![1 " · , . 11~~ D [}{]Q!Juijiej[Ru](http://data.docslib.org/img/016ad8f90339d20143c6bbea6bf4a013-1.webp)
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp
19{'4
LEGISLATIVE REFERENCE LIBRARY HV98.M6 M46 1998 •;11m1m 11l[l!lii1r111111~i11111~~1~11r 1 " · , . 11~~ d [}{]Q!JuiJiEJ[ru . c...._... I 3 0307 00055 5675 -This booklet is dedicated to all the employees ofthe Department ofHuman Services, past and present, whose many years ofservice to the Department have helped improve the lives ofMinnesotans.
April 15, 1998
1 Preface
The work of the Department of Human Services has a long history in Minnesota, dating back almost to the inception of statehood. From the opening of the State Institute at Faribault in 1863 and St. Peter State Hospital in 1866, to the development and implementation of such programs as MinnesotaCare and the Minnesota Family Investment Program (MFIP), the Department has helped millions of Minnesotans and their families in need. The origins of the Departments programs almost exclusively began with the history of institutions in this State. Over the years, programs have evolved, taking form under the auspices of each successor; the State Board of Correction and Charities in 1883, the State Board of Control in 1901, the Department of Social Security in 1939, the Depart ment of Public Welfare in 1953, and finally under the name of the Department of Human Services, in 1983. Regardless of the title, the charge has remained steadfast, to serve the citizens of this State. This booklet provides a glimpse of our Department and its activities over those many years. Much of the content pre-dates the current employees of the Department, and it is therefore, by nature, limited to what human recollection and documentation still exists. Let this booklet serve as a reminder to us that as we move through the everyday motions of our tasks, we often make history, though at the moment we may not recognize this fact. This booklet is a timeless project, rather than a timely one, as history continually evolves and takes shape. All employees of the Depart ment, as well as the Department as an entity unto itself, have some "ownership" of this document. Over the years, as this work is expanded, it will hopefully grow in scope and be our legacy to the many future generations of employees of the Department of Human Services.
3 I 84 9 Except for private agency I864 School program estab activity, all care for children lished as Institute for Deaf, is the responsibility of local Dumb and Blind (changed units of government. name in 1902 to Minnesota Dependent minors may be School for the Blind and in bound-out (an 1940 to Braille and Sight Governors ofMinnesota indenture program). Saving School). 1901 - Present I 85I Territorial prison, first I866 First Minnesota protective Il7!0I Samuel Rinnah Van Sant Minnesota state institution, law for children. I/4/05 John Albert Johnson established at Stillwater. 9!2Ilo9 Adolph Olson Eberhart St. Peter State Hospital for I 85 8 Minnesota Statehood. the Insane opens in Decem Il5II5 Winfield Scott Hammond ber for 50 patients (19 I2!3o!I5 Joseph Alfred Arner Burnquist I 860 "Town System'' of relief in transfer from Iowa State Il5!2I Jacob Aall Ottesen Preus effect statewide (until 1868). Hospital, where insane I/6/25 Theodore Christianson patients from Minnesota had I 86I Institute for the Education been placed since 1863). Il6/p Floyd Bjornsterne Olson of the Deaf and Dumb 8/24/36 Hjalmar Petersen established. State training school named I/4/37 Elmer Austin Benson the House of Refuge, estab I 862 Legislature authorizes lished in St. Paul, for both Ih/39 Harold Edward Stassen contracts with other states boys and girls. 4/27/43 Edward John Thye for care of the "insane." I/8/47 Luther Wallace Youngdahl Many patients are sent to I 868 "County System'' of poor Iowa for care. 9!27!5I Clyde Elmer Anderson relief administration estab lished statewide, except for I/5/55 Orville Lothrop Freeman I 863 Minnesota State Institute Ramsey County I!2!6I Elmer Lee Andersen for the Education of the (until 1875). 3/25/63 Karl Fritjof Rolvaag Deaf and Dumb opens in Faribault. I/2/67 Harold Le Vander I876 First general adoption law passed, with child Il4!7I Wendell Richard Anderson adoptions processed I2!29/76 Rudolph G. Perpich through district court. If4/79 Albert H. Quie I/3/83 Rudolph G. Perpich I!7!9I Arne H. Carlson 4 I879 Institute for the Deaf, Institute for the Deaf, Dumb Minnesota Department of Public Welfare Dumb and Blind established and Blind at Faribault at Faribault; 1881 Legisla changes name to the Minne ture directs that the School sota School for the Feeble for Idiots and Imbeciles be Minded. connected with the Institute for the Deaf, Dumb and I 88 9 First state reformatory for Blind. In 1887, the school is adults opens at St. Cloud. Minnesota Department of Human Services made a department of the ---' Minnesota Institute for I 890 Fergus Falls State Hospital Commissioners Defectives. Present name, opens (80 patients transfer Faribault Regional Center. from St. Peter). I953 - I955 ]arle Leirfallom I955 - I972 · Morris Hursh Rochester State Hospital I 89 5 First child labor opens (68 patients transfer law established. I972 - I974 Ove Wangensteen from St. Peter). I897 Hospitals may place I974 - I977 Vera Likins St. Peter Hospital for the illegitimate children left in I88o I977 - I978 Edward Dirkswager, Jr. Insane burns (27 patients their care, and consent to die). their adoption. I979 - I982 Arthur E. Noot
I 883 First central state agency, Minnesota State Hospital for I983 - I986 Leonard Levine the Board of Corrections Crippled and Deformed I987 - I989 Sandra S. Gardebring and Charities established "to Children established in St. prevent irregularities in State Paul as a unit within Ancker I989 Charles C. Schultz (Interim 5/89-9/89) Institutions" (in 1893 given Hospital. In 1926, name powers of "visitation" of changed to Gillette State I989 - I990 Ann Wynia societies for children, but Hospital for Crippled I99I Charles C. Schultz {Interim Il9I) not licensing ) . Children. Transferred to Gillette Hospital Authority I99I - I993 Natalie Haas Steffen I885 State School for Dependent in 1973. . Children established at I993 - I996 Maria R. Gomez Owatonna. Later called State training school I899 I996 John Petraborg {Acting 7/96-I0/96) Owatonna State Schqol, moves from St. Paul to closes in 1970. Red Wing. I996 - Present David S. Doth
Importation of children laws enacted. 5 Did You Know. •• ? I900 Anoka State Hospital opens I906 Minnesota School for I9I2 Willmar State Hospital The 1860 United States census far (I 15 patients transfer from Feeble-Minded at Faribault opens, the first state hospital Minnesota showed that 14% ofdeaths St. Peter). becomes the Minnesota to serve as a treatment center were due to ''consumption" School for the Feeble for alcohol and drug addic Hastings State Hospital Minded and Colony for tion. First named the (tuberculosis). The Minnesota State opens (115 patients transfer Epileptics. Hospital Farm fo~ Inebriates. Board ofHealth reported 20,000 deaths from St. Peter). in Minnesota from Tuberculosis from New state prison completed 1887 through 1899. The high death I907 State tuberculosis sanita at Bayport. rate was due, in part, to immigration of I90I Second central state agency, rium opens at Walker. Tuberculosis patients to Minnesota. In the State Board of Control, First county tuberculosis 1903, the Minnesota State Tuberculosis succeeds the Board of A private program of alcohol sanitarium opens (St. Louis Corrections and Charities. treatment operating in County). Commission declared. .. "it is in other Willmar for Great Northern words a curable disease. In the State of I905 Juvenile Courts established Railroad employees, ex I9I3 County Allowance to Minnesota its ravages are on the in Ramsey, Hennepin, and pands. This railroading mothers law enacted (fore increase ... the most successful means of St. Louis Counties. family, which itself has an runner to Aid to Families dealing with this disease will be through alcoholic son, agrees to with Dependent Children the establishment ofsanatoria." donate land to the State, on (AFDC)). the condition that it estab lish a Hospital there for the Workmen's Compensation treatment of inebriates. The Law enacted. Legislature authorizes a 2% tax on liquor licenses to I9I7 Children's code of laws finance the building and adopted by Legislature. maintenance of this facility, the Willmar State Hospital. Mental Retardation Guard ianship Act established. I909 Juvenile courts established in all counties. I920 State Reformatory for Women established at I9II Home School for Girls Shakopee (formerly women opens at Sauk Center (first were confined at State Prison separation of boys and girls for Men). to separate institutions).
