Transcript Highlights:

• And so, this goes back to the regular surety bond that exist in PCA and CFSS and other programs that
• :02.200> uh that exist in uh that exist in uh PCA<00:10:03.680> and<00:10:03.920> CFSS
• other<00:10:05.040> programs<00:10:05.480> that<00:10:05.640> we PCA and CFSS
• and other programs that we PCA and CFSS and other programs that we have<00:10:05.840> adopted

Bills: HF4338

Keywords: human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management

Bills: HF4207, HF4338

Keywords: housing aid, local housing trust, funding projects, income provisions, technical changes, human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review

Bills: HF4491, HF4338, HF4288, HF4566

Keywords: Medical Assistance, Medicaid, prepayment review, claims review, fee-for-service, provider integrity, high-risk provider, high-risk service, fraud prevention, program integrity, Department of Human Services, CMS, Centers for Medicare and Medicaid Services, health care billing, medical claims, provider enrollment, Indian Health Service, Minnesota Statutes chapter 256B, human services, medical assistance

Transcript Highlights:

• each year for a subset of experienced workers in two of the programs: the PCA Choice program and the CFSS
• Choice program of the programs the PCA Choice program and<00:03:46.280> the<00:03:46.400> cfss
• > model<00:03:48.120> in<00:03:48.319> both<00:03:48.760> 2026 and the cfss
• budget model in both 2026 and the cfss budget model in both 2026 and and and 2027<00:03:51.560> for
• budget model, it provides the same rate increase to the traditional PCA and the CFSS agency model.

Bills: HF2367, HF2319, HF2523, HF1742, HF671, HF2331, HF2722, HF2406, HF1674

Keywords: HF2367, Community First Services and Supports, CFSS, personal care assistance, PCA, consumer-directed community supports, CDCS, home and community-based services, HCBS, direct support professionals, direct care workers, caregivers, support workers, SEIU Healthcare Minnesota & Iowa, collective bargaining agreement, retention stipend, health care cost stipend, training stipend, orientation program, retirement trust

Transcript Highlights:

• CFSS also allows for the purchase of goods or services with from a person's CFSS budget, which is not
• CFSS also allows for the purchase of goods or services with from a person's CFSS budget, which is not
• biggest benefits is under the cfss biggest benefits is under the cfss authority<00:03:45.519>
• <00:04:19.400> also within cfss here in a minute cfss also within cfss here in a minute cfss
• <00:13:45.120> provider PCA follow along to the cfss provider PCA follow along to the cfss

Keywords: 1187, senate, all

Transcript Highlights:

• It's also in CFSS, the agency model and the budget model.
• choice program and the CFSS choice program and the CFSS uh<00:05:09.280> budget<00:05:09.600
• supports CFSS. supports CFSS.
• <00:14:10.240> that authorization that indicates CFSS. that authorization that indicates CFSS
• Also in CFSS, supposed to be there.

Keywords: 1183, house

Transcript Highlights:

• CFSS needs a complete far enough.
• that they are eligible for CFSS. that they are eligible for CFSS.
• <00:20:18.640> that authorization that indicates CFSS. that authorization that indicates CFSS
• bills for that service um in CFSS bills for that service um in CFSS because<00:20:31.840> it<
• That with regular CFSS or PCA services.

Bills: HF3797, HF3780, HF4068, HF3935

Keywords: long-term care, insurance policy, healthcare, partnership policy, Minnesota, human services, wage increase, support workers, shared services, community first services, medical assistance, sanctions, healthcare services, monetary recovery, government accountability, assisted living, training, unlicensed personnel, resident rights, safety regulations

Transcript Highlights:

• As such, PCA and CFSS has remained one of the few static reimbursements in disability service systems
• In Senate File 2052, we would add the components to the CFSS rate framework to support a data-driven,
• The provider alliance is a statewide association of PCA, CFSS, and waiver service providers.
• <00:25:46.000> rate the components to the cfss rate the components to the cfss rate framework
• disability waiver rate system cfss disability waiver rate system cfss reimbursement<00:25:57.120

Keywords: 1187, senate, all

Transcript Highlights:

• This forecast is updated due to a slower transition over to CFSS from PCA, and as people transition to
• Due to the slower take-up and a higher transition to CFSS, as well as a higher take-up of that parent
• Due to the slower take-up and a higher transition to CFSS, as well as a higher take-up of that parent
• I'm sorry, of CFSS, as well as a higher take-up of that parent and spousal caregiver option.
• <01:24:07.760> to takeup or the transition to cfss to takeup or the transition to cfss to

Keywords: 1183, house

Transcript Highlights:

• Included are investments in CFSS and consumer-directed community supports.
• ><00:54:08.920> consumerdirected investments in CFSS and consumerdirected investments in CFSS
• <00:57:57.839> consultation technical changes to CFSS consultation technical changes to CFSS
• <01:35:52.960> who<01:35:53.199> are<01:35:53.600> also CFSS who are also CFSS who
• And while they also have CFSS services.

