Current through Register Vol. 48, No. 39, March 25, 2024
Subpart
1.
Diagnostic assessment.
Medical assistance covers four types of diagnostic
assessments when they are provided in accordance with the requirements in this
subpart.
A. To be eligible for medical
assistance payment, a diagnostic assessment must:
(1) identify a mental health diagnosis and
recommended mental health services, which are the factual basis to develop the
recipient's mental health services and treatment plan; or
(2) include a finding that the client does
not meet the criteria for a mental health disorder.
B. A standard diagnostic assessment must
include a face-to-face interview with the client and contain a written
evaluation of a client by a mental health professional or practitioner working
under clinical supervision as a clinical trainee according to part
9505.0371, subpart
5, item C. The standard
diagnostic assessment must be done within the cultural context of the client
and must include relevant information about:
(1) the client's current life situation,
including the client's:
(a) age;
(b) current living situation, including
household membership and housing status;
(c) basic needs status including economic
status;
(d) education level and
employment status;
(e) significant
personal relationships, including the client's evaluation of relationship
quality;
(f) strengths and
resources, including the extent and quality of social networks;
(g) belief systems;
(h) contextual nonpersonal factors
contributing to the client's presenting concerns;
(i) general physical health and relationship
to client's culture; and
(j)
current medications;
(2)
the reason for the assessment, including the client's:
(a) perceptions of the client's
condition;
(b) description of
symptoms, including reason for referral;
(c) history of mental health treatment,
including review of the client's records;
(d) important developmental
incidents;
(e) maltreatment,
trauma, or abuse issues;
(f)
history of alcohol and drug usage and treatment;
(g) health history and family health history,
including physical, chemical, and mental health history; and
(h) cultural influences and their impact on
the client;
(3) the
client's mental status examination;
(4) the assessment of client's needs based on
the client's baseline measurements, symptoms, behavior, skills, abilities,
resources, vulnerabilities, and safety needs;
(5) the screenings used to determine the
client's substance use, abuse, or dependency and other standardized screening
instruments determined by the commissioner;
(6) assessment methods and use of
standardized assessment tools by the provider as determined and periodically
updated by the commissioner;
(7)
the client's clinical summary, recommendations, and prioritization of needed
mental health, ancillary or other services, client and family participation in
assessment and service preferences, and referrals to services required by
statute or rule; and
(8) the client
data that is adequate to support the findings on all axes of the current
edition of the Diagnostic and Statistical Manual of Mental Disorders, published
by the American Psychiatric Association; and any differential
diagnosis.
C. An extended
diagnostic assessment must include a face-to-face interview with the client and
contain a written evaluation of a client by a mental health professional or
practitioner working under clinical supervision as a clinical trainee according
to part
9505.0371, subpart
5, item C. The face-to-face
interview is conducted over three or more assessment appointments because the
client's complex needs necessitate significant additional assessment time.
Complex needs are those caused by acuity of psychotic disorder; cognitive or
neurocognitive impairment; need to consider past diagnoses and determine their
current applicability; co-occurring substance abuse use disorder; or disruptive
or changing environments, communication barriers, or cultural considerations as
documented in the assessment. For child clients, the appointments may be
conducted outside the diagnostician's office for face-to-face consultation and
information gathering with family members, doctors, caregivers, teachers, and
other providers, with or without the child present, and may involve directly
observing the child in various settings that the child frequents such as home,
school, or care settings. To complete the diagnostic assessment with adult
clients, the appointments may be conducted outside of the diagnostician's
office for face-to-face assessment with the adult client. The appointment may
involve directly observing the adult client in various settings that the adult
frequents, such as home, school, job, service settings, or community settings.
The appointments may include face-to-face meetings with the adult client and
the client's family members, doctors, caregivers, teachers, social support
network members, recovery support resource representatives, and other providers
for consultation and information gathering for the diagnostic assessment. The
components of an extended diagnostic assessment include the following relevant
information:
(1) for children under age 5:
(a) utilization of the DC:0-3R diagnostic
system for young children;
(b) an
early childhood mental status exam that assesses the client's developmental,
social, and emotional functioning and style both within the family and with the
examiner and includes:
i. physical appearance
including dysmorphic features;
ii.