Gillette State Hospital opens State School for Girls, Sauk Center - Circa 1915 in East St. Paul. 6 I923 State services for the blind I939 Third central state agency, established . the Department of Social Security, established as • I933 State Emergency Relief successor to State Board of Administration established Control. Composed of three • (state counterpart to Federal divisions: Social Welfare, • Emergency Relief Adminis Public Institutions, and ,. tration). Employment and Security. I935 Congress enacts the Social I94I County welfare merit 7 IF Did You Know. •• ? I95I First Youth Conservation Welfare and Public Institu I958 Brainerd State School and The archives ofFergus Falls State Commission forestry camp tion Divisions. Employ Hospital for Mentally Hospital reported amongst their first established at Willow River. ment-Security is established Retarded opens. The first 88 patients; 40 farmers, 25 laborers, a as a separate department. patients were transfers from blacksmith, baker, bricklayer, carpenter, County operated nursing Aini of consolidation is to Faribault State Hospital. homes for aged authorized. achieve "functional align tailor, shoemaker, sailor and a tramp. ment of institutions with I9 59 Chemical Dependency The various causes ofemotional I953 Aid to the Disabled pro operating divisions in the Program established at disturbance listed in their records gram established, effective central office organization, Moose Lake State Hospital. included; disappointment in love, death January 1954. Grants to plus greater coordination of ofa wife, overwork, solitude, fright, recipients include payment institutional activities with New Juvenile court code epilepsy, financial troubles, head injury, for maintenance and medical the county welfare boards adopted. Child adoptions needs. and their important direct heredity, intemperance, and typhoid through Juvenile Court services to people entering or when judge is a lawyer, fever. Fourth central state agency leaving state institutions." otherwise through District established. Newly named Court. Department of Public I955 Lake Owasso Annex (to Welfare (D PW) succeeds the Cambridge State Hospital) Department of Corrections State_ Department of Social established for mentally established, combining Security and consolidates the retarded childreµ. Trans responsibilities of Youth duties of the former Social ferred to Ramsey County in Conservation Commission, 1976. State Board of Probation and Parole, and responsibilities I956 Family Rehabilitation of Department of Public Method launched (first Welfare for adult prisons, known as Reorientation jails and lockups. Project). Juvenile probation services I957 Community mental health required in every county (by centers authorized (with counties or through Division state subsidy). of Youth Conservation of the new Department of Correc Deaf Service Division tions). established in the Depart ment of Public Welfare. Legal responsibilities of county welfare boards in behalf of children restated Band at Boy's Training School, Red Wing - Circa 1920 and strengthened. 8 i96I Former Tuberculosis among other programs, sanatoria, Ah-Gwah-Ching creates community action '"11!1111 and Oak Terrace, convert to agencies and legal services State Geriatrics Facilities for the poor, and creates • (nursing homes) effective work experience and training January 1, 1962. Tuberculo programs. Also established is I ~is patients transfer to Glen the Food Stamp Act of Lake. 1964. I I I :41111 Minnesota Children's Treat I I965 Federal Title XIX and I ment Center at Glen Lake XVIII, Social Security Act I opens. Closes in 1963. passes. Establishes Medical I Assistance and Medicare. r r Day care centers for the [ mentally retarded are opened Ramsey county begins first Staffat Faribault - Circa 1890 I as a pilot project. pilot Food Stamp program. I I Did You Know. .. ? I'd Hennepin county begins I963 State Residential Treatment Adolescent Treatment Unit In the late 1800 sand early 1900 s I Food Stamp program. Due r Center for Emotionally established at Willmar. Minnesota was actively promoted as a to convoluted legal issues Disturbed Children opens at "health resort" with healthful air and I surrounding federal and state Id Lino Lakes. I966 Minnesota is the third state climate, and immigration was jurisdiction to certify recipi I to get its Medicaid state plan I ents and distribute stamps, encouraged. A state sponsored Owatonna State School approved. Plans from other I local banks are contracted to commissioner ofemigration was in New I amended to allow admission states were much more perform this service. The York, as early as 1855, to promote I without guardianship restrictive. Medical pay first Food Stamp coupons I proceedings. ments removed from the Minnesota. The 1867 Legislature are sold in Hennepin county r Old Age, Dependent Chil appropriated $ 10,000 to use in I at the main office of the First I964 Medical Assistance for the dren, Aid to Disabled and promoting Minnesota as a health resort, I National Bank of Minneapo I Aged (MAA) program Blind programs and persons and created a Board ofImmigration. lis on August 1, 1966. Both r established (Federal Kerr eligible for these programs I public assistance and non Mills Act). are granted automatic public assistance households r eligibility for Medical I participate in the program, President Lyndon B. Assistance, in addition to [ with public assistance I Johnson launches his "war certain "categorically related" households receiving "bo on poverty'' with the passage · individuals. r nus" coupons (100% feder I of the Economic Opportu ally funded). r nity Act of 1964, which I f I 9 Did You Know. •• ? I967 Institutions for Mentally Fergus Falls State Hospitals Fergus Falls State Hospital A published account in the Anoka Retarded at Faribault, over a two-year period. designated as a facility for Herald ofthe first pati~nts to be Cambridge and Brainerd treatment of alcohol and admitted to Anoka State Hospital designated as state hospitals. State and local Aid to drug abuse. Families with Dependent indicated that... "J 00 patients were State participation in cost Children-CW Care Advisory I97I Alcohol and drug abuse brought to Anoka from St. Peter on of-care for mentally retarded Committees established to programs established at Wednesday morning. They are a very children outside their own meet requirements of the Anoka, Brainerd and St. likely looking lot ofindividuals and will homes and state institutions Title IV provision of the Peter State Hospitals. probably give little trouble. They left established. 1967 Amendments to the St. Peter at 4:00 a. m. and came Social Security Act. State participation in cost through special cars. They are I968 Hastings State Hospital of-care for emotionally establishes an alcohol and Initial adult foster care rule handicapped children incurables, all men, and were drug abuse program. drafted on county certifica outside their own homes and accompanied by nine nurses and one tion of homes (Rule 5 1). state institutions established. doctor. The patients conducted Work Incentive Program themselves with decorum in the dining begins (WIN). I970 Aid to the Disabled pro Emergency Assistance to room at their first meal. " gram extended to eligible Families with Children I969 Mental retardation pro residents of State Facilities program established. grams established at St. for the Mentally Retarded. .. Peter, Willmar, Moose Lake, Rule 51 on adult foster care ., Hastings, Rochester and Owatonna State School county certification adopted. closes. Students not return Division of Retardation II' ing to the community Services established in the transfer to the Minnesota Department of Public Wel Learning Center at Brainerd fare, pursuant to state law. State Hospital. Public drunkenness decrimi Minnesota Residential nalized in Minnesota. Treatment Center trans ferred to the Anoka State I972 Minnesota Residential Hospital. Lino Lakes Treatment Center at Anoka Facilities transferred to State Hospital closes. Minnesota Department of I Corrections. United States Department of Agriculture (USDA) Food Stamps established nation General Hospital at Faribault- Circa 1900 wide. JO I r W ,.,41 - • Aids and services separated Responsibility for Gillette at the federal level, man Children's Hospital removed • dated in Minnesota effective from State Department of January 1973. Public Welfare and trans ·• ferred to Gillette Hospital ·sta In response to federal gov Authority. ·- ernment changes in the • Social Security Act and the Right to treatment in state development of Medicaid hospitals established by law. • payments for nursing homes, • a· centralized cost-based General Assistance (GA), reimbursement rate-setting with state participation, system (Rule 49 and Rule established. Includes provi 52) is developed. Rule sion of work relief program Boys dormitory and school at Red Wing - Circa 1910 • involves projected cost and abolition of township system of relief. i~creases plus historical cost-based, and involves Did You Know••• ? costs. projected cost increases plus The establishment ofthe State Board of System of family allowances historical costs. Control in 1901 created quite a stir (flat grant) established in Aid Welsch lawsuit filed d;;timing amongst State Hospital staff, who constitutional right to to Families with Dependent Funding of community underwent a major reorganization, and Children program. treatment for mentally based residential Intermedi subsequent wage and staffcuts. The St. retarded persons. ate Care Facilities for the Conversion of adult catego Peter Herald implored the Governor to Mentally Retarded autho ries (OM, APTD, AB) to Changes made in nursing rized under Title XIX, ''come down and look the situation over, federal programs of Supple home reimbursement Medical Assistance. in justice to the employees at least, and mentary Security Income systems, after nursing home determine whether or not there are not (SSI). scandals receive national Community Services Act 14'~ departments in the public service where exposure . passed. Rule 52 centralizes the rate better economy can be practiced, " • setting and reimbursement adding that "if the Governor believes I973 State participation in costs Human Services Act passed. of county welfare adminis processes for community that a trained cook is only worth 70 trative costs established. based Intermediate Care cents a day.... he has placed a very low Facilities for the Mentally estimate upon good and efficient Retarded programs. Rule is services. 11 Did You Know. •• ? I973 cont. Adult Psychiatric Rehabilita building to 690 Robert St., The essentials ofthe chemical Legislation permits develop tion unit opens at Willmar. in St. Paul. ment of Human Services dependency treatment program at Boards. Willmar State Hospital in 1912 I974 United States Department · I9 75 Rochester State Hospital of Agriculture Food Com establishes a chemical consisted ofi plenty ofoutdoor work, Crippled Children's Services modity Program abolished. dependency program. regularity ofhabit, discipline, proper transferred to the State Department of Health. food, and recreation. The Willmar Minnesota Supplemental Title IX Social Security Act program states that... «once alcohol gets Aid (MSA) Program passed enacted. State authority on alcohol and the better ofa man, there is no halfway by Legislature. Financial drug abuse created in the assistance for aged, blind and Child Support Enforcement. measure he can take.... he must abstain Department ofPublic Welfare. disabled. Social Security Act entirely or he will drink heavily. .. Many Title IV-D. Long-term care first estab fail in treatment because they do not Early Periodic Screening lished under Medical Assis gain a true insight into their condition Diagnosis & Treatment General Assistance Medical i tance Central Disbursement. and are unwilling to admit, even to (EPSDT) established. Care (GAMC) program themselves, that they cannot drink enacted. Comprehensive Employ Welch vs. Likins. Mentally temperately as some others can. " ment and Training act of retarded persons have a Minnesota Governmental 1973 (CETA). constitutional right to Data Practices Act (Data Medical Assistance Central treatment. Community Privacy) becomes law. • Disbursement System facilities for the Mentally established. Retarded. I976 The legislature enacts the Nursing Home Rate Equal • American Indian Chemical ization Law, requiring that Dependency Section created. private pay resident rates not •- exceed the daily rates of - Minnesota's first Medicaid Medical Assistance residents, - Management Information for comparable services. ~ System (MMIS) certified by Charges for private pay ~ the federal government. residents in private rooms are exempt. This, as well as Medical ID cards issued to a resident bill of rights, are recipients for the first time. adopted to prevent discrimi nation in nursing homes. Medical Assistance program staff and Systems Division Refugee Assistance program moves from the Centennial established Tubercular Building at St. Peter- Circa 1920 12 • I977 Minnesota School for the Regional Service Centers for Deaf and Braille and Sight hearing Impaired People Saving School transferred to established. Minnesota Department of • Education . Income Maintenance Bu • reau, Systems and Data P~rsonal Care Attendant Reimbursement move from (PCA) Program established 690 N. Robert St. to 444 Lafayette Road, in St. Paul. ·~ at DHS. I978 Hastings State Hospital Automated benefit recovery closes. Facilities transferred system established for to Veterans Affairs. income maintenance .. 117 University Ave. Department ofPublic Welfare Offices I979 Community Social Ser Hearing Impaired Services Act passed. vices Act passed. Consoli Federal Omnibus Budget Did You Know. •• ? dated categorical state grants and Reconciliation Act An influenza outbreak which affects the for community mental Welsch consent decree (OBRA) of 1981 enacts entire U.S. in the early 1900 skills 32 approved by U.S. District health centers, alcohol, drug significant changes to Aid to Court. patients and one staffmember ofSt. abuse, mental retardation Families with Dependent Peter State Hospital in 1918, and 176 and child care services, plus Children program. Grant Federal Adoption Assistance patients at Anoka State Hospital in federal Title XX Social budgets now include a gross and Child Welfare Act Services funds combined income test, limitations on 1920. passed. into block grants to county work expenses, limitations boards. on earned income disregards, In 1943, due to war-time conditions, I98I Pre-admission screening of and retrospective budgeting, Faribault was asked by the Naval Air I980 Ah-Gwah-Ching and Oak long-term care facility amongst other changes. Station in Minneapolis to serve as a Terrace designated nursing admissions begins on pilot basis. weather observation post, sending homes rather than TB I982 New facility for Minne warning ofapproaching storms. sanitoriums. sota Security Hospital opens Federal Alcohol and Mental at St. Peter. Refugee Act authorizes Health Block Grant created, replacing previous categori admission of refugees under Rochester State Hospital same definition used by the cal grant programs. closes. United Nations and provides for cash and social services State employees (AFSCME) assistance. strike lasting 21 days. i 13 Did You Know. •• 1 I982 cont. Pre-admission screening Property component of Programs andfacilities offering Medical Assistance waiver program implemented Permanent Rule 50 estab chemical dependency treatment began approved to provide home statewide to assess individual lishes prospective payment system reimbursing nursing adapting to programs for the mentally and community services to need for nursing home persons over 65 who would placement. homes based on rental ill, due to the fact that by 1919 more otherwise be in nursing formula. than 30 states had adopted Prohibition homes. Minnes9ta Emergency laws ofsome sort and were "dry" states. E~ployment Development Medical Assistance waiver Shortly before the enactment ofnational Title XX Social Security Act (MEED) program provides approved to provide home prohibition, it was assumed that becomes block grants. three months of benefits to and community services to treatment for "inebriates" would no employable persons. persons with mental retarda tion or related conditions longer be necessary. I983 Nursing h9me reimburse ment (Rule 49) is repealed, Drug and Alcohol Abuse who would otherwise be in and a temporary rule (Rule Normative Evaluation an Intermediate Care Facility 50) adopted. Work begins System (DMNES) initiated. for the Mentally Retarded. on a new system which will contain costs, make rates Medicaid Fraud Control Minnesota Department of prospective, improve access Unit established under the Public Welfare (DPW) to facilities, establish a fair Office of Attorney General. changes name to Minnesota rental rate for property Department of Human costs., and utilize a case-mix Interagency