MN HF4288

Adds family residential services to the definition of residential support services under Minnesota's disability services framework rate system, effective January 1, 2027, or upon federal approval

Establishes a separate base wage calculation for asleep-overnight staff in family residential services at 36% of minimum wage for large employers, compared to 100% of minimum wage for other residential asleep-overnight staff

Creates specific component values for family residential services payment rates, including a 6.7% competitive workforce factor, 11% supervisory span of control ratio, and 23.6% employee-related cost ratio

Sets client programming and supports reimbursement at $2,260.21 annually and transportation at $1,742.62 annually ($3,111.81 for adapted transport) as part of the rate calculation

Separates life sharing services from family residential services for rate-setting purposes, with life sharing services to be established based on assessed need rather than as a 10% premium over family residential rates