1. 245D-HCBS Licensing Update ARRM Business & Finance Forum Minnesota Department of Human Services Office of Inspector General Licensing Division November 18, 2015

2. History 2012 & 2013 Legislation – Chapter 245D July – December 2013 Issuing 245D licenses to existing 245B providers and “new” providers Scheduled licensing reviews with 245B providers ended On-site computer labs to submit 245D applications 2014 – 245D becomes effective Sample policies Sample forms Self-monitoring checklists Complaint investigations

3. Implementation – MS § 245A.042 Effective January 1, 2014 Service initiation & planning – January 1, 2015 or next annual meeting Notice and explanation of rights Service planning Staff orientation – January 1, 2015 Policies and procedures Developed – August 31, 2014 Notice and copies – September 15, 2014 Employee training of policies & procedures – September 15, 2014

4. Implementation – TA Visits Initial Compliance Monitoring Visits – Occurring in 2015 For all “new” 245D providers Purpose provide information on how to achieve and maintain compliance with the applicable law or rules 600+ visits will occur by the end of 2015 Each visit results in a licensing review report Recommendation for achieving and maintaining compliance Timelines Publically posted on LIL

5. Implementation – TA Visits During the 2015 TA Visits, DHS retained the authority to suspend or revoke a license issue a fine issue a correction order make a license conditional If the license holder failed to comply with applicable laws or rules under section 245A.06, based on the nature, chronicity, or severity of the violation of law or rule and the effect of the violation on the health, safety, or rights of persons served by the program.

6. TA Visit Results New providers / new relationship with DHS Family foster care providers Home care providers PCA providers CADI/CAC/BI providers New services 19 licensed services New persons CADICACBIEW/AC

7. Areas of compliance and strength Person-centered planning and service delivery – 245D.07, subd. 1a Services in response to identified needs, interests, preferences, and desired outcomes as specified in the CSSP or CSSP addendum Support preferences, daily needs, and activities and accomplishment of personal goals and service outcomes Person-centered service planning and delivery Self-determination Most integrated setting and inclusive service delivery Dedicated license holders and workforce Willingness to engage and learn

8. Licensing Review Reports Common areas of non-compliance Rights restrictions – 245D.04 Service planning & delivery – 245D.07 and 245D.071 Qualified DC & DM – 245D.081 Staff orientation and annual training – 245D.09 Documentation – 245D.095 Policies and procedures – 245D.10

9. Resources HCBS WebpagesHCBS Webpages mn.gov/dhs Sample policies & procedures Self-monitoring checklists FAQs On-line application materials Updates HCBS Help Desk 651-431-6624 DHS.LicenseHelp@state.mn.us Home & Community-Based Services Standards (Statute Book) MinnesotaBookstore.com College of Direct Support Online staff training http://directcourseonline.com