Board for Services (D HS). methodology. Quality Assurance estab lished. Department establishes a centralized rulemaking As part of long-term care function. cost containment efforts, the Nursing Home Moratorium U.S. Court of Appeals for Law is passed, which places a the Eighth Circuit upholds moratorium on Medical the Nursing Home Rates Assistance certification of Equalization Law. new nursing home beds. General Assistance/Work I984 Medical Assistance eligi Readiness program begins. bility for pregnant women (MA-PW) established. Centennial Building-1959 14 Child Support Enforcement I985 State Hospitals renamed amendments move IV-D Regional Treatment Centers objectives from revenue (RTCs). producing, to service oriented program with Case mix and fair rental services provided to children. components of permanent Requires child support Rule 50 established; elimi payments through manda nates incentives to sell tory withholding and tax facilities, sets cost limits, refund interceptions, and improves access and estab expedites process. lishes prospective rates. Public Welfare Licensing Act Regional Service Centers for amended to require state hearing impaired people are Foster grandparents at Faribault - 1967 licensure of adult foster care. consolidated under the Department of Human Nursing home moratorium Did You Know. •• ? Rule 52 repealed and a Services Deaf Services law expanded to include In 1921, the Legislature added two new temporary rule (Rule 53) Division. moratorium on licensing of members to the Board ofControl (the passed, which establishes a new nursing home beds. prospective, facility-based Medical Assistance waiver early predecessor ofthe Department of approved to provide home Human Services), both women. This payment system to reim The Social Service Time and community services to burse Intermediate Care Study (SSTS) ~rst imple was in recognition ofpolitical rights persons who would other Facilities for the Mentally mented in county social won by women, and was the first Retarded for Medical Assis wise live in a hospital. service agencies to claim instance in Minnesota's history were tance services. federal administrative women were so honored. Prepaid Medical Assistance reimbursement for Medical Project (PMAP), a managed Federal Deficit Reduction Assistance, Title IV-E, and care demonstration, estab Act (DEFRA) of 1984 Aid to Families with Depen lished in Hennepin, Itasca, passed, provides employ dent Children. ment incentives by increas and Dakota counties. ing budget disregards for Work Readiness authorized. Minnesota Council for the employment income of Aid Employable persons receive to Families with Dependent Hearing Impaired estab 2 months benefits per year, Children recipients (still less lished. but could get an additional liberal than pre-OBRA 81 '). 4 months if employment not secured in the first 2 months. 15 Did You Know. •• 1 I985 cont. First Department of Human I987 Cambridge and Faribault A ''study" conducted in the 1920's ofthe Legislature authorizes Services licensing rule Regional Treatment Centers first 4,000 children who were ''trained" Department to establish specifically developed for day begin State Operated Com- at state schools ''showing what progress seven community residential training and habilitation munity Services (SOCS) as a group home facilities for programs emphasizing pilot project. has been made by those who reached the Developmentally Disabled community work placement age ofself support and what degree of persons on a pilot basis, each for persons with mental Legislature authorizes success they have attained, " indicated of which will serve persons retardation. transfer of Faribault Re- the followtng; of2,407 boys ... ''doing receiving Home and Com gional Center grounds to well, 1,506; doingfairly well, 502; munity-based waivered Telephone Assistance Plan Minnesota Correctional doing poorly, 252; died, 147. "Ofthe services. (TAP) established to assist Facility, conversion begins. 1,594 girls studied... ''doing well, elderly and disabled people, Consolidated Chemical whose incomes are at or Governor transfers tempo- 1,047; doingfairly well 272; doing I986 Dependency Treatment below 15 0% of federal rary control of the Minne- poorly, 182; died, 92. " s Fund established combining poverty guidelines, with sota Veterans Home in Medical Assistance, General their telephone bills. Hastings and Minneapolis to Assistance Medical Care, the Department of Human state hospital, and federal Permanent Rule 53 promul- Service. and state grants for Chemi gated, establishes the cur- cal Dependency treatment rently used prospective, Department of Human into one fund administered facility-based Intermediate Services begins licensing of II by counties and Indian Care Facility for Mentally adult day care centers and reservations. Retarded payment system. adult foster homes. • w, State takes over county The Telecommunications income maintenance costs. Access for Communicatively it Impaired Persons (TACIP) First of seven pilot group Act becomes law. homes for Developmentally Disabled persons opens in Combined Permanent Rule Byron, Minnesota. Subse- 50 implemented, merging II quent homes open in property and case mix Braham, Dodge Center, payment systems for reim- Faribault, Farmington, and bursing nursing homes. i Moundsview (2). Alternative Care Grant (ACG) services expanded to i- those at risk of boarding care Willmar State Hospital- 1959 home placement. i 16 Medical Assistance waiver Major portions of the approved to provide home Department move from and community services to Centennial Office Building persons under 65, who to 444 Lafayette Rd. would otherwise be in a nursing home. Invoice processing is trans ferred from Systems Division Rule 25 (statewide chemical to Health Care Operations. dependency assessment and placement criteria) promul Nursing home therapy law gated. passed, establishes maximum rent, peer review program, Rule 203 on adult foster care treble damages penalties, promulgated and Rule 51 and prior authorization repealed. This means state authority. licensure. I988 Regional Treatment 18 not eligible for Medical Did You Know. •• ? Negotiated settlement of Center chemical dependency Assistance without a A typical menu in a residential unit Welsch v. Gardebring treatment programs begin spenddown - funded from during the "lean" Depression years approved by U.S. District operations under a competi Public Health Fund cigarette included such items as; tax. Enrollment fee is $25 Court. tive model with the imple Breakfast: cooked cereal, bread with mentation of the Consoli per year. Karo syrup, fruit sauce, coffee, Mental Health Division dated Chemical Dependency established in law. Treatment Fund. Medical Assistance for sugar (1 tsp.). pregnant women and chil Dinner: soup, gravy, bread, milk. The Comprehensive Mental Legislation transfers control dren under age one estab Supper: vegetables, pudding, bread, Health Act adopted. of the Veterans Home to a lished at 18 5 % of poverty 1 tsp. Butter, coffee/tea. newly created Veterans with no asset limit. (Often meat was reserved for only those Amerasian Homecoming Board. who were working). Act. PATHS employment and Children's Health Plan training program for Aid to The Division for the Men (CHP) established for Families with Dependent tally Retarded renamed to primary and preventive care Children recipients begins. the Division for Persons with services for children under Developmental Disabilities. 