Disability waiver rate system framework components effective Jan. 1, 2020
The 2017 and 2019 legislatures required DHS to update some cost factors in the Disability Waiver Rate System, effective Jan. 1, 2020 (Minn. Stat. §256B.4914, subd. 5):
Residential services
| Service(s) |
Hourly wage |
Asleep wage |
Supervisor wage |
Supervisor span of control |
Vacation/ sick/ training |
Taxes and workers’ comp |
Other benefits |
Client program and supports |
Program plan support |
Standard G&A support |
Program- related support |
Utilization and absence |
Transportation |
Facility use |
| Corporate foster care and supportive living services daily |
$13.53 |
$10.00 |
$22.81 |
11% |
8.71% |
11.56% |
12.04% |
$2,260.21 |
N/A |
13.25% |
1.30% |
3.90% |
Without lift: $1,742.62
With lift: $3,111.81 |
N/A |
| Family foster care and supportive living services daily |
$13.53 |
$x.xx3.60 |
$22.81 |
11% |
8.71% |
11.56% |
12.04% |
$2,260.21 |
N/A |
3.30% |
1.30% |
1.70% |
Without lift: $1,742.62
With lift: $3,111.81 |
N/A |
Day services
| Service(s) |
Hourly wage |
Asleep wage |
Supervisor wage |
Supervisor span of control |
Vacation/ sick/ training |
Taxes and workers’ comp |
Other benefits |
Client program and supports |
Program plan support |
Standard G&A support |
Program-related support |
Utilization and absence |
Transportation |
Facility use |
| Day training and habilitation (DTH) daily |
$15.30 |
N/A |
$22.81 |
11% |
8.71% |
11.56% |
12.04% |
10.37% |
5.60% |
13.25% |
1.80% |
9.40% |
See DTH Daily Transportation Table below |
$20.02 / person / week |
| DTH 15-minute, adult day, structured day and prevocational services |
$15.30 |
N/A |
$22.81 |
11% |
8.71% |
11.56% |
12.04% |
10.37% |
5.60% |
13.25% |
1.80% |
9.40% |
N/A |
$20.02/person/week |
Unit-based without programming services
| Service(s) |
Hourly wage |
Asleep wage |
Supervisor wage |
Supervisor span of control |
Vacation/ sick/ training |
Taxes and workers’ comp |
Other benefits |
Client program and supports |
Program plan support |
Standard G&A support |
Program- related support |
Utilization and absence |
Transportation |
Facility use |
| Night supervision |
$13.68 |
N/A |
$22.81 |
11% |
8.71% |
11.56% |
12.04% |
2.30% |
7.00% |
13.25% |
2.90% |
3.90% |
N/A |
N/A |
| Personal support and companion services |
$12.27 |
N/A |
$22.81 |
11% |
8.71% |
11.56% |
12.04% |
2.30% |
7.00% |
13.25% |
2.90% |
3.90% |
N/A |
N/A |
| Respite care services 15-minute |
$12.27 |
N/A |
$22.81 |
11% |
8.71% |
11.56% |
12.04% |
2.30% |
N/A |
13.25% |
2.90% |
3.90% |
N/A |
N/A |
Unit-based with programming services
| Service(s) |
Hourly wage |
Asleep wage |
Supervisor wage |
Supervisor span of control |
Vacation/ sick/ training |
Taxes and workers’ comp |
Other benefits |
Client program and supports |
Program plan support |
Standard G&A support |
Program- related support |
Utilization and absence |
Transportation |
Facility use |
| Positive supports, by analyst |
$21.48 |
N/A |
$33.42 |
11% |
8.71% |
11.56% |
12.04% |
4.70% |
15.50% |
13.25% |
6.10% |
3.90% |
N/A |
N/A |
| Positive supports, by professional |
$33.42 |
N/A |
$38.04 |
11% |
