MN HF4203

Commissioner of human services shall authorize one or more risk-based demonstration partnerships between lead agencies and medical assistance providers to serve at least 500 people enrolled in medical assistance waivers, evaluating informed choice and expedited service authorizations for technology-related benefits including environmental accessibility adaptations, specialized supplies and equipment, and client and caregiver training.

Lead agencies must identify and prioritize eligible individuals for participation based on criteria including significant clinical acuity, multiple emergency room visits or inpatient admissions in the prior 365 days, behavioral or complex chronic conditions, challenges finding nonemergency medical transportation, or inability to find available primary care providers.

As a condition of participation, lead agencies shall provide expedited review and approval for service authorizations, supply evidence-based cost data and quality analysis to the commissioner, and collect stakeholder feedback from waiver services recipients, family caregivers, and interested partners.

Commissioner must approve one or more demonstration partnerships by October 1, 2024, for services beginning January 1, 2025, in at least five counties.

Commissioner may report back to legislative committees on evaluation, outcomes, and results of demonstrations, including recommendations on impacts, costs, and benefits of expanding the demonstration to a larger proportion of Medicaid home and community-based waiver services recipients.