new text begin Shared services. new text end

new text begin (a) Medical assistance payments for shared services under consumer-directed community supports are limited to this subdivision. new text end

new text begin (b) For purposes of this subdivision, "shared services" means services provided at the same time by the same direct care worker for individuals who have entered into an agreement to share consumer-directed community support services. new text end

new text begin (c) Shared services may include services in the personal assistance category as outlined in the consumer-directed community supports community support plan and shared services agreement, except: new text end

new text begin (1) services for more than three individuals provided by one worker at one time; new text end

new text begin (2) use of more than one worker for the shared services; and new text end

new text begin (3) a child care program licensed under chapter 245A or operated by a local school district or private school. new text end

new text begin (d) The individuals or, as needed, their representatives shall develop the plan for shared services when developing or amending the consumer-directed community supports plan, and must follow the consumer-directed community supports process for approval of the plan by the lead agency. The plan for shared services in an individual's consumer-directed community supports plan shall include the intention to utilize shared services based on individuals' needs and preferences. new text end

new text begin (e) Individuals sharing services must use the same financial management services provider. new text end

new text begin (f) Individuals whose consumer-directed community supports community support plans include the intention to utilize shared services must also jointly develop, with the support of their representatives as needed, a shared services agreement. This agreement must include: new text end

new text begin (1) the names of the individuals receiving shared services; new text end

new text begin (2) the individuals' representative, if identified in their consumer-directed community supports plans, and their duties; new text end

new text begin (3) the names of the case managers; new text end

new text begin (4) the financial management services provider; new text end

new text begin (5) the shared services that must be provided; new text end

new text begin (6) the schedule for shared services; new text end

new text begin (7) the location where shared services must be provided; new text end

new text begin (8) the training specific to each individual served; new text end

new text begin (9) the training specific to providing shared services to the individuals identified in the agreement; new text end

new text begin (10) instructions to follow all required documentation for time and services provided; new text end

new text begin (11) a contingency plan for each of the individuals that accounts for service provision and billing in the absence of one of the individuals in a shared services setting due to illness or other circumstances; new text end

new text begin (12) signatures of all parties involved in the shared services; and new text end

new text begin (13) agreement by each of the individuals who are sharing services on the number of shared hours for services provided. new text end

new text begin (g) Any individual or any individual's representative may withdraw from participating in a shared services agreement at any time. new text end

new text begin (h) The lead agency for each individual must authorize the use of the shared services option based on the criteria that the shared service is appropriate to meet the needs, health, and safety of each individual for whom they provide case management or care coordination. new text end

new text begin (i) Nothing in this subdivision must be construed to reduce the total authorized consumer-directed community supports budget for an individual. new text end

new text begin (j) No later than September 30, 2019, the commissioner of human services shall: new text end

new text begin (1) submit an amendment to the Centers for Medicare and Medicaid Services for the home and community-based services waivers authorized under Minnesota Statutes, sections 256B.0913, 256B.0915, 256B.092, and 256B.49, to allow for a shared services option under consumer-directed community supports; and new text end

new text begin (2) with stakeholder input, develop guidance for shared services in consumer-directed community-supports within the Community Based Services Manual. Guidance must include: new text end

new text begin (i) recommendations for negotiating payment for one-to-two and one-to-three services; and new text end

new text begin (ii) a template of the shared services agreement. new text end