17 Did You Know. •• ? I988 cont. Work Readiness eligibility I989 Development begins on In the 1930's one ofthe charges ofthe Minnesota Medical Assistance changes to 6 months per Developmentally Disabled Children's Bureau were duties ofa state plan changed to disregard year. (DD) Intermediate Care "general protective nature... designed to parental income and assets, Facilities for Mentally protect children from their own anti when determining eligibility for New Long-Term Care Retarded State Operated social conduct or the harmful acts of disabled children. payment system installed. Community Services, as adults .... " Such laws included those; legislatively authorized. "requiring juveniles under eighteen Legislation passed authoriz Department of Human years ofage to be tried for their ing implementation of the Services consolidates its Compulsive Gambling delinquencies in juvenile court; laws Intermediate Care Facility metropolitan offices into the Treatment program begins. requiring children to attend school and for Mentally Retarded Human Services building at which prohibit their employment in Medical Assistance payment 444 Lafayette Rd., St. Paul. STRIDE employment and industry at an early age; laws relating to system based on client training program sex offenses against young children and resource use beginning The Department of Human (Minnesota's federal JO BS girls under the age ofeighteen years; 1990. Services building at 444 program) implemented for laws regulating dance halls, pool rooms Lafayette Rd. becomes Aid to Families with Depen and other places ofcommercialized Family Support Act moves smoke-free. dent Children recipients. recreation; the law providing for the IV-D philosophy to that of establishment ofthe paternity of neutral, non-adversarial Jarvis v. Levine case estab Children Mental Health Act children born out ofwedlock, and the guidelines, review, modifica lishes that committed adopted. county allowance ( mothers' pension) law tions, and performance mentally ill patients have the for dependent children. " standards. right to due process in the Regional Treatment Center court system when refusing stakeholder negotiations treatment with antipsychotic culminate in the creation of medication. It also estab a consensus document lishes the State obligation to ("single text"), a passage of ensure that persons consent legislation intended to guide ing are competent to give restructuring of the state consent, or to obtain a operated services system legally authorized representa through 1999 (10-year tive or guardian to represent plan). the individual. Combined Application Form (CAF) implemented state wide. Clients complete one form to have eligibility determined for all cash, food Moose Lake State Hospital- Circa 1972 stamp, and medical programs. 18 II Cross program training for MAXIS pilot begins. all county financial workers to prepare for MAXIS and Department issues Com • the Combined Application bined Manual (CM) for all Form. cash, food stamp and medi • cal programs. Congress authorizes Minne • sota to test the Minnesota Prepaid Medical Assistance Family Investment Program Program expands to remain (MFIP) . der of Hennepin County populations. I990 First Faribault Regional Center buildings transferred Work Readiness eligibility Fergus Falls Centennial - 1990 to the Department of expanded to year-round Corrections, as required by benefits for employable (MMIS-11) system. Did You Know••• ? legislature, directing the • persons. The patient cost ofcare for the development of a "shared" Indian Health Services biennium ending 1932 at Walker campus. Unique medical ID cards (IHS) become providers for Sanatorium was $ 1. 40 per day. ·• first issued to restricted General Assistance Medical Eligibility for Refugee Cash recipients by the depart Care. and Medical Assistance ment. Dairy products were believed to add a limited to the first eight Automatic eligibility for healthy, healing dimension to the diet of months after arrival in the STRIDE coding integrated newborns of Medicaid all patients, regardless ofaffliction. The U.S. into the Case Information eligible mothers and waiver biennial report ofthe Minnesota School System (CI file). of medical support coopera and Colony for the period ending June Refugee Services moves to tion requirement for preg 1950 reported that "many changes had contracting for self-suffi MAXIS cross reference nant women enacted been made in the culinary ciency outcomes. interface developed and through OBRA. implemented to record department... Butter is served three Minnesota Supplemental person master-index (PMis) times daily, thus insuring each patient Assistance (MSA) changed on the Ca~e Information file. one ounce plus amount used in cooking to a two-tiered standard daily. Ice cream is a weekly food. Milk (shelter and basic needs) Consultee awarded ~endor has been added to all bread...... Patients instead of a standard based contract and begins develop on county variances. ment of Minnesota Medic receive an average ofapproximately one aid Information System quart ofmilk per day. ... " 19 Did You Know••• ? I990 cont. Medical Assistance and Medical Assistance begins 1935 - A news flash .from the Duluth Medical Assistance eligibility General Assistance Medical coverage of case manage Herald informed local citizens that changes: children ages 1-5 Care prenatal and infant care ment for severely emotion Governor Floyd B. Olson had with incomes less than required to be included in ally disabled children and announced that the legislature had 133% of federal poverty the Children's H~alth Plan payment of case manage selected Moose Lake as the site for the guidelines (FPG) and outreach materials, along ment travel. new State Hospital Local citizens children ages 6-7 born after with mental health services. gathered in the downtown for a 9/30/83 with incomes less Department begins financ spontaneous celebration, while the ci-ty than 100% of federal pov Centralized issuance of ing the county share of fire siren blew steadily for 15 minutes. erty guidelines are eligible, benefits piloted with income maintenance and Later, a lawsuit was filed by the City of Medical Assistance uses MAXIS. Daily accounting medical programs. Virginia. The city attorney for Virginia Supplemental Security activities move from coun declared the choice was Income and Aid to Families ties to the central office. The Department adopts a "unconstitutional because Moose Lake with Dependent Children diversity plan, which was methodology for income and The Oak Terrace Nursing developed by the Workgroup didn't meet requirements, and Virginia I99I assets, homesteads excluded Home closes operations, and for Multi-Cultural Diversity, had so much more to offer. " After as assets for specific catego the leased property is trans to focus on cultural compe several months oflegal wrangling and ries of siblings and children, ferred back to Hennepin tency and diversity in the court hearings, the Minnesota Medical Assistance standards County and subsequently workplace. Legislature validated the original bill set for qualified working demolished. authorizing Moose Lake as the site of disabled and disabled adult Medical Assistance eligibility choice, and the lawsuit was dropped. children. Court order settled Berg et changes: children ages 6-18 al. v. Wynia and Sullivan born after 9/30/83 with (class action lawsuit regard incomes less than 100% ing administration of $50 FPG eligible, children born pass through). after 1/ 1/91 remain eligible for Medical Assistance Senior Linkage information without redetermination and assistance toll-free line until their first birthday if implemented statewide. the mother was on Medical Assistance at time of birth, Minnesota Legislature disregard RSDI benefits approves Minnesota Family until Medicare Part A Investment Program model. eligibility begins for disabled widows and widowers age 50+ who receive widow(er)'s DHS Staffat employee recognition lunch - 1990 20 i RSDI benefits and who had General Assistance Medical Supplemental Security Care eligibility minimum Income or Minnesota age set at 18 years. Supplemental Aid immedi ately prior to RSDI, allow Medicaid Drug Rebate program $90 veterans pensions as implemented as a result of personal needs allowance for OBRA 90' legislation. veterans who do not have a spouse or dependent in the A classification structure for community, German repara social services, BRASS, is tion payments not applied to implemented. BRASS links cost of care but allowed as a planning, budgeting, report deduction from income ing, and accounting. when computing long-term care spenddowns, formula Child Support Enforcement DHS "Cheer Team" at International Special Olympics-1991 for Medical Assistance System (CSES) fully imple Implementation of penalties parental fees amended mented in all 87 counties. Did You Know. •• ? for counties and Health resulting in a reduction in A sensational «breakout" took place at Maintenance Organizations fees for higher income Clients required to reim the Asylum for the Dangerously Insane who fail to investigate and parents. burse the cost of Medical ward ofSt. Peter in June of1936, when respond to Medicaid eligibil Assistance services provided 16 inmates using arms and legs ftom ity for General Assistance Special transportation during a pending appeal Medical Care and Children's chairs and tables pried opened windows services eliminated for non decision if county action is Health Plan recipients, and and overpowered guards. The National IMD General Assistance affirmed. infants of women on Prepaid Guard was called out by the Governor Medical Care recipients. Medical Assistance. New application imple to aid in the search for the escapees. Elderly Waiver (EW) asset and mented for pregnant women «Gang Busters," a favorite crime series MAXIS fully implemented income splitting policies and children when applying ofthat era, dramatized the story ofthe in all 87 counties. Eligibility implemented, designed to for Medicaid only. breakout, which aired on WCCO radio determinations and benefit prevent impoverishment of an issuance centralized state the evening ofAugust 10, 1936. elderly waiver recipient's spouse Counties with Federally wide. living in the community. Qualified Health Centers (FQHC's) and DPA hospi Level of care determination Work Readiness eligibility tals must accept and process for TEFRA children made restricted to 5 months per Medical Assistance-only by the State Medical Review year (7 months for function applications for pregnant Team. ally illiterate). women and children at those locations. 