30.04.2015 Views

Probate & Trust Law Section Conference Manual ... - Minnesota CLE

Probate & Trust Law Section Conference Manual ... - Minnesota CLE

Probate & Trust Law Section Conference Manual ... - Minnesota CLE

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

The starting point for redesign of home and community based services is keeping<br />

<strong>Minnesota</strong>ns out of nursing homes. If a person cannot enter a nursing home<br />

because the person’s needs are not great enough, the person not only fails to be<br />

eligible for medical assistance benefits in a nursing home, he or she also fails to<br />

qualify for the waiver programs that require risk of nursing home placement as a<br />

condition for eligibility. 38 Keeping people out of nursing homes therefore saves<br />

money two ways.<br />

To identify the persons who would not qualify for nursing home placement,<br />

<strong>Minnesota</strong> has had to develop a much more complicated screening system to<br />

separate those who qualify for nursing home placement from those who will not.<br />

To save money by reducing nursing home and waiver service populations,<br />

<strong>Minnesota</strong> is prepared to dramatically increase the administrative cost of screening<br />

persons for proper placement. The increased reliance on Long Term Care<br />

Consultation Screening to keep people out of medical assistance is reflected in the<br />

many amendments to the screening statutes made in Article 2 of the <strong>Conference</strong><br />

Report. See <strong>Section</strong> XV.B., below. The increased screening system will also be<br />

used to “inform” the screened persons of care options available outside of nursing<br />

homes in local communities.<br />

In place of medical assistance eligibility for persons who need outside assistance to<br />

remain at home, and to provide alternatives, the Essential Community Supports<br />

(ECS) program was created, contingent on federal approval of the Realignment<br />

and Reform 2020 Waiver requests.<br />

To fill the gap caused by removing people from medical assistance programs, the<br />

State is proposing to encourage local efforts to keep persons in their homes. These<br />

efforts to enourage local supports are reflected in the authorizations for new DHS<br />

projects added to Minn. Stat. Ch. 256B, in Article 2 of the <strong>Conference</strong> Report.<br />

See <strong>Section</strong> XV.B, below.<br />

XV.<br />

THE 2013 MEDICAL ASSISTANCE AMENDMENTS<br />

A. CONFORMING MEDICAL ASSISTANCE AND MINNESOTACARE TO<br />

THE AFFORDABLE CARE ACT<br />

1. AFFORDABLE CARE ACT PROVISIONS BECOMING<br />

EFFECTIVE JANUARY 1, 2014<br />

38 These programs are the Elderly Waiver (EW) program and the Community Alternatives for<br />

Disabled Persons (CADI) program. The Alternative Care (AC) program also requires risk of<br />

nursing home placement.<br />

39

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!