MN HF2679

Establishes new statewide prospective rate-setting methodologies for home and community-based waiver services for individuals with disabilities, effective January 1, 2013, following implementation of a new assessment methodology.

Creates "support teams" composed of the service recipient, case manager, legal representative, advocate, and service providers to make decisions regarding services and have final authority on vulnerability mitigation plans.

Implements a base wage index system using Bureau of Labor Statistics data with specific occupational classifications to determine staffing costs for day services, residential services, and individualized services.

Establishes separate payment rate components for residential services, day programs, and individualized services including direct staffing, employee-related expenses, transportation, client programming, support costs, and administrative overhead.

Requires assessment of individuals for service reimbursement classification based on high medical needs, high behavioral needs, high mental health needs, or deaf/hard-of-hearing status, with customization rate add-ons ranging from $1.79 to $2.01 per authorized hour.