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St. Louis County approves joint powers agreement to designate Bois Forte as lead agency for home‑ and community‑based services

6442464 · October 14, 2025
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Summary

After a multi‑year effort, the board voted to enter a joint powers agreement with the Bois Forte Band of Chippewa allowing the band to operate as a lead agency for certain Medicaid‑funded home and community‑based services for Bois Forte members; county staff will coordinate intake and provide technical support during transition.

St. Louis County commissioners voted Oct. 14 to authorize entering a joint powers agreement with the Bois Forte Band of Chippewa that will establish the band as a lead agency for certain home‑ and community‑based services (HCBS) for Bois Forte members.

The agreement follows about four years of discussions among the band, St. Louis County and the Minnesota Department of Human Services (DHS) about how to expand access to Medicaid‑waivered services on the Bois Forte reservation. Terry McCabe, division director for home and community‑based services in St. Louis County Public Health and Human Services, told the board Bois…

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