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Minnesota Reform: Pathways to Independence

State: Minnesota
Waiver Authority:
1115
Status: Approved

Waiver Dates

Approval: 10/18/2013
Effective: 11/01/2013
Expiration: 01/31/2030

Supporting Documents

Approved Application(s) and Related Documents

Date Title
06/25/2025 Monitoring Redesign Overlay Letter (PDF, 2.92 MB)

Administrative Record

Date Title View
10/23/2025 Annual Monitoring Report July 2024 -January 2025 (PDF, 521.74 KB) Comments link not available
10/23/2025 Quarterly Monitoring Report February - April 2025 (PDF, 202.09 KB) Comments link not available
05/07/2025 Annual Monitoring Report July 2023-June 2024 (PDF, 497.58 KB) Comments link not available
05/07/2025 Quarterly Monitoring Report January 2024-March 2024 (PDF, 285.35 KB) Comments link not available
05/07/2025 Quarterly Monitoring Report July 2024-September 2024 (PDF, 192.4 KB) Comments link not available
01/06/2025 State Acceptance Letter (PDF, 147.03 KB) Comments link not available
01/02/2025 Demonstration Approval (PDF, 1.6 MB) Comments link not available
01/02/2025 Quarterly Budget Neutrality Report July - September 2024 (XLSM, 445.64 KB) Comments link not available
08/16/2024 CMS Completeness Letter (PDF, 101.98 KB) Comments link not available
08/02/2024 Extension Application (PDF, 7.29 MB) View Comments for Extension Application
05/30/2024 CMS Approved Final Evaluation Report (PDF, 716.2 KB) Comments link not available
03/12/2024 Quarterly Budget Neutrality Report October - December 2023 (XLSM, 445.2 KB) Comments link not available
02/27/2024 Quarterly Report – October 2023 to December 2023 (PDF, 169.77 KB) Comments link not available
01/03/2024 Budget Neutrality Report - July 2023 - September 2023 (XLSM, 437.28 KB) Comments link not available
11/27/2023 Quarterly Report – July 2023 to September 2023 (PDF, 166.52 KB) Comments link not available
11/03/2023 State Annual Report – July 2022 – June 2023 (PDF, 853.19 KB) Comments link not available
10/31/2023 Quarterly Budget Neutrality Report October – December 2023 (XLSM, 443.85 KB) Comments link not available
10/31/2023 Quarterly and Annual Budget Neutrality Report July 2022 – June 2023 (XLSM, 437.21 KB) Comments link not available
10/09/2023 State Quarterly Report - October 2021 - December 2021  (PDF, 269.28 KB) Comments link not available
06/15/2023 Demonstration Approval – Attachment K (PDF, 1.5 MB) Comments link not available
05/31/2023 Budget Neutrality Report - January 2023 - March 2023 (XLSM, 441.95 KB) Comments link not available
05/31/2023 State Quarterly Report - January 2023 - March 2023 (PDF, 171.5 KB) Comments link not available
04/11/2023 Budget Neutrality Report - October 2022 - December 2022 (XLSM, 444.78 KB) Comments link not available
04/04/2023 State Quarterly Report - July 2022 - September 2022 (PDF, 273.08 KB) Comments link not available
04/04/2023 State Quarterly Report - October 2022 - December 2022 (PDF, 317.68 KB) Comments link not available
09/09/2022 State Annual Report – July 2021 – June 2022 (PDF, 308.06 KB) Comments link not available
09/06/2022 State Quarterly Report – January 2022 – March 2022 (PDF, 228 KB) Comments link not available
04/22/2022 Minnesota Reform 2020 Personal Care Amendment CMS Completeness Determination Letter (PDF, 304.7 KB) Comments link not available
04/08/2022 Minnesota Reform 2020 Personal Care Amendment (PDF, 160.88 KB) View Comments for Minnesota Reform 2020 Personal Care Amendment
01/07/2022 State Annual Report – July 2020 – June 2021 (PDF, 2.89 MB) Comments link not available
01/07/2022 State Quarterly Report – July-September 2021 (PDF, 708.41 KB) Comments link not available
09/27/2021 Approved Evaluation Design State Medicaid Director Letter (PDF, 321.29 KB) Comments link not available
09/27/2021 Reform 2020 Approval (PDF, 836.42 KB) Comments link not available
09/15/2021 State Quarterly Report – January-March 2021 (PDF, 1.11 MB) Comments link not available
04/13/2021 State Quarterly Report – October-December 2020 (PDF, 971.51 KB) Comments link not available
02/12/2021 CMS Letter to State (PDF, 38.66 KB) Comments link not available
12/09/2020 Quarterly Report July-September 2020 (PDF, 608.93 KB) Comments link not available