reaction to new setting and people and adaptation during evaluation;
iii. self-regulation, including sensory
regulation, unusual behaviors, activity level, attention span, and frustration
tolerance;
iv. physical aspects,
including motor function, muscle tone, coordination, tics, abnormal movements,
and seizure activity;
v.
vocalization and speech production, including expressive and receptive
language;
vi. thought, including
fears, nightmares, dissociative states, and hallucinations;
vii. affect and mood, including modes of
expression, range, responsiveness, duration, and intensity;
viii. play, including structure, content,
symbolic functioning, and modulation of aggression;
ix. cognitive functioning; and
x. relatedness to parents, other caregivers,
and examiner; and
(c)
other assessment tools as determined and periodically revised by the
commissioner;
(2) for
children ages 5 to 18, completion of other assessment standards for children as
determined and periodically revised by the commissioner; and
(3) for adults, completion of other
assessment standards for adults as determined and periodically revised by the
commissioner.
D. A brief
diagnostic assessment must include a face-to-face interview with the client and
a written evaluation of the client by a mental health professional or
practitioner working under clinical supervision as a clinical trainee according
to part
9505.0371, subpart
5, item C. The professional
or practitioner must gather initial background information using the components
of a standard diagnostic assessment in item B, subitems (1), (2), unit (b),
(3), and (5), and draw a provisional clinical hypothesis. The clinical
hypothesis may be used to address the client's immediate needs or presenting
problem. Treatment sessions conducted under authorization of a brief assessment
may be used to gather additional information necessary to complete a standard
diagnostic assessment or an extended diagnostic assessment.
E. Adult diagnostic assessment update
includes a face-to-face interview with the client, and contains a written
evaluation of the client by a mental health professional or practitioner
working under clinical supervision as a clinical trainee according to part
9505.0371, subpart
5, item C, who reviews a
standard or extended diagnostic assessment. The adult diagnostic assessment
update must update the most recent assessment document in writing in the
following areas:
(1) review of the client's
life situation, including an interview with the client about the client's
current life situation, and a written update of those parts where significant
new or changed information exists, and documentation where there has not been
significant change;
(2) review of
the client's presenting problems, including an interview with the client about
current presenting problems and a written update of those parts where there is
significant new or changed information, and note parts where there has not been
significant change;
(3) screenings
for substance use, abuse, or dependency and other screenings as determined by
the commissioner;
(4) the client's
mental health status examination;
(5) assessment of client's needs based on the
client's baseline measurements, symptoms, behavior, skills, abilities,
resources, vulnerabilities, and safety needs;
(6) the client's clinical summary,
recommendations, and prioritization of needed mental health, ancillary, or
other services, client and family participation in assessment and service
preferences, and referrals to services required by statute or rule;
and
(7) the client's diagnosis on
all axes of the current edition of the Diagnostic and Statistical Manual and
any differential diagnosis.
Subp. 2.
Neuropsychological
assessment.
A neuropsychological assessment must include a face-to-face
interview with the client, the interpretation of the test results, and
preparation and completion of a report. A client is eligible for a
neuropsychological assessment if at least one of the following criteria is
met:
A. There is a known or strongly
suspected brain disorder based on medical history or neurological evaluation
such as a history of significant head trauma, brain tumor, stroke, seizure
disorder, multiple sclerosis, neurodegenerative disorders, significant exposure
to neurotoxins, central nervous system infections, metabolic or toxic
encephalopathy, fetal alcohol syndrome, or congenital malformations of the
brain; or
B. In the absence of a
medically verified brain disorder based on medical history or neurological
evaluation, there are cognitive or behavioral symptoms that suggest that the
client has an organic condition that cannot be readily attributed to functional
psychopathology, or suspected neuropsychological impairment in addition to
functional psychopathology. Examples include:
(1) poor memory or impaired problem
solving;
(2) change in mental
status evidenced by lethargy, confusion, or disorientation;
(3) deterioration in level of
functioning;
(4) marked behavioral
or personality change;
(5) in
children or adolescents, significant delays in academic skill acquisition or
poor attention relative to peers;
(6) in children or adolescents, significant
plateau in expected development of cognitive, social, emotional, or physical
function, relative to peers; and
(7) in children or adolescents, significant
inability to develop expected knowledge, skills, or abilities as required to
adapt to new or changing cognitive, social, emotional, or physical
demands.
C. If neither
criterion in item A nor B is fulfilled, neuropsychological evaluation is not
indicated.
