MN SF2092

Modifies foster care licensing moratorium to allow license capacity reduction when recipients with 24+ bed licenses move out, and permits license holders to consolidate homes as necessary.

Adjusts parental contribution rates for disability services by reducing income thresholds from 545% to 525% and from 975% to 900% of federal poverty guidelines, with corresponding percentage rate increases.

Limits scope of state agency hearings for personal care assistance appeals under section 256B.0659 to specific issues identified in written appeal.

Authorizes providers to submit nursing assessments and care recommendations during assessment process with client permission, and requires consideration of this information before assessment finalization.

Directs commissioner to develop Community First Choice Option state plan amendment by January 15, 2013, if federal regulations are compatible with Minnesota's fiscal neutrality and policy requirements, with implementation targeted for July 1, 2013.

Establishes definitions for home and community-based settings including licensed foster care of 4-5 beds under emergency exceptions, with requirements for distinct housing-services separation and up to 20% disability resident occupancy limits.