21 ~,i Did You Know. •• 1 I992 Fraud Prevention Investi special rate provisions for not used as a home was On Halloween eve in 194I, in a gation (FPI) program pilot moratorium exception excluded for up to 9 months ceremony witnessed by over a I, 000 in 7 counties. Program projects. if a prepayment agreement persons, then Governor Youngdahl lit a focuses on early fraud was ·signed. Property now bonfire consisting of359 straight detection and timely case Legislation passed allowing considered unavailable if an jackets, 196 cuffi, 91 straps and 25 actions, for grant programs. Medical Assistance recipients effort to sell is verified. All canvas mittens .from the wards at Anoka eligible for one-month existing prepayment agree State Hospital and declared that... Legislature sets April 1994 automated spenddowns to ments prior to 9/92 nulli "these restraints were removed.from the Minnesota Family Invest prepay the spenddown fied. patient, not by administrative coercion ment Program field trial amounts directly to the local but by the enlightened superintendent, date. county agency. Legislation requires counties staff, employees and volunteer workers to evaluate transfer of assets r, ofAnoka State... " Over the next several Department of Human Commissioner's Child to irrevocable trusts, annu years, Governor Youngdahl launched a Services awarded planning Support Advisory Board ities or other irrevocable campaign to improve conditions and grant from Robert Wood formed. instruments to determine practices related to the mentally ill. His Johnson (RWJ) Foundation periods of ineligibility when efforts were highlighted in articles to design and develop the Implementation of Group transfers were done for appearing in the Ladies Home journal Minnesota Senior Health Residential Housing (GRH) purposes of achieving ofMay 1951, and Life Magazine of Options (MSHO) project. Program (from Minnesota Medical Assistance eligibil November 12th, 1951. Supplemental Assistance and ity. Trust clauses making MinnesotaCare Program General Assistance). assets or income unavailable established by Legislature, an are considered unenforce expansion of the Children's Departmental Task Force for able; assets and income of Health Plan (CHP), begins Diversity appointed. the trust are counted as enrollment of parents and available to the applicant/ dependent siblings if chil A$ 100,000 appropriation recipient of Medical Assis dren in Children's Health is made to Greater Minne tance. Plan and family income at or sota vendors for decentraliz below 18 5 % of federal ing sign language interpreter I993 Legislature approves poverty guidelines. referrals. closure/ conversion of Moose Lake Regional Treatment I Nursing home property Applicants/recipients no Center to a prison and reimbursement system longer required to reimburse authorizes construction of II modified to include; a floor Medical Assistance under the the Minnesota Sexual I rate of $4, capital repair and terms of the Medical Assis Psychopathic Personality allowance, equity incentive, tance repayment agreement. Treatment Center to open in Ah-gwah Ching employee assists refinancing incentive, and Prior to this, real property July 1995. resident with gardening- 1992 22 MinnesotaCare begins Diversity for Central Office, Chemical Dependency converting children covered and half-time Coordinator Treatment Accountability under the old Children's for Regional Treatment Plan developed and imple Health Plan. Building on Centers/State Operated mented. the former Children's Health Community Services. Plan Plus, MinnesotaCare Legislation passes establish begins enrolling uninsured The Commissioner's Office, ing Family Service families with children, with following recommendations Collaboratives and planning the costs subsidized with from the Workgroup and for Children's Mental Health revenues from a 2 % pro subsequent Task Force for Collaboratives. v1der surcharge, cigarette Diversity, appoints members taxes (later phased out) and to the new, permanent MinnesotaCare applicants enrollee premiums. Department of Human potentially eligible for MA MinnesotaCare also expands Services Diversity Council. must apply within 60 days; coverage to include inpatient A Core Group for Diversity process called "Bridge the hospital benefits and in is also formed for the Re G ap. " creases income standard to gional Treatment Centers/ include families at or below State Operated Community Clarification that persons on 275% of federal poverry Services. the elderly Waiver (EW) guidelines. program are subject to estate Prepaid Medical Assistance claims after their death. Passage of major child Program expands to Ramsey State School Children - Circa 1900 support initiatives to im County. The Deaf Services Division prove collections and pro and Regional Services Did You Know. •• ? vide incentives to counties, MinnesotaCare conversion Centers (RSC) for Hearing In the 1940 san Oath ofAllegiance to based on performance to Managed Care approved Impaired People change uphold the Constitutions ofthe United objectives. by legislature. their names to the Deaf and States and Minnesota was routinely Hard of Hearing Services administered to civil service employees, Consolidated Chemical Fraud Prevention Investiga Division and Regional and sent to the Minnesota Civil Service. Dependency Treatment tion expands to 20 counties Services Centers for Deaf Fund wins Ford Foundation with the largest caseloads. and Hard of Hearing People. Innovations in State and During World ~r IL employees of Local Government Award. Work Readiness eligibility Nursing homes cannot many State Hospitals were asked to give ...- increased to 6 months (7 require a resident to use a their food ration coupons to the Department hires the first months for functionally provider of health care Hospital ifthey ate more than a dedicated Coordinator for illiterate). services chosen by the specified number ofmeals at work. nursing home. 23 Did You Know. .. ? I993 cont. period for transfers to/from automatic Medical Assis In 1953 in Hennepin county, the Interstate Residency Agree trusts increases from 30 to tance extended to any child average grant far an Aid to Dependent ment signed between Min 60 months. eligible for or receiving Title Children (ADC) household was nesota and North Dakota for IV-E, homesteads excluded individuals institutionalized $122.17, and the average Old Age General Assistance Medical asset for first 6 calendar in nursing facilities. Care ineligibility for un months of nursing home Assistance (OM) grant was$ 74.76. documented & non-immi stay and continue to be Both grant amounts included money Rates paid for long-term care grant persons; certain excluded if resident expected far maintenance and medical needs. services provided to Minne persons will be eligible for to return home, liens may be The food stamp program was not sota Medical Assistance emergency General Assis filed on homes of Medical in existence yet. recipients residing in out-of tance Medical Care only, Assistance clients in institu state facilities will be the rate however. tional care not returning Under the newly farmed Department of determined by the state home (some exclusions made Public Welfare (DPW), during the first where the facility is located. Federal law states Consoli for relatives living in the fiscal year, the Commissioner's and dated Chemical Dependency home), Medical Assistance Federal law requires that the Treatment fund placements pays for