Updating payment values and additional information.

deleted text begin (a) From January 1, 2014, through December 31, 2017, the commissioner shall develop and implement uniform procedures to refine terms and adjust values used to calculate payment rates in this section. deleted text end

deleted text begin (b) No later than July 1, 2014, deleted text end new text begin (a) new text end The commissioner shall, within available resources, deleted text begin begin to deleted text end conduct research and gather data and information from existing state systems or other outside sources on the following items:

(1) differences in the underlying cost to provide services and care across the state; and

(2) mileage, vehicle type, lift requirements, incidents of individual and shared rides, and units of transportation for all day services, which must be collected from providers using the rate management worksheet and entered into the rates management system; and

(3) the distinct underlying costs for services provided by a license holder under sections 245D.05 , 245D.06 , 245D.07 , 245D.071 , 245D.081 , and 245D.09 , and for services provided by a license holder certified under section 245D.33 .

deleted text begin (c) Beginning January 1, 2014, through December 31, 2018, using a statistically valid set of rates management system data, the commissioner, in consultation with stakeholders, shall analyze for each service the average difference in the rate on December 31, 2013, and the framework rate at the individual, provider, lead agency, and state levels. The commissioner shall issue semiannual reports to the stakeholders on the difference in rates by service and by county during the banding period under section 256B.4913, subdivision 4a . The commissioner shall issue the first report by October 1, 2014, and the final report shall be issued by December 31, 2018. deleted text end

deleted text begin (d) deleted text end new text begin (b) new text end No later than July 1, 2014, the commissioner, in consultation with stakeholders, shall begin the review and evaluation of the following values already in subdivisions 6 to 9, or issues that impact all services, including, but not limited to:

(1) values for transportation rates;

(2) values for services where monitoring technology replaces staff time;

(3) values for indirect services;

(4) values for nursing;

(5) values for the facility use rate in day services, and the weightings used in the day service ratios and adjustments to those weightings;

(6) values for workers' compensation as part of employee-related expenses;

(7) values for unemployment insurance as part of employee-related expenses;

(8) new text begin direct care workforce labor market measures; new text end

new text begin (9) new text end any changes in state or federal law with a direct impact on the underlying cost of providing home and community-based services; deleted text begin and deleted text end

deleted text begin (9) deleted text end new text begin (10) new text end outcome measures, determined by the commissioner, for home and community-based services rates determined under this section deleted text begin . deleted text end new text begin ; and new text end

new text begin (11) different competitive workforce factors by service, as determined under subdivision 5, paragraph (j). new text end

deleted text begin (e) deleted text end new text begin (c) new text end The commissioner shall report to the chairs and the ranking minority members of the legislative committees and divisions with jurisdiction over health and human services policy and finance with the information and data gathered under paragraphs deleted text begin (b) to (d) deleted text end new text begin (a) and (b) new text end on deleted text begin the following dates: deleted text end

deleted text begin (1) January 15, 2015, with preliminary results and data; deleted text end

deleted text begin (2) January 15, 2016, with a status implementation update, and additional data and summary information; deleted text end

deleted text begin (3) January 15, 2017, with the full report; and deleted text end

deleted text begin (4) deleted text end January 15, deleted text begin 2020 deleted text end new text begin 2021 new text end , with deleted text begin another deleted text end new text begin a new text end full report, and a full report once every four years thereafter.

deleted text begin (f) The commissioner shall implement a regional adjustment factor to all rate calculations in subdivisions 6 to 9, effective no later than January 1, 2015. deleted text end new text begin (d) new text end Beginning deleted text begin July 1, 2017 deleted text end new text begin July 1, 2022 new text end , the commissioner shall renew analysis and implement changes to the regional adjustment factors deleted text begin when adjustments required under subdivision 5, paragraph (h), occur deleted text end new text begin once every six years new text end . Prior to implementation, the commissioner shall consult with stakeholders on the methodology to calculate the adjustment.

deleted text begin (g) deleted text end new text begin (e) new text end The commissioner shall provide a public notice via LISTSERV in October of each year deleted text begin beginning October 1, 2014, deleted text end containing information detailing legislatively approved changes in:

(1) calculation values including derived wage rates and related employee and administrative factors;

(2) service utilization;

(3) county and tribal allocation changes; and

(4) information on adjustments made to calculation values and the timing of those adjustments.

The information in this notice must be effective January 1 of the following year.

deleted text begin (h) deleted text end new text begin (f) new text end When the available shared staffing hours in a residential setting are insufficient to meet the needs of an individual who enrolled in residential services after January 1, 2014, deleted text begin or insufficient to meet the needs of an individual with a service agreement adjustment described in section 256B.4913, subdivision 4a , paragraph (f), deleted text end then individual staffing hours shall be used.

deleted text begin (i) The commissioner shall study the underlying cost of absence and utilization for day services. Based on the commissioner's evaluation of the data collected under this paragraph, the commissioner shall make recommendations to the legislature by January 15, 2018, for changes, if any, to the absence and utilization factor ratio component value for day services. deleted text end

deleted text begin (j) Beginning July 1, 2017, deleted text end new text begin (g) new text end The commissioner shall collect transportation and trip information for all day services through the rates management system.

new text begin (h) The commissioner, in consultation with stakeholders, shall study value-based models and outcome-based payment strategies for fee-for-service home and community-based services and report to the legislative committees with jurisdiction over the disability waiver rate system by October 1, 2020, with recommended strategies to: (1) promote new models of care, services, and reimbursement structures that require more efficient use of public dollars while improving the outcomes most valued by the individuals served; (2) assist clients and their families in evaluating options and stretching individual budget funds; (3) support individualized, person-centered planning and individual budget choices; and (4) create a broader range of client options geographically or targeted at culturally competent models for racial and ethnic minority groups. new text end