D. The
neuropsychological assessment must be conducted by a neuropsychologist with
competence in the area of neuropsychological assessment as stated to the
Minnesota Board of Psychology who:
(1) was
awarded a diploma by the American Board of Clinical Neuropsychology, the
American Board of Professional Neuropsychology, or the American Board of
Pediatric Neuropsychology;
(2)
earned a doctoral degree in psychology from an accredited university training
program:
(a) completed an internship, or its
equivalent, in a clinically relevant area of professional psychology;
(b) completed the equivalent of two full-time
years of experience and specialized training, at least one which is at the
postdoctoral level, in the study and practices of clinical neuropsychology and
related neurosciences supervised by a clinical neuropsychologist; and
(c) holds a current license to practice
psychology independently in accordance with Minnesota Statutes, sections
148.88 to
148.98;
(3) is licensed or credentialed by
another state's board of psychology examiners in the specialty of
neuropsychology using requirements equivalent to requirements specified by one
of the boards named in subitem (1); or
(4) was approved by the commissioner as an
eligible provider of neuropsychological assessment prior to December 31,
2010.
Subp. 3.
Neuropsychological testing.
A.
Medical assistance covers neuropsychological testing when the client has
either:
(1) a significant mental status
change that is not a result of a metabolic disorder that has failed to respond
to treatment;
(2) in children or
adolescents, a significant plateau in expected development of cognitive,
social, emotional, or physical function, relative to peers;
(3) in children or adolescents, significant
inability to develop expected knowledge, skills, or abilities, as required to
adapt to new or changing cognitive, social, physical, or emotional demands;
or
(4) a significant behavioral
change, memory loss, or suspected neuropsychological impairment in addition to
functional psychopathology, or other organic brain injury or one of the
following:
(a) traumatic brain
injury;
(b) stroke;
(c) brain tumor;
(d) substance abuse or dependence;
(e) cerebral anoxic or hypoxic
episode;
(f) central nervous system
infection or other infectious disease;
(g) neoplasms or vascular injury of the
central nervous system;
(h)
neurodegenerative disorders;
(i)
demyelinating disease;
(j)
extrapyramidal disease;
(k)
exposure to systemic or intrathecal agents or cranial radiation known to be
associated with cerebral dysfunction;
(l) systemic medical conditions known to be
associated with cerebral dysfunction, including renal disease, hepatic
encephalopathy, cardiac anomaly, sickle cell disease, and related hematologic
anomalies, and autoimmune disorders such as lupus, erythematosis, or celiac
disease;
(m) congenital genetic or
metabolic disorders known to be associated with cerebral dysfunction, such as
phenylketonuria, craniofacial syndromes, or congenital hydrocephalus;
(n) severe or prolonged nutrition or
malabsorption syndromes; or
(o) a
condition presenting in a manner making it difficult for a clinician to
distinguish between:
i. the neurocognitive
effects of a neurogenic syndrome such as dementia or encephalopathy;
and
ii. a major depressive disorder
when adequate treatment for major depressive disorder has not resulted in
improvement in neurocognitive function, or another disorder such as autism,
selective mutism, anxiety disorder, or reactive attachment disorder.
B.
Neuropsychological testing must be administered or clinically supervised by a
neuropsychologist qualified as defined in subpart
2, item D.
C. Neuropsychological testing is not covered
when performed:
(1) primarily for educational
purposes;
(2) primarily for
vocational counseling or training;
(3) for personnel or employment
testing;
(4) as a routine battery
of psychological tests given at inpatient admission or continued stay;
or
(5) for legal or forensic
purposes.
Subp.
4.
Psychological testing.
Psychological testing must meet the following
requirements:
A. The psychological
testing must:
(1) be administered or
clinically supervised by a licensed psychologist with competence in the area of
psychological testing as stated to the Minnesota Board of Psychology;
and
(2) be validated in a
face-to-face interview between the client and a licensed psychologist or a
mental health practitioner working as a clinical psychology trainee as required
by part
9505.0371, subpart
5, item C, under the clinical
supervision of a licensed psychologist according to part
9505.0371, subpart
5, item A, subitem
(2).
B. The
administration, scoring, and interpretation of the psychological tests must be
done under the clinical supervision of a licensed psychologist when performed
by a technician, psychometrist, or psychological assistant or as part of a
computer-assisted psychological testing program.
