Corporate Foster Care and
Community Residential Settings
Capacity Management
ARRM Conference
November 18, 2015
Nan Stubenvoll
Residential Fiscal Policy Planner
DHS Disability Services Division
Introduction
• Background
• Influences today
• Process currently being used
• Questions
DHS Mission and Values
Mission
The Minnesota Department of Human Services, working with
many others, helps people meet their basic needs so they can
live in dignity and achieve their highest potential.
DHS Mission and Values (continued)
Values
• We focus on people, not programs.
• We provide ladders up and safety nets for the people we
serve.
• We work in partnership with others: we cannot do it alone.
• We are accountable for results to the people we serve and all
Minnesotans.
DHS Mission and Values (continued)
• DHS practices these shared values in an ethical environment
where integrity, trustworthiness, responsibility, respect,
diversity, justice, fairness and caring are of paramount
importance.
DHS Mission and Values (continued)
Guiding goals - provide smart care that keeps people healthy
and in their homes
• People have access to affordable health care
• Children and vulnerable adults are safe and protected
• People are fed and healthy
• People are safely supported in their homes & community
• People with disabilities have choices
DHS Mission and Values (continued)
Guiding Goals
• Fewer babies are exposed to alcohol or drugs before birth
• Fewer teens are using synthetic drugs
• More people are planning for long-term care
• Primary care, behavioral health and LTC are integrated
• Children with autism have access to early intervention
• At-risk and homeless youth have access to services
• DHS staff are committed to fulfilling the agency’s mission
Corporate Foster Care Moratorium - 2009
The 2009 Minnesota Legislature authorized a moratorium on
growth of corporate foster care and community residential
settings for adults and children
In 2011, legislation followed establishing a statewide capacity
reduction of settings; the state met the deadline of June 30,
2014
Corporate Foster Care Moratorium (continued)
DSD is required to monitor, with the assistance of DHS
Licensing, the statewide capacity of corporate foster care and
community residential settings for both adults and children;
the total licensed beds allowable are 13,700
There are five moratorium exceptions in legislation: MN
Statute 245A.03 Subd 7 (a)
Needs Determination Annual Report
Minnesota Statute 245A.03, Subd 7 (e) requires the
commissioner to conduct a resource needs determination
process for corporate foster care and community residential
settings defined as licensed foster care or community
residential settings where the license holder does not reside.
These settings typically use a shift-staff model of support. The
statute requires the commissioner to annually report to the
legislature on the following:
Needs Determination Report (continued)
• Information and data on the overall capacity of licensed
long-term care services;
• Actions taken to manage statewide long-term care services
and supports resources; and,
• Any recommendations for change to the legislative
committees with jurisdiction over the health and human
services budget
Needs Determination Survey
Housing-related Gaps in Service - August 2015
Respite care needed including out-of-home, in-home, crisis,
evening and weekend options
Need for more housing options
Services in foster care and community residential settings –
and not outside their own counties
Geographic location of providers or distance to services
Needs Determination Report (continued)
For more information see Long Term Services and Supports
Report – August 2015, pg 28
Note the charts showing geographic distribution – counties
higher than population, lower than their population, etc.
How the MN Olmstead Plan and HCBS Rule
influences our work
Although the HCBS Rule and Minnesota’s Olmstead Plan have
been developed separately, the goals and strategies of each
are aligned
Minnesota’s Olmstead Plan applies to everyone with
disabilities, while the HCBS Rule applies only to people
receiving HCBS services
How the MN Olmstead Plan and HCBS Rule
influences our work (continued)
• Both the Olmstead Plan and the HCBS Rule focus on adding
new opportunities for people to existing options, while the
HCBS Rule also focuses on assuring current services and
settings align with the rule requirements
How the MN Olmstead Plan and HCBS Rule
influences our work (continued)
Both the HCBS Rule and the Olmstead Plan are working
toward making sure people with disabilities have the
opportunity to:
•
•
•
•
Make meaningful choices
Live more independently
Engage in productive employment
Participate in community life
Legislation
Where we are in the process for this session
Management of corporate foster care and community
residential settings
Working on additional exceptions
Change in language regarding clarity for Commissioner’s
Authority
Local Planning Grants
The purpose is to plan on a local level for system change that will
provide individuals with alternatives to congregate living
2013 – 2015: Metro (4), Stearns and Washington counties
2015 – 2017: Brown, Blue Earth and Nicollet counties added
• Grantees are identifying and creatively developing solutions that will
encourage individuals to live and receive services in their
communities in the most integrated settings
Local Planning Grants (continued)
They are ensuring that support plans are developed with the
individual at the center, and with the individual’s strengths,
desires, and goals driving the plan
They are developing living arrangements for individuals who
have chosen to leave a foster care or community residential
setting in order to live elsewhere in the community
Local Planning Grants (continued)
Grantees are changing internal processes and practices that
often lead to a more restrictive, less integrated setting for
individuals to such that encourage greater choice, increased
independence, and deeper community integration
The Current Process– DHS Form 6021
DHS 6021 Form (continued)
Available on DHS website as an e-doc
Filled out by county moratorium liaison as a recommended
request
Use of the Voluntary Closure Rate section
New section to be added for Change of Premise
DHS 6021 Form (continued)
New section to be added for Change of Ownership
Once received, DHS staff review
If approved, DHS sends back to the county moratorium liaison
Then sent on to Licensing w/ other paperwork to start the
licensing process
Questions
CBSM page on the DHS public website
http://www.dhs.state.mn.us/dhs16_147271
-Includes DHS Form 6021
-List of County Moratorium Liaisons
-Summary of process
Nan.Stubenvoll@state.mn.us