Bill > HF3666

This bill modifies how home and community-based services (HCBS) case management is handled in Minnesota, aiming to improve quality and oversight. Key provisions include requiring counties to use a competitive proposal process for contracting case management services at least every two years, with contracts needing to ensure high-quality services and cultural responsiveness. Importantly, starting July 1, 2029, counties will be prohibited from entering into new or renewing existing contracts for case management services, indicating a shift towards direct county provision. The bill also establishes a Waiver Case Management Quality Working Group, composed of individuals receiving services, county representatives, contracted agency representatives, tribal members, and disability advocates, to develop recommendations for improving case management quality and transitioning away from contracted services. This working group is tasked with addressing issues like documentation, training, client transfers, service reductions, financial audits, grievance processes, and reporting caseloads and turnover. Additionally, the bill directs the commissioner of human services to study and recommend improvements to the rate-setting methodologies for case management and HCBS waivers to better reflect service costs, with reports due in 2028 and 2029.

Labor and Employment

https://www.revisor.mn.gov/bills/94/2026/0/HF/3666/