MN SF401

Lead agencies must approve final payment rates for home and community-based waiver services within 30 business days of receiving required information from service providers, or pay a 10% late payment penalty from their own revenue sources

Approved rate exceptions for individuals with exceptional needs must remain in effect even if an individual's service needs change, provided the interdisciplinary team determines removing the exception would negatively impact the individual's well-being

Creates a single-occupancy monthly room and board rate add-on of up to $1,000 per month for housing support recipients who cannot live with others and reside in licensed community residential settings, with annual cost-of-living adjustments

Commissioner of human services must submit waiver plan amendments to CMS by December 1, 2025 to include repair of property damage caused by waiver recipients as a covered service under environmental accessibility adaptations

Effective dates are July 1, 2025 for most provisions, with the rate exception changes requiring federal approval