Only costs for services listed in the approved Minnesota DD or ACS waiver plan shall be reimbursed under the medical assistance program.
Billings submitted by the provider, except a provider of adaptive modifications and equipment, must be limited to time actually and reasonably spent:
The provision of home and community-based services is limited as stated in items A to H.
Adaptive modifications and equipment must be constructed or installed to meet or exceed applicable federal, state, and local building codes.
If there are no service sites that meet the requirements in subitem (2) available in the community to serve persons with multiple disabilities, the county board may grant a variance to the requirement for a period of no more than one year for each person. When a variance is granted, the county board must submit to the commissioner a written plan documenting the need for the variance and stating the actions that will be taken to develop services within one year that meet the requirements of subitem (2).
The cost of other medical or related services reimbursable under the Minnesota State Medicaid Plan must not be included in the rate or rates billed by the provider or providers for reimbursement under parts 9525.1800 to 9525.1930.
Home and community-based services must be provided as required under items A to H unless a variance has been approved by the commissioner.
Requests for variances to the licensing requirements in subpart 6 must be handled according to items A to C.
The commissioner shall grant the variance request if the commissioner determines that the variance was submitted according to this item and that granting the variance will not endanger the health, safety, or development of the persons receiving the services.
The commissioner shall review the county board's variance request and notify the county board, in writing, within 30 days if the variance request has been granted or denied. If the variance request is denied, the notice must state the reasons why the variance request was denied and inform the county board of its right to request that the commissioner reconsider the variance request.
Minn. R. 9525.1860
Statutory Authority: MS s 256B.092; 256B.501; 256B.502; 256B.503