Value-Based Payment for Medicaid Disability Services in Minnesota

Mathematica worked with Minnesota’s Department of Human Services (DHS) to explore how value-based payment (VBP) can promote new models of care, services, and reimbursement structures for people with disabilities served by fee-for-service home and community-based services (HCBS) waivers in the state. Mathematica assessed the current landscape for VBP in HCBS in the literature and other state programs. We solicited stakeholder feedback from providers, administrators, and people living with disabilities. Finally, Mathematica and DHS put forth a proposal with a range of VBP options for the state legislature to consider, designed to create sustainable funding and improve quality of HCBS across the state.