Bill > SF4395

This bill modifies how home and community-based services (HCBS) case management is handled in Minnesota, aiming to improve quality and potentially shift towards county-provided services. Key changes include requiring counties to use a competitive proposal process for contracting case management services at least every two years, with specific evaluation criteria to ensure culturally responsive programs, and mandating that contracts include provisions for oversight to ensure high-quality services. Importantly, beginning July 1, 2029, counties will be prohibited from entering into new contracts or renewing existing ones for case management services, indicating a move towards counties directly providing these services. 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 to a system where counties provide services without contractors. This working group will also explore issues like client transfers, service reductions, financial audits, grievance processes, and caseload reporting. Additionally, the bill directs the commissioner of human services to study and recommend improvements to the rate-setting methodologies for case management and other HCBS waivers to better reflect service costs.

Government Affairs

https://www.revisor.mn.gov/bills/94/2026/0/SF/4395/