Disability waiver rate system unit-based services with programming limits modification

SF 3657 modifies Minnesota's disability waiver payment system for specific services like employment support and home-based care. It changes the billing limits for "individualized home supports with training" and "individualized home supports with family training," replacing daily hour caps with an annual limit of 2,190 hours per service authorization year. The bill also updates payment calculation formulas to include new cost ratios for staffing, administrative expenses, and other operational factors. These changes directly affect providers delivering these waiver services and the individuals receiving them, though the new limits do not restrict access to other disability waiver services provided on the same day. The bill takes effect in 2027, pending federal approval.