C. The report resulting from the
psychological testing must be:
(1) signed by
the psychologist conducting the face-to-face interview;
(2) placed in the client's record;
and
(3) released to each person
authorized by the client.
Subp. 5.
Explanations of
findings.
To be eligible for medical assistance payment, the mental
health professional providing the explanation of findings must obtain the
authorization of the client or the client's representative to release the
information as required in part
9505.0371, subpart
6. Explanation of findings is
provided to the client, client's family, and caregivers, or to other providers
to help them understand the results of the testing or diagnostic assessment,
better understand the client's illness, and provide professional insight needed
to carry out a plan of treatment. An explanation of findings is not paid
separately when the results of psychological testing or a diagnostic assessment
are explained to the client or the client's representative as part of the
psychological testing or a diagnostic assessment.
Subp. 6.
Psychotherapy.
Medical assistance covers psychotherapy as conducted by a
mental health professional or a mental health practitioner as defined in part
9505.0371, subpart
5, item C, as provided in
this subpart.
A. Individual
psychotherapy is psychotherapy designed for one client.
B. Family psychotherapy is designed for the
client and one or more family members or the client's primary caregiver whose
participation is necessary to accomplish the client's treatment goals. Family
members or primary caregivers participating in a therapy session do not need to
be eligible for medical assistance. For purposes of this subpart, the phrase
"whose participation is necessary to accomplish the client's treatment goals"
does not include shift or facility staff members at the client's residence.
Medical assistance payment for family psychotherapy is limited to face-to-face
sessions at which the client is present throughout the family psychotherapy
session unless the mental health professional believes the client's absence
from the family psychotherapy session is necessary to carry out the client's
individual treatment plan. If the client is excluded, the mental health
professional must document the reason for and the length of time of the
exclusion. The mental health professional must also document the reason or
reasons why a member of the client's family is excluded.
C. Group psychotherapy is appropriate for
individuals who because of the nature of their emotional, behavioral, or social
dysfunctions can derive mutual benefit from treatment in a group setting. For a
group of three to eight persons, one mental health professional or practitioner
is required to conduct the group. For a group of nine to 12 persons, a team of
at least two mental health professionals or two mental health practitioners or
one mental health professional and one mental health practitioner is required
to co-conduct the group. Medical assistance payment is limited to a group of no
more than 12 persons.
D. A
multiple-family group psychotherapy session is eligible for medical assistance
payment if the psychotherapy session is designed for at least two but not more
than five families. Multiple-family group psychotherapy is clearly directed
toward meeting the identified treatment needs of each client as indicated in
client's treatment plan. If the client is excluded, the mental health
professional or practitioner must document the reason for and the length of the
time of the exclusion. The mental health professional or practitioner must
document the reasons why a member of the client's family is excluded.
Subp. 7.
Medication
management.
The determination or evaluation of the effectiveness of a
client's prescribed drug must be carried out by a physician or by an advanced
practice registered nurse, as defined in Minnesota Statutes, sections
148.71 to
148.285, who
is qualified in psychiatric nursing.
Subp. 8.
Adult day treatment.
Adult day treatment payment limitations include the following
conditions.
A. Adult day treatment
must consist of at least one hour of group psychotherapy, and must include
group time focused on rehabilitative interventions, or other therapeutic
services that are provided by a multidisciplinary staff. Adult day treatment is
an intensive psychotherapeutic treatment. The services must stabilize the
client's mental health status, and develop and improve the client's independent
living and socialization skills. The goal of adult day treatment is to reduce
or relieve the effects of mental illness so that an individual is able to
benefit from a lower level of care and to enable the client to live and
function more independently in the community. Day treatment services are not a
part of inpatient or residential treatment services.
B. To be eligible for medical assistance
payment, a day treatment program must:
(1) be
reviewed by and approved by the commissioner;
(2) be provided to a group of clients by a
multidisciplinary staff under the clinical supervision of a mental health
professional;
(3) be available to
the client at least two days a week for at least three consecutive hours per
day. The day treatment may be longer than three hours per day, but medical
assistance must not reimburse a provider for more than 15 hours per
week;
(4) include group
psychotherapy done by a mental health professional, or mental health
practitioner qualified according to part
9505.0371, subpart
5, item C, and rehabilitative
interventions done by a mental health professional or mental health
practitioner daily;
(5) be included
in the client's individual treatment plan as necessary and appropriate. The
individual treatment plan must include attainable, measurable goals as they
relate to services and must be completed before the first day treatment
session. The vendor must review the recipient's progress and update the
treatment plan at least every 30 days until the client is discharged and
include an available discharge plan for the client in the treatment plan;
and
(6) document the interventions
provided and the client's response daily.
