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
05/07/2025	Annual Monitoring Report July 2023-June 2024 (PDF, 497.58 KB)
05/07/2025	Quarterly Monitoring Report January 2024-March 2024 (PDF, 285.35 KB)
05/07/2025	Quarterly Monitoring Report July 2024-September 2024 (PDF, 192.4 KB)
01/06/2025	State Acceptance Letter (PDF, 147.03 KB)
01/02/2025	Demonstration Approval (PDF, 1.6 MB)
01/02/2025	Quarterly Budget Neutrality Report July - September 2024 (XLSM, 445.64 KB)
08/16/2024	CMS Completeness Letter (PDF, 101.98 KB)
08/02/2024	Extension Application (PDF, 7.29 MB)	View Comments
05/30/2024	CMS Approved Final Evaluation Report (PDF, 716.2 KB)
03/12/2024	Quarterly Budget Neutrality Report October - December 2023 (XLSM, 445.2 KB)
02/27/2024	Quarterly Report – October 2023 to December 2023 (PDF, 169.77 KB)
01/03/2024	Budget Neutrality Report - July 2023 - September 2023 (XLSM, 437.28 KB)
11/27/2023	Quarterly Report – July 2023 to September 2023 (PDF, 166.52 KB)
11/03/2023	State Annual Report – July 2022 – June 2023 (PDF, 853.19 KB)
10/31/2023	Quarterly Budget Neutrality Report October – December 2023 (XLSM, 443.85 KB)
10/31/2023	Quarterly and Annual Budget Neutrality Report July 2022 – June 2023 (XLSM, 437.21 KB)
10/09/2023	State Quarterly Report - October 2021 - December 2021 (PDF, 269.28 KB)
06/15/2023	Demonstration Approval – Attachment K (PDF, 1.5 MB)
05/31/2023	Budget Neutrality Report - January 2023 - March 2023 (XLSM, 441.95 KB)
05/31/2023	State Quarterly Report - January 2023 - March 2023 (PDF, 171.5 KB)
04/11/2023	Budget Neutrality Report - October 2022 - December 2022 (XLSM, 444.78 KB)
04/04/2023	State Quarterly Report - July 2022 - September 2022 (PDF, 273.08 KB)
04/04/2023	State Quarterly Report - October 2022 - December 2022 (PDF, 317.68 KB)
09/09/2022	State Annual Report – July 2021 – June 2022 (PDF, 308.06 KB)
09/06/2022	State Quarterly Report – January 2022 – March 2022 (PDF, 228 KB)
04/22/2022	Minnesota Reform 2020 Personal Care Amendment CMS Completeness Determination Letter (PDF, 304.7 KB)
04/08/2022	Minnesota Reform 2020 Personal Care Amendment (PDF, 160.88 KB)	View Comments
01/07/2022	State Annual Report – July 2020 – June 2021 (PDF, 2.89 MB)
01/07/2022	State Quarterly Report – July-September 2021 (PDF, 708.41 KB)
09/27/2021	Approved Evaluation Design State Medicaid Director Letter (PDF, 321.29 KB)
09/27/2021	Reform 2020 Approval (PDF, 836.42 KB)
09/15/2021	State Quarterly Report – January-March 2021 (PDF, 1.11 MB)
04/13/2021	State Quarterly Report – October-December 2020 (PDF, 971.51 KB)
02/12/2021	CMS Letter to State (PDF, 38.66 KB)
12/09/2020	Quarterly Report July-September 2020 (PDF, 608.93 KB)
11/04/2020	State Annual Report – July 2019 – June 2020 (PDF, 1.29 MB)
11/04/2020	State Quarterly Report – April 2020 – June 2020 (PDF, 606.81 KB)
09/18/2020	Demonstration Approval (PDF, 625.64 KB)
06/09/2020	Quarterly Report January-March 2020 (PDF, 626.69 KB)
03/09/2020	State Annual Report - July 1, 2018-June 30, 2019 (PDF, 3.19 MB)
03/09/2020	State Quarterly Report - October-December 2019 (PDF, 1.68 MB)
02/26/2020	State Acceptance Letter (PDF, 1.81 MB)
01/31/2020	CMS Demonstration Extension Approval (PDF, 1.06 MB)
12/10/2019	Quarterly Report July-September 2019 (PDF, 633.36 KB)
11/26/2019	CMS Initial Approval and Temp Extension (PDF, 5.85 MB)
08/21/2019	Quarterly Report April-June 2019 (PDF, 725.51 KB)
08/15/2019	CMS Approved State Final Evaluation Design (PDF, 1.62 MB)
08/12/2019	Quarterly Report January-March 2019 (PDF, 1.46 MB)
08/12/2019	Quarterly Report October-December 2018 (PDF, 422.51 KB)
11/19/2018	Quarterly Report July-September 2018 (PDF, 80.05 KB)
11/15/2018	Annual Report July 2017-June 2018 (PDF, 87.56 KB)
09/27/2018	Temporary Extension Letter (PDF, 439.33 KB)
08/23/2018	Annual Report July 2016-June 2017 (PDF, 1.55 MB)
08/23/2018	Quarterly Report April-June 2018 (PDF, 452.61 KB)
08/23/2018	Quarterly Report January-March 2018 (PDF, 375.23 KB)
08/23/2018	Quarterly Report July-September 2017 (PDF, 440.68 KB)
08/23/2018	Quarterly Report October-December 2017 (PDF, 683.47 KB)
07/31/2018	Temporary Extension Letter (PDF, 440.45 KB)
06/28/2018	Temporary Extension Letter (PDF, 432.44 KB)
03/12/2018	Letter Withdrawing Request for Community First Supports and Services Program Authority (PDF, 71.7 KB)
10/24/2017	Quarterly Report April – June 2017 (PDF, 80.09 KB)
10/24/2017	Quarterly Report January – March 2017 (PDF, 80 KB)
08/07/2017	State Extension Application (PDF, 1.57 MB)	View Comments
08/04/2017	Minnesota Reform Renewal Completeness Letter (08/04/2017) (PDF, 948.42 KB)
04/16/2017	Quarterly Report October – December 2016 (PDF, 80.45 KB)
01/10/2017	Quarterly Report July – September 2016 (1/10/2017) (PDF, 351.63 KB)
01/10/2017	State Annual Report 2015-2016 (1/10/2017) (PDF, 1.07 MB)
06/30/2015	Reform 2020 Annual Report 2014 (06/30/2014) (PDF, 80.49 KB)
12/04/2014	HCBS Compliance Letter (12/04/2014) (PDF, 101.24 KB)
07/16/2014	Long Term Care Realignment Application (PDF, 6.93 MB)
10/18/2013	Public Comment Letters (PDF, 574.65 KB)
11/30/2012	Letter of Acceptance (11/30/12) (PDF, 159.65 KB)
11/21/2012	Realignment 1115 Waiver Proposal (PDF, 2.18 MB)
11/21/2012	Reform 2020: Pathways to Independence 1115 Waiver Proposal (Resubmitted 11/21/12) (PDF, 2.18 MB)
06/18/2012	Attachment L Public Comments on Reform 2020 (06/18/12-07/17/12) (PDF, 5 MB)
02/13/2012	Letter Regarding Long Term Care Realignment Section 1115 Waiver Request (02/13/12) (PDF, 66.19 KB)
02/13/2012	State of Minnesota Long-Term Care Realignment Section 1115 Waiver Proposal (Submitted 02/13/12) (PDF, 6.79 MB)
	Public Comments (PDF, 98.19 KB)

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