.19 (7) combine the results of
clauses (5) and (6), and multiply the result by one plus the
2.20 employee vacation, sick, and
training allowance ratio. This is defined as the direct staffing
2.21 rate;
2.22 (8) for program plan support,
multiply the result of clause (7) by one plus the program
2.23 plan support ratio;
2.24 (9) for employee-related
expenses, multiply the result of clause (8) by one plus the
2.25 employee-related cost ratio;
2.26 (10) for client programming and
supports, multiply the result of clause (9) by one plus
2.27 the client programming and
support ratio;
2.28 (11) this is the subtotal rate;
2.29 (12) sum the standard general
administrative support ratio, the program-related expense
2.30 ratio, and the absence and
utilization factor ratio;
3.1 (13) divide the result of
clause (11) by one minus the result of clause (12). This is the
3.2 total payment amount;
3.3 (14) for services provided in
a shared manner, divide the total payment in clause (13)
3.4 as follows:
3.5 (i) for employment exploration
services, divide by the number of service recipients, not
3.6 to exceed five;
3.7 (ii) for employment support
services, divide by the number of service recipients, not to
3.8 exceed six;
3.9 (iii) for individualized home
supports with training and individualized home supports
3.10 with family training, divide by
the number of service recipients, not to exceed three; and
3.11 (iv) for night supervision,
divide by the number of service recipients, not to exceed two;
3.12 and
3.13 (15) adjust the result of
clause (14) by a factor to be determined by the commissioner
3.14 to adjust for regional
differences in the cost of providing services.
3.15 (e) Effective January 1, 2026
2027, or upon federal approval, whichever is later, a
3.16 provider must not bill more
than three consecutive hours and not more than six total hours
3.17 per day 2,190
hours per service authorization year for individualized home supports with
3.18 training and not more than
six total hours per day for individualized home supports with
3.19 family training. This daily
limit does These limits do not:
3.20 (1) limit a person's
use of other disability waiver services, including individualized home
3.21 supports, which may be provided
on the same day by the same provider providing
3.22 individualized home supports
with training or individualized home supports with family
3.23 training.; or
3.24 (2) apply to individuals
who meet the residential support services criteria under sections
3.25 256B.092, subdivision
11a, and 256B.49, subdivision 29.