C. To be eligible for adult day treatment, a
recipient must:
(1) be 18 years of age or
older;
(2) not be residing in a
nursing facility, hospital, institute of mental disease, or regional treatment
center, unless the recipient has an active discharge plan that indicates a move
to an independent living arrangement within 180 days;
(3) have a diagnosis of mental illness as
determined by a diagnostic assessment;
(4) have the capacity to engage in the
rehabilitative nature, the structured setting, and the therapeutic parts of
psychotherapy and skills activities of a day treatment program and demonstrate
measurable improvements in the recipient's functioning related to the
recipient's mental illness that would result from participating in the day
treatment program;
(5) have at
least three areas of functional impairment as determined by a functional
assessment with the domains prescribed by Minnesota Statutes, section
245.462,
subdivision 11a;
(6) have a level
of care determination that supports the need for the level of intensity and
duration of a day treatment program; and
(7) be determined to need day treatment by a
mental health professional who must deem the day treatment services medically
necessary.
D. The
following services are not covered by medical assistance if they are provided
by a day treatment program:
(1) a service
that is primarily recreation-oriented or that is provided in a setting that is
not medically supervised. This includes: sports activities, exercise groups,
craft hours, leisure time, social hours, meal or snack time, trips to community
activities, and tours;
(2) a social
or educational service that does not have or cannot reasonably be expected to
have a therapeutic outcome related to the client's mental illness;
(3) consultation with other providers or
service agency staff about the care or progress of a client;
(4) prevention or education programs provided
to the community;
(5) day treatment
for recipients with primary diagnoses of alcohol or other drug abuse;
(6) day treatment provided in the client's
home;
(7) psychotherapy for more
than two hours daily; and
(8)
participation in meal preparation and eating that is not part of a clinical
treatment plan to address the client's eating disorder.
Subp. 9.
Partial
hospitalization.
Partial hospitalization is a covered service when it is an
appropriate alternative to inpatient hospitalization for a client who is
experiencing an acute episode of mental illness that meets the criteria for an
inpatient hospital admission as specified in part
9505.0520, subpart
1, and who has the family and
community resources necessary and appropriate to support the client's residence
in the community. Partial hospitalization consists of multiple intensive
short-term therapeutic services provided by a multidisciplinary staff to treat
the client's mental illness.
Subp.
10.
Dialectical behavior therapy (DBT).
Dialectical behavior therapy (DBT) treatment services must
meet the following criteria:
A. DBT
must be provided according to this subpart and Minnesota Statutes, section
256B.0625,
subdivision 5l.
B. DBT is an
outpatient service that is determined to be medically necessary by either:
(1) a mental health professional qualified
according to part
9505.0371, subpart
5, or
(2) a mental health practitioner working as a
clinical trainee according to part
9505.0371, subpart
5, item C, who is under the
clinical supervision of a mental health professional according to part
9505.0371, subpart
5, item D, with specialized
skill in dialectical behavior therapy. The treatment recommendation must be
based upon a comprehensive evaluation that includes a diagnostic assessment and
functional assessment of the client, and review of the client's prior treatment
history. Treatment services must be provided pursuant to the client's
individual treatment plan and provided to a client who satisfies the criteria
in item C.
C. To be
eligible for DBT, a client must:
(1) have
mental health needs that cannot be met with other available community-based
services or that must be provided concurrently with other community-based
services;
(2) meet one of the
following criteria:
(a) have a diagnosis of
borderline personality disorder; or
(b) have multiple mental health diagnoses and
exhibit behaviors characterized by impulsivity, intentional self-harm behavior,
and be at significant risk of death, morbidity, disability, or severe
dysfunction across multiple life areas;
(3) understand and be cognitively capable of
participating in DBT as an intensive therapy program and be able and willing to
follow program policies and rules ensuring safety of self and others;
and
(4) be at significant risk of
one or more of the following if DBT is not provided:
(a) mental health crisis;
(b) requiring a more restrictive setting such
as hospitalization;
(c)
decompensation; or
(d) engaging in
intentional self-harm behavior.