pancreas, lung, Depury Commissioner's salaries were $ "lookback'' period for must be in enrolled provider heart-lung & allogeneic 11,300 and$ 10,900 respectively. improper homestead transfer facilities or Medical Assis bone marrow transplants for increase from 30 to 36 tance is not available for stage III or IV Hodgkin's months. The "lookback'' other medical while in disease, extension of long placement. Some recipients term care $90 personal may be eligible for General allowance to surviving Assistance Medical Care in spouses of veterans, period nonenrolled providers. of ineligibility for Medical Assistance for improper asset Medical Assistance changes: transfer begins with the income standard for preg month in which the assets nant women and children were transferred (total period increases to 275% of federal not to exceed 30 months). poverty guidelines, no asset test for parents of children Department receives federal under 21 living in same authority to implement child household, court ordered welfare targeted case man child support paid for agement Medicaid reim children outside home bursement throughout the deductible from income, state. Sta.If at Brainerd RTC-1992 24 Department receives federal Ramsey joins Anoka and and begins expansion to approval to extend Title IV Dakota counties in the Hennepin County. E administrative reimburse Minnesota Parents Fair Share ment to tribal child welfare (PFS) Program. The Robert Wood Johnson activities funded by state Foundation finances an Indian child welfare grants. Minnesota Family Invest interim grant for further ment Program field trials development and design MMIS II statewide provider begin in 7 counties. modification of the Min training begins. nesota Senior Health MinnesotaCare allows Options project. I994 Prepaid Medical Assis enrollment of single adults tance Program implemented and couples in households The new MMIS II system in Anoka, Carver, Scott and without children with is implemented May 31st, Washington counties. incomes at or below 125% and is certified by Health of federal poverty guidelines. Care Finance Administra Health Insurance Counsel tion (HCFA) 11/28/94. ing and Information for Definition of remedial care Seniors & Disabled imple and ability to apply to Child Support Enforce ~,Hr~~ i Ai-:NA ! H AtJt:1::1r A,t,i)t-1(,t tt.1Nt >f~f: f•)i-?i f::. 28 level by approving reim MinnesotaCare: cooperation bursement for local family with medical support re-_ service and children's mental quired, income standard for health collaboratives singles and couples without throughout the state. children raised to 135% of federal poverty guidelines. Prepaid Medical Assistance implemented in Benton, Unitary Residence Act Carlton, Cook, amended by legislature Koochiching, Lake, St. expanding the definition of Louis, Sherburne, and "excluded time" and elimi Stearns counties. nating durational residency Groundbreaking at St. Peter for addition - 1994 requirements for recipients MinnesotaCare begins to establish residency in Martin, Norman, Swift and Did you know.. m? conversion from a fee-for another county. Wright. During fiscal year 1997, over 1500 service system to a prepaid persons enrolled in refugee employment Medical Assistance system. I997 Minnesota Extended State funds appropriated, on programs, and approximately 922 were MinnesotaCare families and Treatment Options (METO) a time-limite·d basis, for placed in jobs. children begin enrollment in established on campus of benefits to legal non-citizens Managed Care plans during Cambridge Regional Human who lost eligibility for the Currently, DHS contracts with eight a four-phase conversion Services Center, as autho food stamp program. health plans to provide services for process. rized by legislature, to Minnesota Health Care Program provide specialized services Aging and Adult Services clients. As of3198, approximately Social Security Administra for persons with Develop Division implements Con 184,635 PMAP/PGAMC clients, and tion terminates benefits for mental Disabilities who sumer Support Grants. 102,540 Minnesota Care clients were persons whose primary exhibit severe behaviors enrolled in managed care health plans. disability is drug addiction which present a risk to Department transfers Par Managed Care Health Plans provide or alcoholism. State Medical public safety, and to provide ents Fair Share (PFS) pro the fall range ofcomprehensive services Review Team must use new community support services gram administration from that are covered under Minnesota criteria. for Developmentally Dis the Adult Supports Division Health Care programs, but under abled citizens in community to the Child Support En certain circumstances may also choose to New .level ofTEFRA criteria placements. forcement Division. implemented, providing for provide alternative and/or additional services. An open enrollment period is nursing facility level of care Prepaid Medical Assistance Department of Human for mental illness. Program implemented in the Services offers department offered each year to give managed care following counties: Becker, wide Diversity training for enrollees an opportunity to change Clay, Faribault, Isanti, all staff health plans. Kandiyohi, Mahnomen, 29 Did You Know. •• 1 I997 cont. diate care facilities, and day General Assistance Medical In 1986, the Fergus Falls Regional MAXIS receives Health Care training and habilitation Care and Minnesota Care Treatment Center complex was placed Finance Agency certification. programs for Minnesotans may no longer overlap, this on the National Register ofHistoric with developmental disabili results in modification of the Places. It is the only example of19th Aging Initiative - Project ties, formerly operated by satisfaction date in 2030 is created. The goal of the Faribault Regional spenddown determination. century Kirkbride architecture found in the project is to identify the Center and Cambridge Minnesota. The main building was impact of the aging of Human Services Center. Minnesota Children with designed by well-know Minneapolis Minnesota's population and Special Health Needs Pro architect "Warren B. Dunnell. He also help prepare the State's The Crookston Regional gram (MCSHN) established designed such original buildings as the response to the babyboomer Service Center for Deaf and for children with special Reform School at Red W'ing, the State generation that will begin Hard of Hearing People needs who are not Medical Soldier's Home at Minnehaha, turning 85 in the year 2030. moves to Bemidji. Assistance eligible . Pillsbury Academy at Owatonna and Eastern Minnesota State Major program integrity Blood products litigation the State School for Feeble Minded at Operated Community legislation passed as part of settlement reached by State Faribault. Services (EMSOCS) is state welfare reform bill. in a class action suit involv established as a new organi ing people injured by blood zational entity within the Aging and Adult Services dotting concentrates. Department of Human Division implements perfor Payments excluded from Services to manage commu mance-based contracting for income & assets under nity-based homes, interme- senior nutrition services. certain circumstances. MinnesotaCare begins Minnesota Comprehensive enrolling recipients in Health Association (MCHA) prepaid managed care health premiums no longer paid by plans in a statewide conver Medical Assistance or sion process, which is General Assistance Medical completed by early 1997. Care. Minnesota's Temporary Federal Balanced Budget Act Assistance to Needy Families of 1997 provides enhanced (TANF) program goes into funding for states to imple effect. ment a state childrens health msurance program Nursing home contract (Kidcare). Minnesota demonstration project limited in KidCare options Moose Lake campus expanded. 30 due to prior existence of determining Medical Assis benefits under tance eligibility, extended MinnesotaCare and Medical covered services involving Assistance program. skilled nurse visits and shared personal care assis Tuberculosis Health Threat tance services implemented. Act costs incurred by tuber culosis providers for Medical Legislation passes requiring Assistance eligible persons all Medical Assistance and who are carriers and have no General Assistance Medical other health coverage, are Care recipients who are payable at the General required or who may elect to Assistance Medical Care rate. participate in Prepaid Legislative session - 1996 Medical Assistance Program State funds appropriated to or Prepaid General Assis community-based vendor/s tance Medical Care be Legislature requires sponsor Did you know. .