8.71% |
11.56% |
12.04% |
4.70% |
15.50% |
13.25% |
6.10% |
3.90% |
N/A |
N/A |
| Positive supports, by specialist |
$16.42 |
N/A |
$33.42 |
11% |
8.71% |
11.56% |
12.04% |
4.70% |
15.50% |
13.25% |
6.10% |
3.90% |
N/A |
N/A |
| Employment development |
$22.38 |
N/A |
$22.81 |
11% |
8.71% |
11.56% |
12.04% |
4.70% |
15.50% |
13.25% |
6.10% |
3.90% |
N/A |
N/A |
| Employment exploration |
$18.30 |
N/A |
$22.81 |
11% |
8.71% |
11.56% |
12.04% |
4.70% |
15.50% |
13.25% |
6.10% |
3.90% |
N/A |
N/A |
| Employment support |
$18.30 |
N/A |
$22.81 |
11% |
8.71% |
11.56% |
12.04% |
4.70% |
15.50% |
13.25% |
6.10% |
3.90% |
N/A |
N/A |
| Housing access coordination |
$20.32 |
N/A |
$22.81 |
11% |
8.71% |
11.56% |
12.04% |
4.70% |
15.50% |
13.25% |
6.10% |
3.90% |
N/A |
N/A |
| In-home family support |
$16.64 |
N/A |
$22.81 |
11% |
8.71% |
11.56% |
12.04% |
4.70% |
15.50% |
13.25% |
6.10% |
3.90% |
N/A |
N/A |
| Independent living services, training |
$17.56 |
N/A |
$22.81 |
11% |
8.71% |
11.56% |
12.04% |
4.70% |
15.50% |
13.25% |
6.10% |
3.90% |
N/A |
N/A |
| Individualized home Support 15-minute and daily |
$17.56 |
N/A |
$22.81 |
11% |
8.71% |
11.56% |
12.04% |
4.70% |
15.50% |
13.25% |
6.10% |
3.90% |
N/A |
N/A |
| Supportive living services 15-minute |
$15.30 |
N/A |
$22.81 |
11% |
8.71% |
11.56% |
12.04% |
4.70% |
15.50% |
13.25% |
6.10% |
3.90% |
N/A |
N/A |
Day training and habilitation daily service transportation components
| Does the individual need a lift? |
Is a lift used? |
Is the ride shared or individual? |
Round-trip miles: 0-10 |
Round-trip miles: 11-20 |
Round-trip miles: 21-50 |
Round-trip miles: 51 or More |
| Yes |
Yes |
Individual |
$19.76 |
$33.36 |
$60.95 |
$83.95 |
| Yes |
No |
Individual |
$10.89 |
$16.34 |
$26.71 |
$34.75 |
| Yes |
Yes |
Shared |
$15.61 |
$29.21 |
$60.95 |
$83.95 |
| Yes |
No |
Shared |
$9.16 |
$10.97 |
$14.44 |
$17.11 |
| No |
Yes |
Individual |
$10.89 |
$16.34 |
$26.71 |
$34.75 |
| No |
No |
Individual |
$10.89 |
$16.34 |
$26.71 |
$34.75 |
| No |
Yes |
Shared |
$9.59 |
$12.32 |
$17.51 |
$21.52 |
| No |
No |
Shared |
$9.16 |
$10.97 |
$14.44 |
$17.11 |
Additional notes about rate frameworks
- Competitive workforce factor applied to the direct care hourly wage in the frameworks = 4.7%. Please note, application of the competitive workforce factor is contingent on federal approval from the Centers for Medicare & Medicaid Services. Also see Provider requirements for competitive workforce factor distribution reports.
- Customization for deaf/hard of hearing, requiring signing = $2.50 wage add-on.
- Nursing wages in the residential and day frameworks are as follows: RN wage = $37.41; LPN wage = $20.51.
- Adult day bath is priced at $7.01 per 15-minute unit.
- Meals in adult day services are as follows: $6.07 per meal and $2 per snack.
- Customized living and 24-hour customized living are priced using the Customized Living Tool and do not include the competitive workforce factor component.
- Residential staffing provided through monitoring technology is not eligible for vacation/sick/training or employee-related expense components.
