Minnesota Department of Human Services

Monitoring Technology

The Minnesota Department of Human Services (DHS) contracted with HCBS Strategies to help develop policies and procedures for technology used to monitor individuals with disabilities who are receiving Medicaid-funded home and community based services (HCBS). This effort was limited to technology that allows a support provider or caregiver to see (cameras), hear (microphones), or locate (GPS devices) an individual participant.


This effort included the following tasks:

Task 1. Refining the process for reviewing monitoring technology

Task 2. Providing guidance to changes in regulations and amendments to federal Medicaid HCBS waivers that cover monitoring technology

Task 3. Developing a framework for reporting about the use of monitoring technology


This effort resulted in a coordinated process for reviewing monitoring technology between the State, lead agencies, providers, individuals receiving public funds for monitoring technology, and individuals who may be otherwise affected by monitoring technology.

MnCHOICES Comprehensive Assessment

HCBS Strategies developed a Comprehensive Assessment tool and Individualized Service Plan for the Department of Human Services to address the needs of individuals throughout the lifespan, incorporating a strong person-centered component to the choice and planning process. This work involved working extensively with the Division on Aging to adapt the tool to reflect the needs of older adults.


For more details access the project page:


State to County resource allocation methodology for the DD Medicaid Waiver program

HCBS Strategies played a lead role in a collaborative effort with Johnston, Villegas-Grubbs and Associates (JVGA) to design a new county budget allocation methodology for programs serving individuals with MR/RC. The collaboration also included The Lewin Group and AmeriChoice. The overall goal of the project was to design a mechanism that will allow the state to more equitably distribute the budget for individuals with MR/RC across the counties. HCBS Strategies surveyed all 87 counties and conducting more in-depth follow-up with a subgroup of counties to understand how they currently operate the MR/RC 1915(c) HCBS waiver. This information helped to determine which types of budget allocation methodologies are feasible and what infrastructure would need to be created to implement a new strategy.