Keywords: 1187, senate, all

Summary: Members met to review a budget bill agreement using a nonpartisan spreadsheet and summary materials. Chairs and members thanked fiscal, research, revisers, and agency staff for the collaborative process, noting the bill had been difficult and that the final product reflected compromise. The chair also said only minor technical changes were expected before final enactment, and the spreadsheet walkthrough was then turned over to fiscal staff. Fiscal staff explained that the agreement met the overall budget target and walked through major human services provisions. Key items included nursing facility payment changes, including a phased PDPM change, APS inflation, modified single-bed incentives, and a CPI-U capped payment cap; a nursing facility surcharge; workforce standards board rule costs; continuation of certain nursing facility property tax rates; regulation of for-profit acquisitions of nursing homes and assisted living facilities; repurposing assisted living special project funds; funding the SEIU self-directed worker agreement; CFSS reimbursement in acute care hospital settings; and multiple disability waiver rate and authorization changes, including CPI-U inflation caps, waiver authorization reforms, and a waiver reimagined advisory task force. The agreement also included family residential service rate increases, a temporary extension of customized living disproportionate share payments, tribal eligibility for targeted case management, positive supports training changes, out-of-home respite modifications, swimming lessons as an allowable service for certain children with disabilities, a provisional EID provider license, and program integrity services funded by licensing fee increases. Additional provisions covered MinnChoices studies and assumed savings, behavioral health fund changes, substance use disorder treatment billing and rate changes, supportive recovery housing, housing support supplemental rates for specific providers, disability determinations, enteral nutrition payment timing, temporary funding for Boundary Waters Care Center, several one-time human services grants, senior nutrition funding, and grant reductions and extensions. No formal vote was described in the transcript; the discussion focused on explaining the agreement and its fiscal effects.

Transcript Highlights:

• state plan our PCA program under our state plan authority<00:18:20.159> to<00:18:20.880> cfss
• which um encompasses a authority to cfss which um encompasses a variety<00:18:24.039> of<00:18
• He said Wednesday’s hearing on CFSS was one of the most shattering hearings he has had in a long time
• that with these consultants for cfss that with these consultants for cfss actually<01:09:50.000>
• CFSS investment challenges. Senator Maye Quade, thank you.

Keywords: 1187, senate, all

Transcript Highlights:

• Chair, while we’re still digressing from our topic, can I just give an update on CFSS?
• Chair, while we’re still digressing from our topic, can I just give an update on CFSS?
• I am a Somali autism advocate, and I'm here today regarding the CFSS. I understand the idea.
• Requires training for all PCA, all CFSS.
• know cfss we're trying to figure out so know cfss we're trying to figure out so I<00:52:13.760> appreciate

Keywords: 1187, senate, all

Transcript Highlights:

• If you are getting services through the PCA or CFSS, we are making adjustments necessary to keep people
• If you are getting services through the PCA or CFSS, we are making adjustments necessary to keep people
• If you are getting services through the PCA or CFSS, we are making adjustments necessary to keep people
• If you are getting services through the PCA or CFSS, we are making adjustments necessary to keep people
• CFSS, we are making adjustments necessary to keep people to stay within their communities.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• the minimum wage for SEIU and the workers in P PCN CFSS.
• We also substantially increase the substance use disorder rates based on... funding SEIU PCA CFSS contract
• which funding SEIU PCA CFSS contract which increases<00:05:01.759> the<00:05:02.000> minimum
• > in<00:05:04.800> P<00:05:05.199> PCN the workers in P PCN the workers in P PCN CFSS
• creates a retirement fund trust for CFSS creates a retirement fund trust for future<00:05:09.440>

Keywords: 1183, house

Transcript Highlights:

• So the first one, CFSS rate changes as a result of SEIU agreement.
• The next one is allowing reimbursement of CFSS in acute care hospital settings.
• The next one allows for swimming lessons as allowable uses in CDCS and CFSS.
• Um, and the dis uses in CDCS and CFSS.
• now, CFSs in hospitals yet? Come, Mr. now, CFSs in hospitals yet? Come, Mr.

