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Scott County hears detailed briefing on MNChoices delays, waiver changes and provider payment issues
Summary
At its Feb. 17 meeting, the Scott County Board heard a presentation on Minnesota's long-term services and supports system (MNChoices), including assessment delays, DHS prepayment reviews that have paused some provider payments, and an ongoing 'waiver reimagine' process awaiting CMS decisions. Staff and contracted partners emphasized the operational strain and urged clearer state guidance.
At its Feb. 17 meeting, the Scott County Board of Commissioners received an information briefing on Minnesota's long-term services and supports system, focusing on MNChoices assessments, recent DHS payment-review practices and a large waiver amendment awaiting federal approval.
Katie Molica, Scott County quality-improvement lead, introduced a panel of county staff and contracted providers who explained how assessment timing, documentation and federal/state policy changes interact to delay services for some residents.
"Right now, it's an unsustainable system," said Britney Lane, Aging and Disability Services (paraphrase from panel remarks), summarizing presenters' view of the current operating environment as the county adapts to state and federal changes. Panelists said DHS implemented a prepayment review in October intended to improve program integrity; that review has caused some providers to experience delayed payments or to be asked not to provide services while enrollment or billing is reviewed.
Melissa Hurt, a…
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