Minnesota Administrative Rules
Agency 196 - Human Services Department
Chapter 9510 - RATES FOR HEALTH CARE FACILITIES
SPECIAL NEEDS RATE EXCEPTION FOR VERY DEPENDENT PERSONS WITH SPECIAL NEEDS
Part 9510.1070 - COUNTY'S APPLICATION TO COMMISSIONER

A. documentation of the steps taken by the county to determine client and provider eligibility in accordance with parts 9510.1020 to 9510.1140, including documentation of the conditions which put the client at risk of regional treatment center placement or continued regional treatment center placement;

B. a copy of the client's current individual service plan which explains the need to place or retain the eligible client in a regional treatment center if the requested services cannot be provided and the sections of the individual program plans which include the methodology and measurable outcomes of the proposed intervention;

C. a copy of the client's most recent medical evaluation signed by a physician;

D. a copy of the client's regional treatment center discharge plan, if the special needs rate exception is requested to facilitate the client's discharge from a regional treatment center;

E. a copy of the county's plan to coordinate and monitor the implementation of the proposed staff intervention described in the application submitted according to part 9510.1040;

F. a letter from the county of financial responsibility stating approval of the changes in the individual service plan if the county submitting the application is not the county of financial responsibility; or if the county of financial responsibility does not approve the changes, a letter stating the reasons the county of financial responsibility does not approve the changes and describing the actions, if any, to be taken by the county of financial responsibility; and

G. if the special needs rate exception is not requested for both the day training and habilitation service and the ICF/DD, a written explanation must be provided by the county.