§ 256S.215 — Rate Setting; Component Rates
Plain-Language Summary
This section sets out how component rates are calculated for specific Elderly Waiver services like medication setups, staffing ratios, and other care activities. Each component has its own rate formula.
256S.215 RATE SETTING; COMPONENT RATES.
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Subdivision 1.Medication setups by licensed nurse component rate.
The component rate for medication setups by a licensed nurse equals the medication setups by licensed nurse adjusted base wage. §
Subd. 2.Home management and support services component rate.
The component rate for home management and support services is calculated as follows:
(1) sum the home management and support services adjusted base wage and the registered nurse management and supervision wage component;
(2) multiply the result of clause (1) by the general and administrative factor; and
(3) sum the results of clauses (1) and (2).
[See Note.] §
Subd. 3.Home care aide services component rate.
The component rate for home care aide services is calculated as follows:
(1) sum the home health aide services adjusted base wage and the registered nurse management and supervision wage component;
(2) multiply the result of clause (1) by the general and administrative factor; and
(3) sum the results of clauses (1) and (2).
[See Note.] §
Subd. 4.Home health aide services component rate.
The component rate for home health aide services is calculated as follows:
(1) sum the home health aide services adjusted base wage and the registered nurse management and supervision wage component;
(2) multiply the result of clause (1) by the general and administrative factor; and
(3) sum the results of clauses (1) and (2).
[See Note.] §
Subd. 5.Socialization component rate.
The component rate under elderly waiver customized living for one-to-one socialization equals the home management and support services component rate. §
Subd. 6.Transportation component rate.
The component rate under elderly waiver customized living for one-to-one transportation equals the home management and support services component rate. §
Subd. 7.Chore services rate.
The 15-minute unit rate for chore services is calculated as follows:
(1) sum the chore services adjusted base wage and the unlicensed supervisor supervision wage component;
(2) multiply the result of clause (1) by the general and administrative factor;
(3) multiply the result of clause (1) by the supplies and transportation factor; and
(4) sum the results of clauses (1) to (3) and divide the result by four.
[See Note.] §
Subd. 8.Companion services rate.
The 15-minute unit rate for companion services is calculated as follows:
(1) sum the companion services adjusted base wage and the unlicensed supervisor supervision wage component;
(2) multiply the result of clause (1) by the general and administrative factor;
(3) multiply the result of clause (1) by the supplies and transportation factor; and
(4) sum the results of clauses (1) to (3) and divide the result by four.
[See Note.] §
Subd. 9.Homemaker assistance with personal care rate.
The 15-minute unit rate for homemaker assistance with personal care is calculated as follows:
(1) sum the homemaker assistance with personal care adjusted base wage and the unlicensed supervisor supervision wage component;
(2) multiply the result of clause (1) by the general and administrative factor;
(3) multiply the result of clause (1) by the supplies and transportation factor; and
(4) sum the results of clauses (1) to (3) and divide the result by four.
[See Note.] §
Subd. 10.Homemaker cleaning rate.
The 15-minute unit rate for homemaker cleaning is calculated as follows:
(1) sum the homemaker cleaning adjusted base wage and the unlicensed supervisor supervision wage component;
(2) multiply the result of clause (1) by the general and administrative factor;
(3) multiply the result of clause (1) by the supplies and transportation factor; and
(4) sum the results of clauses (1) to (3) and divide the result by four.
[See Note.] §
Subd. 11.Homemaker home management rate.
The 15-minute unit rate for homemaker home management is calculated as follows:
(1) sum the homemaker home management adjusted base wage and the unlicensed supervisor supervision wage component;
(2) multiply the result of clause (1) by the general and administrative factor;
(3) multiply the result of clause (1) by the supplies and transportation factor; and
(4) sum the results of clauses (1) to (3) and divide the result by four.
[See Note.] §
Subd. 12.In-home respite care services rates.
(a) The 15-minute unit rate for in-home respite care services is calculated as follows:
(1) sum the in-home respite care services adjusted base wage and the registered nurse management and supervision wage component;
(2) multiply the result of clause (1) by the general and administrative factor;
(3) multiply the result of clause (1) by the supplies and transportation factor; and
(4) sum the results of clauses (1) to (3) and divide the result by four.
(b) The in-home respite care services daily rate equals the in-home respite care services 15-minute unit rate multiplied by 18.
[See Note.] §
Subd. 13.Out-of-home respite care services rates.
(a) The 15-minute unit rate for out-of-home respite care is calculated as follows:
(1) sum the out-of-home respite care services adjusted base wage and the registered nurse management and supervision wage component;
(2) multiply the result of clause (1) by the general and administrative factor;
(3) multiply the result of clause (1) by the supplies and transportation factor; and
(4) sum the results of clauses (1) to (3) and divide the result by four.
(b) The out-of-home respite care services daily rate equals the 15-minute unit rate for out-of-home respite care services multiplied by 18.
[See Note.] §
Subd. 14.Individual community living support rate.
The individual community living support rate is calculated as follows:
(1) sum the individual community living support adjusted base wage and the registered nurse management and supervision wage component;
(2) multiply the result of clause (1) by the general and administrative factor;
(3) multiply the result of clause (1) by the supplies and transportation factor; and
(4) sum the results of clauses (1) to (3) and divide the result by four.
[See Note.] §
Subd. 15.Home-delivered meals rate.
Effective January 1, 2024, the home-delivered meals rate is $8.17, updated as directed in section 256S.211, subdivision 3.
[See Note.] §
Subd. 16.Adult day services rate.
The 15-minute unit rate for adult day services is calculated as follows:
(1) divide the adult day services adjusted base wage by five to reflect an assumed staffing ratio of one to five;
(2) sum the result of clause (1) and the registered nurse management and supervision wage component;
(3) multiply the result of clause (2) by the general and administrative factor;
(4) multiply the result of clause (2) by the facility and equipment factor;
(5) multiply the result of clause (2) by the food, supplies, and transportation factor; and
(6) sum the results of clauses (2) to (5) and divide the result by four.
[See Note.] §
Subd. 17.Adult day services bath rate.
The 15-minute unit rate for adult day services bath is calculated as follows:
(1) sum the adult day services adjusted base wage and the nurse management and supervision wage component;
(2) multiply the result of clause (1) by the general and administrative factor;
(3) multiply the result of clause (1) by the facility and equipment factor;
(4) multiply the result of clause (1) by the food, supplies, and transportation factor; and
(5) sum the results of clauses (1) to (4) and divide the result by four.
[See Note.]
History:
2019 c 54 art 1 s 31; 2023 c 61 art 2 s 21-34
**NOTE: **The amendments to subdivisions 2, 3, 4, 7, 8, 9, 10, 11, 12, 13, 14, 16, and 17 by Laws 2023, chapter 61, article 2, sections 21 to 31, 33, and 34, are effective upon federal approval. The commissioner of human services shall notify the revisor of statutes when approval is obtained. Laws 2023, chapter 61, article 2, sections 21 to 31, 33, and 34, the effective dates.
**NOTE: **The amendment to subdivision 15 by Laws 2023, chapter 61, article 2, section 32, is effective upon federal approval. The commissioner of human services shall notify the revisor of statutes when approval is obtained. Laws 2023, chapter 61, article 2, section 32, the effective date.
History: History: 2019 c 54 art 1 s 31; 2023 c 61 art 2 s 21-34