SF 2158 Summary

• Establishes licensing standards for alternative adult day services (AADS) including requirements for facility director availability, staff training, service delivery documentation, and service plans for providers offering remote or in-home services.

• Defines alternative adult day services to include wellness checks, health services, medication administration, socialization, activities, meal delivery, assistance with daily living, and family caregiver support delivered remotely via two-way video/audio or in person.

• Sets rates for alternative adult day services equal to adult day services rates under Minnesota Statutes section 256S.15, with separate rate calculations for in-person and remote delivery based on staffing ratios and component cost factors.

• Extends the waiver allowing remote delivery of adult day services (CV44) from June 30, 2021 to June 30, 2022, contingent upon federal approval and expiration of the federal public health emergency.

• Updates service authorization limits and program definitions across multiple statutes (256B.0913, 256B.0922, 256B.4914, 256S.12, 256S.215) to incorporate alternative adult day services into home and community-based services waivers and rate calculations.