D. The treatment components of DBT are
individual therapy and group skills as follows:
(1) Individual DBT combines individualized
rehabilitative and psychotherapeutic interventions to treat suicidal and other
dysfunctional behaviors and reinforce the use of adaptive skillful behaviors.
The therapist must:
(a) identify, prioritize,
and sequence behavioral targets;
(b) treat behavioral targets;
(c) generalize DBT skills to the client's
natural environment through telephone coaching outside of the treatment
session;
(d) measure the client's
progress toward DBT targets;
(e)
help the client manage crisis and life-threatening behaviors; and
(f) help the client learn and apply effective
behaviors when working with other treatment providers.
(2) Individual DBT therapy is provided by a
mental health professional or a mental health practitioner working as a
clinical trainee, according to part
9505.0371, subpart
5, item C, under the
supervision of a licensed mental health professional according to part
9505.0371, subpart
5, item D.
(3) Group DBT skills training combines
individualized psychotherapeutic and psychiatric rehabilitative interventions
conducted in a group format to reduce the client's suicidal and other
dysfunctional coping behaviors and restore function by teaching the client
adaptive skills in the following areas:
(a)
mindfulness;
(b) interpersonal
effectiveness;
(c) emotional
regulation; and
(d) distress
tolerance.
(4) Group DBT
skills training is provided by two mental health professionals, or by a mental
health professional cofacilitating with a mental health practitioner.
(5) The need for individual DBT skills
training must be determined by a mental health professional or a mental health
practitioner working as a clinical trainee, according to part
9505.0371, subpart
5, item C, under the
supervision of a licensed mental health professional according to part
9505.0371, subpart
5, item D.
E. A program must be certified by
the commissioner as a DBT provider. To qualify for certification, a provider
must:
(1) hold current accreditation as a DBT
program from a nationally recognized certification body approved by the
commissioner or submit to the commissioner's inspection and provide evidence
that the DBT program's policies, procedures, and practices will continuously
meet the requirements of this subpart;
(2) be enrolled as a MHCP provider;
(3) collect and report client outcomes as
specified by the commissioner; and
(4) have a manual that outlines the DBT
program's policies, procedures, and practices which meet the requirements of
this subpart.
F. The DBT
treatment team must consist of persons who are trained in DBT treatment. The
DBT treatment team may include persons from more than one agency. Professional
and clinical affiliations with the DBT team must be delineated:
(1) A DBT team leader must:
(a) be a mental health professional employed
by, affiliated with, or contracted by a DBT program certified by the
commissioner;
(b) have appropriate
competencies and working knowledge of the DBT principles and practices;
and
(c) have knowledge of and
ability to apply the principles and DBT practices that are consistent with
evidence-based practices.
(2) DBT team members who provide individual
DBT or group skills training must:
(a) be a
mental health professional or be a mental health practitioner, who is employed
by, affiliated with, or contracted with a DBT program certified by the
commissioner;
(b) have or obtain
appropriate competencies and working knowledge of DBT principles and practices
within the first six months of becoming a part of the DBT program;
(c) have or obtain knowledge of and ability
to apply the principles and practices of DBT consistently with evidence-based
practices within the first six months of working at the DBT program;
(d) participate in DBT consultation team
meetings; and
(e) require mental
health practitioners to have ongoing clinical supervision by a mental health
professional who has appropriate competencies and working knowledge of DBT
principles and practices.
Subp. 11.
Noncovered services.
The mental health services in items A to J are not eligible
for medical assistance payment under this part:
A. a mental health service that is not
medically necessary;
B. a
neuropsychological assessment carried out by a person other than a
neuropsychologist who is qualified according to part
9505.0372, subpart
2, item D;
C. a service ordered by a court that is
solely for legal purposes and not related to the recipient's diagnosis or
treatment for mental illness;
D.
services dealing with external, social, or environmental factors that do not
directly address the recipient's physical or mental health;
E. a service that is only for a vocational
purpose or an educational purpose that is not mental health related;
F. staff training that is not related to a
client's individual treatment plan or plan of care;
G. child and adult protection
services;
H. fund-raising
activities;
I. community planning;
and
J. client
transportation.
Statutory Authority: MS s
245.484;
256B.04