Keywords: 1187, senate, all

Transcript Highlights:

• We're currently undergoing implementation of the Community First Services and Supports program, CFSS,
• So the state ended up creating a state-funded-only option until CFSS is up and running, because CFSS
• This is another one-time cost, where we have a state-only funded program until that CFSS program has
• and services and supports program cfss and this<00:08:30.240> uh<00:08:30.440> program
• <00:09:29.440> is state funded only option until cfss is state funded only option until cfss

Keywords: 1187, senate, all

Transcript Highlights:

• For Lydia, we rely on CFSS to allow for her dad to stay home with her while I'm in the hospital.
• When we both can access adequate CFSS hours, her dad can be here, her and I's caregiver, when I can't
• For me, it would mean cuts to nursing hours, respite, and CFSS.
• ,<00:45:01.839> her<00:45:02.079> dad<00:45:02.400> can access adequate CFSS
• And what does that respbit, and CFSS.

Bills: HF3174, HF3800

Keywords: background study, disqualification, set-aside, permanent disqualification, Office of Administrative Hearings, chief judge, human services licensing, substance use disorder treatment, SUD treatment, chemical dependency, recovery, rehabilitation, abstinence, foster care, child foster care, vulnerable adults, caregiver background check, license holder, direct contact, risk of harm

Transcript Highlights:

• Um, this CFSS is a state plan amendment.
• The third one added swimming lessons as an allowable use in CDCS and CFSS.
• The third one added swimming lessons as an allowable use in CDCS and CFSS.
• The third one added swimming lessons as an allowable use in CDCS and CFSS.
• The third one added swimming lessons as an allowable use in CDCS and CFSS.

Bills: HF3379

Keywords: housing stabilization, disability services, predatory funding, provider requirements, housing accessibility, 1183, house

Transcript Highlights:

• I've been involved with some of the providers actually for a long time, back when it was under CFSS,
• I've been involved with some of the providers actually for a long time, back when it was under CFSS,
• and I’d be interested to look at the ABA providers who have been doing this for a long time under CFSS
• and I’d be interested to look at the ABA providers who have been doing this for a long time under CFSS
• c><01:19:16.120> long<01:19:16.320> time<01:19:16.480> under<01:19:16.760> cfss

Keywords: 1187, senate, all

Summary: The committee heard a presentation from DHS on its early intensive developmental and behavioral intervention (EIDBI) study and related licensing proposal. Christy Grom explained that EIDBI is a Medical Assistance state plan service for children and young adults under 21 with autism or related conditions, and that DHS’s multi-phase evaluation included standards review, community engagement, and a comparison with other states. She said the service is important but that DHS identified gaps in oversight, including stretched clinical supervision, providers affiliated with many centers, out-of-state providers, and rapid growth in enrollment that has outpaced current monitoring capacity. DHS’s main recommendation was to create a provisional license for EIDBI in Chapter 245A as an immediate step, with later work toward full licensing standards. The proposal would let DHS identify controlling individuals, disqualify ineligible people, investigate maltreatment, suspend or revoke licenses, require background studies and qualifications before service delivery, move EIDBI providers into a higher-risk category for revalidation, and make DHS the lead investigative agency for maltreatment. DHS also recommended statutory standards for supervision, caseloads, training, and documentation, while emphasizing the need to balance oversight with continued access to services. Grom said the provisional licensure proposal is part of the governor’s budget and that DHS hopes to begin implementation in 2025, with a possible full license start date in 2028. Testifiers then spoke in support of EIDBI while urging the committee to preserve access and include more community input. Ana Hagi Muhammad, a parent of three autistic children and a Somali community advocate, said EIDBI has been beneficial for her family and that community organizations serving Somali families have not been sufficiently engaged in DHS’s process. Ana Muhammad, a Black mother of a young autistic child, said ABA has helped her son with communication, self-regulation, and independence, and asked that discussions reflect the diversity of family experiences. Committee members asked testifiers to keep remarks brief and to identify which modality they use, and the chair indicated the committee would continue hearing from additional testifiers before further discussion.

Transcript Highlights:

• Senators, I do want us to know that the conversation we started uh last week, just in the history of the CFSS
• 12.680> the uh last week just in the history of the uh last week just in the history of the cfss
• 01:15.200> I<00:01:15.280> think<00:01:15.439> we<00:01:15.560> should cfss
• conversation um I I think we should cfss conversation um I I think we should still<00:01:16.119>
• <01:53:03.040> conversation specifically to the cfss conversation specifically to the cfss

Keywords: 1187, senate, all