11/04/2020 State Annual Report – July 2019 – June 2020 (PDF, 1.29 MB) Comments link not available
11/04/2020 State Quarterly Report – April 2020 – June 2020 (PDF, 606.81 KB) Comments link not available
09/18/2020 Demonstration Approval (PDF, 625.64 KB) Comments link not available
06/09/2020 Quarterly Report January-March 2020 (PDF, 626.69 KB) Comments link not available
03/09/2020 State Annual Report - July 1, 2018-June 30, 2019 (PDF, 3.19 MB) Comments link not available
03/09/2020 State Quarterly Report - October-December 2019 (PDF, 1.68 MB) Comments link not available
02/26/2020 State Acceptance Letter (PDF, 1.81 MB) Comments link not available
01/31/2020 CMS Demonstration Extension Approval (PDF, 1.06 MB) Comments link not available
12/10/2019 Quarterly Report July-September 2019 (PDF, 633.36 KB) Comments link not available
11/26/2019 CMS Initial Approval and Temp Extension (PDF, 5.85 MB) Comments link not available
08/21/2019 Quarterly Report April-June 2019 (PDF, 725.51 KB) Comments link not available
08/15/2019 CMS Approved State Final Evaluation Design (PDF, 1.62 MB) Comments link not available
08/12/2019 Quarterly Report January-March 2019 (PDF, 1.46 MB) Comments link not available
08/12/2019 Quarterly Report October-December 2018 (PDF, 422.51 KB) Comments link not available
11/19/2018 Quarterly Report July-September 2018 (PDF, 80.05 KB) Comments link not available
11/15/2018 Annual Report July 2017-June 2018 (PDF, 87.56 KB) Comments link not available
09/27/2018 Temporary Extension Letter (PDF, 439.33 KB) Comments link not available
08/23/2018 Annual Report July 2016-June 2017 (PDF, 1.55 MB) Comments link not available
08/23/2018 Quarterly Report April-June 2018 (PDF, 452.61 KB) Comments link not available
08/23/2018 Quarterly Report January-March 2018 (PDF, 375.23 KB) Comments link not available
08/23/2018 Quarterly Report July-September 2017 (PDF, 440.68 KB) Comments link not available
08/23/2018 Quarterly Report October-December 2017 (PDF, 683.47 KB) Comments link not available
07/31/2018 Temporary Extension Letter (PDF, 440.45 KB) Comments link not available
06/28/2018 Temporary Extension Letter (PDF, 432.44 KB) Comments link not available
03/12/2018 Letter Withdrawing Request for Community First Supports and Services Program Authority (PDF, 71.7 KB) Comments link not available
10/24/2017 Quarterly Report April – June 2017 (PDF, 80.09 KB) Comments link not available
10/24/2017 Quarterly Report January – March 2017 (PDF, 80 KB) Comments link not available
08/07/2017 State Extension Application (PDF, 1.57 MB) View Comments for State Extension Application
08/04/2017 Minnesota Reform Renewal Completeness Letter (08/04/2017) (PDF, 948.42 KB) Comments link not available
04/16/2017 Quarterly Report October – December 2016 (PDF, 80.45 KB) Comments link not available
01/10/2017 Quarterly Report July – September 2016 (1/10/2017) (PDF, 351.63 KB) Comments link not available
01/10/2017 State Annual Report 2015-2016 (1/10/2017) (PDF, 1.07 MB) Comments link not available
06/30/2015 Reform 2020 Annual Report 2014 (06/30/2014) (PDF, 80.49 KB) Comments link not available
12/04/2014 HCBS Compliance Letter (12/04/2014) (PDF, 101.24 KB) Comments link not available
07/16/2014 Long Term Care Realignment Application (PDF, 6.93 MB) Comments link not available
10/18/2013 Public Comment Letters (PDF, 574.65 KB) Comments link not available
11/30/2012 Letter of Acceptance (11/30/12) (PDF, 159.65 KB) Comments link not available
11/21/2012 Realignment 1115 Waiver Proposal (PDF, 2.18 MB) Comments link not available
11/21/2012 Reform 2020: Pathways to Independence 1115 Waiver Proposal (Resubmitted 11/21/12) (PDF, 2.18 MB) Comments link not available
06/18/2012 Attachment L Public Comments on Reform 2020 (06/18/12-07/17/12) (PDF, 5 MB) Comments link not available
02/13/2012 Letter Regarding Long Term Care Realignment Section 1115 Waiver Request (02/13/12) (PDF, 66.19 KB) Comments link not available
02/13/2012 State of Minnesota Long-Term Care Realignment Section 1115 Waiver Proposal (Submitted 02/13/12) (PDF, 6.79 MB) Comments link not available
Public Comments (PDF, 98.19 KB) Comments link not available
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