Permissible out-of-state billing for certain disability waiver services clarification

Minnesota Senate Bill 3385, introduced by Senator Rich Draheim on April 22, 2025, aims to clarify the permissibility of out-of-state billing for certain disability waiver services. Specifically, the bill directs the Commissioner of Human Services to submit proposed amendments to the Centers for Medicare and Medicaid Services by December 1, 2025. These amendments would include individualized home supports without training, respite, and night supervision in the definition of "direct care staff services." This inclusion would allow these services to be authorized and provided to waiver participants who are either traveling temporarily out of state or attending an out-of-state postsecondary school. ([legiscan.com](https://legiscan.com/MN/text/SF3385/id/3216590/Minnesota-2025-SF3385-Introduced.pdf?utm_source=openai))

While there is no specific media coverage available for Senate Bill 3385, the bill's intent to expand the availability of disability waiver services for individuals traveling or studying out of state is likely to be viewed positively. By clarifying permissible out-of-state billing, the bill aims to enhance the flexibility and accessibility of essential services for individuals with disabilities, potentially improving their quality of life and independence.

No negative media coverage or significant opposition to Senate Bill 3385 has been identified. However, some stakeholders might express concerns about the administrative burden of implementing the proposed amendments or the potential impact on state resources. Additionally, there could be apprehensions regarding the consistency and quality of services provided out of state compared to in-state provisions.