Waiver Case Management Advisory Working Group

DHS formed the Waiver Case Management Advisory Working Group in July 2026 to advise the Legislature and governor as they transform the home and community-based waiver case management services to evaluate and make recommendations regarding the quality, workforce sustainability, accountability and long-term stability of HCBS waiver case management services provided under Minnesota Statutes, sections 256B.0913, 256B.092, 256B.0922, 256B.49, and chapter 256S.

The Waiver Case Management Advisory Working Group will make recommendations to the Legislature that must address the following:

Evaluate the impact of current funding levels, workforce capacity, administrative requirements and caseload expectations on service delivery and quality outcomes.
Examine accountability and oversight mechanisms and grievance processes across delivery models.
Review available data related to workforce vacancies, turnover, compensation and service access.
Identify barriers to maintaining high-quality and culturally responsive case management services.
Examine case management training requirements and core competencies.
Evaluate client transfer and service continuity processes.
Develop recommendations, including potential legislative or administrative changes, to ensure a stable, accountable and high-quality waiver case management system that supports person-centered planning and informed choice.

Timeline for council activities: July 1, 2026, to Aug. 31, 2027.

Background
Members
Meetings
Get involved
Documents and resources

During the 2026 Session, the Legislature passed and the governor signed Minnesota Laws, 2026 1^st Special Session, chapter 121, article 9, section 53, creating the Waiver Case Management Advisory Working Group.

The working group will meet at least monthly.

The legislation requires the commissioner to submit a report summarizing the working group's findings and recommendations to the chairs and ranking minority members of the legislative committees with jurisdiction over human services policy and finance by Sept. 1, 2027.

Minnesota’s HCBS case management services are provided to older adults and people with disabilities under the following waivers and programs:
Legislators directed the commissioner to appoint members representing diverse geographic regions of the state, including metropolitan and greater Minnesota areas, with at least 30 percent of the members living or working outside the seven-county metropolitan area. Working group members must include:
- Representatives of the Department of Human Services.
- Lead agencies (representatives of counties, Tribal Nations and managed care organizations).
- Contracted waiver case management providers.
- Waiver case managers with current direct service responsibilities.
- People receiving waiver services or their family members or advocates.
- Representatives of disability advocacy organizations.
- Representatives of the Minnesota Disability Law Center.
- Representatives of culturally specific or Tribal communities.
- Workforce representatives with experience in human services.
Information about the advisory working group and who is currently appointed can be found on the Waiver Case Management Advisory Working Group page on the Office of the Secretary of State’s Boards and Commissions website.
We will provide information and meeting materials here for Waiver Case Management Advisory Working Group meetings as they become available.
We will provide more information about community engagement events in 2027 on this page as we plan them.
Documents
- The LTSS Advisory Council is exploring more ideas to reduce how much the state spends on long-term services and supports. This includes disability and aging waiver services and programs, personal care assistance (PCA)/Community First Services and Supports (CFSS) and nursing facilities. You can find more information about the recommendations on the LTSS Advisory Council Additional Recommendations Information Sheet - Sept. 15, 2026 (PDF).
Links