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Reform 2020: Pathways to Independence

Reform 2020: Pathways to Independence

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Minnesota Department of Human Service's draft waiver proposal on Medicaid changes.
Minnesota Department of Human Service's draft waiver proposal on Medicaid changes.

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Published by: Minnesota Public Radio on Jun 19, 2012
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State of Minnesota
 Reform 2020: Pathways to Independence
Section 1115 Waiver Proposal
Released for public comment on June 18, 2012
This information is available in alternative formats to individuals with disabilities bycalling 651-431-2191. TTY users can call through Minnesota Relay at 800-627-3529.For Speech-to-Speech, call 877-627-3848. For additional assistance with legal rightsand protections for equal access to human services programs, contact your agency'sADA coordinator.
 
DHS-6535A (6/12)
 
 Reform 2020
Section 1115 Waiver Proposal
Page 2
 
Table of Contents
1 Section One Executive Summary .................................................................................. 101.1 Introduction .................................................................................................................... 101.2 Demonstration Projects .................................................................................................. 121.2.1 Accountable Care Demonstration ...................................................................... 121.2.2 Demonstration to Reform Personal Assistance Services ................................... 121.2.3 Demonstration of Innovative Approaches to Service Coordination (Childrenwith CFSS) ........................................................................................................................ 131.2.4 Demonstration to Expand Access to Transition Services .................................. 131.2.5 Demonstration to Empower and Encourage Independence through EmploymentSupports 131.2.6 Housing Stability Services Demonstration ........................................................ 131.2.7 Project for Assistance in Transition from Homelessness (PATH) Critical TimeIntervention Demonstration .............................................................................................. 141.2.8 Anoka Metro Regional Treatment Center Demonstration ................................. 141.2.9 Eligibility for Adults without Children .............................................................. 141.2.10 Additional Reforms ............................................................................................ 151.3 Conclusion ...................................................................................................................... 152 Related Reform Initiatives Pending Before CMS ............................................................. 162.1 Introduction .................................................................................................................... 162.2 Long-Term Care Realignment Section 1115 Waiver ..................................................... 162.2.1 The Three Primary Components of the Long-Term Care Realignment Waiver 172.3 Redesigning Integrated Medicare and Medicaid Financing and Delivery for People withDual Eligibility .......................................................................................................................... 183 Accountable Care Demonstration ..................................................................................... 203.1 Statement of Proposal..................................................................................................... 20
 
 Reform 2020
Section 1115 Waiver Proposal
Page 3
 
3.2 Current Initiatives ........................................................................................................... 203.2.1 Health Care Delivery Systems Demonstration (HCDS) .................................... 203.2.2 Hennepin Health ................................................................................................ 213.2.3 Redesigning Integrated Medicare and Medicaid Financing and Delivery forPeople with Dual Eligibility.............................................................................................. 223.3 New Accountable Models .............................................................................................. 233.3.1 Building on current efforts ................................................................................. 233.3.2 Vision for the future ........................................................................................... 244 Demonstration to Reform Personal Assistance Services .................................................. 254.1 Proposal Statement ......................................................................................................... 254.1.1 Brief Description of Current Home and Community-Based Services (HCBS)System 274.1.2 What we want to change .................................................................................... 294.1.3 Brief description of how we want the system to be ........................................... 324.1.4 How we want to get there .................................................................................. 344.2 Demonstration Details: Alternative to the Personal Care Assistance program .............. 374.2.1 CFSS for individuals who meet an institutional level of care [the “1915(k)”portion] 384.2.2 CFSS for people who don’t meet an institutional level of care [the “1915(i)”portion] 414.2.3 Demonstration of Innovative Approaches to Service Coordination (Childrenwith CFSS) ........................................................................................................................ 415 Demonstration to Expand Access to Transition Supports ................................................ 435.1 The challenge ................................................................................................................. 435.2 Existing efforts Return to Community Transition Support for People in NursingHomes........................................................................................................................................ 445.3 Existing efforts Long-Term Care Options Counseling about Community-BasedHousing Options ........................................................................................................................ 46

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