••• ? to provide: independent enrolled in prepaid managed deeming for sponsored living skills services to health care by 1/99. Coun Participation in the Medicaid Drug noncitizens, once the U.S. persons with deafblindness; ties given authority to elect Rebate Program has resulted in a Attorney General issues a psychological, social, and which option of a managed savings ofapproximately 20% for drug legally enforceable "affidavit family assessment services of care model is implemented expenditures in Minnesota. Currently, of support." children who are deaf, in their respective county: 1) rebates are approximately $ 8 million deafblind, or hard of hear enhanced Prepaid Medical MinnesotaCare changes: per quarter. ing. One-time funding also Assistance Program, which income standard for singles appropriated for service incorporates county interests and couples without chil dogs. and concerns into state The total budget ofthe Department dren raised to 175 of based health care purchasing, % increased from $ 2. 7 billion in State federal poverty guidelines, Medical Assistance changes: or 2) county-based purchas Fiscal Year 1990 to exceeding $6 billion eligibility for MinnesotaCare asset test reinstated for ing (CBP), which allows in State Fiscal Year 1998. Federal and General Assistance families and children, new counties to take responsibil funding increased from $ 1.2 billion in criteria (emotional disorder) ity for health care purchas Medical Care not allowed to State Fiscal Year 1990 to approximately implemented for establishing ing. Department begins overlap. $ 2.3 billion in state Fiscal Year 1998. level of care for TEFRA reviewing prelimina~y MAXIS implements direct children, Veterans Adminis proposals for counties tration Unusual Medical interested in the county deposit of cash benefits and vendor payments. Expense Payments now based purchasing option. counted as income for 31 Did you know..... ? I997 cont. The new Temporary Assis resulting from an- accident The Minnesota Senior Health Options University Hospital Papers tance to Families block grant occurring in Minnesota, (MSHO) project is a federal program ceases to exist upon implementation begins with persons must live in Minne demonstration to test delivery systems merging with the Fairview the arrival, in financial sota 30 days before they can Hospitals healthcare system. management, or'the first receive General Assistance which integrate Long-term care and Applications now taken installment of federal mon Medical Care, no _eligibility acute care services under a combined directly by Fairview. ies. The new block grants while in excluded-time Medicare and Medicaid capitation fundamentally change facility (but time counts payment system for dually eligible Department implements the Department funding and towards residency require seniors. PRISM computer system for fiscal activities. ments), migrant workers child support enforcement. exempt from 30 day resi Minnesota has the Lowest percentage of Department approves dency requirements, retroac Centralized Child Support funding for the Relative tive coverage period for past uninsured children in the nation - 22 Payment Center (CSPC) Custody Assistance Program, medical expenses reduced to percent - due to MinnesotaCare, pilot begins, using collec the Privatized Adoption one month. according to a recent report by Families tions from two counties. In Grants and the Recruitment USA, a national consumer health 10/97, expands statewide. Grants, which expand Personal Responsibility and organization. Implementation of statewide services and expedites the Work Opportunity Recon collections expected in 1998. processes for finding perma ciliation Act (PRWO RA) of nent homes for foster care 1996 changes: disability children. criteria used to determine eligibility for Supplemental General Assistance Medical Security Income and Medi Care changes: no longer cal Assistance under TEFRA covers (for a period of 5 to changed (4,000 children lost 10 years) persons convicted benefits as result), de-links of; drug offenses, parole or cash and Medical Assistance probation violations, fleeing (but Minnesota continues to the criminal system for provide automatic Medical felony charges or lying about Assistance eligibility to what state they live in to TANF recipients), child receive General Assistance support pass-through of $50 Medical Care, non-residents still disregarded for Medical are not eligible for Emer Assistance eligibility (al gency General Assistance though eliminated for Medical Care except for Minnesota Family Invest emergency hospital services ment Program), requires that DHS staffmember at Senior competition - 1995 32 ------~-----·------ eligibility be continued for families and STRIDE those persons eligible for programs. Medical Assistance under 7/ 96 state plan, allows Medical Minnesota Family Invest Assistance only for "quali ment Program field trials fied" noncitizens (some legal end 6/ 30/98. citizens not eligible - Minne sota covers legal noncitizens Implementation of Diver not eligible for Medical sionary Assistance program Assistance under new state on 1/1/98. funded Medical Assistance program), some noncitizens Effective 7 /1/98, Medicare will be eligible for General enrollees with incomes Assistance Medical Care under 17 5 % of federal (others only Emergency poverty guidelines are Department ofHuman Services 1998 444 Lafayette Road North General Assistance Medical eligible for full or partial Conversion from the Child DHS Core Values Care). payment of Medicare premi Support Enforcement ums, under the Balanced System to the new PRISM We focus on people, not programs. I998 Transfer of the Faribault Budget Act of 1997. system completed. Regional Center campus to We are responsible for the common the Department of Correc Electronic Benefits Transfer Legislature authorizes good. tions is completed after the goes statewide. "sunset" of Rul~s 50 and 53, remaining Regional Treat effective 7 I 1/ 00 and We recognize and act upon our ment Center-based services Administrative process for 10/1/00, respectively. mutual responsibility to each other. for persons with develop setting and enforcing child mental disabilities are support in effect in all We provide safety nets and ladders transitioned to communities counties. up for the people we serve. in the region under the auspices of EMSOCS. The Tax Offset Program We are partners with communities to (TOP), formerly FTROP, mobilize supports that help people On 1/1/98, the new State collects $ 1 million in debt function and succeed. wide Minnesota Family owed to the Food Stamp Investment Program (MFIP Program. These core values help us make our S) replaces Aid to Families decisions daily as we carry out our with Dependent Children, The Minnesota Family work in a trustworthy, responsible, Family General Assistance Investment Plan Longitudi respectful, fair, just and caring (FGA), Food Stamps for nal Study begins. environment. 33 Did You Know. •• ? The 1860 United States census for In the early days oftheir existence, In 1997 - Senior Nutrition programs served more Minnesota showed that 14% ofdeaths many facilities generated their own than 1. 7 million home delivered meals Through the Minnesota Medicaid were due to "consumption" utilities and had farms which made to older adults living in communities Information System (MMIS), the (tuberculosis). The Minnesota State them virtually selfsustaining. Believing across Minnesota. The program is Department ofHuman Services staff Board ofHealth reported 20,000 deaths that hard work was a form oftherapy, funded through a combination of processes more than 20 million in Minnesota ftom Tuberculosis ftom institutions regularly recruited patients federal state and local funds, as well as Medicaid, Minnesota Care and General 1887 through 1899. The high death as a major part oftheir workforce. In in-kind contributions and participant Assistance Medical Care medical claims rate was due, in part, to immigration of 1959, Faribault reported a small drop donations ( which compose the largest ftom over 33,000 health care providers Tuberculosis patients to Minnesota. In in their crop production to a level ofi single source ofincome for the program - each year. 1903, the Minnesota State Tuberculosisi ':393 bushels ofgreen and wax beans, $ 3.3 million dollars in 1996). The Commission declared... "it is in other 1662 bushels beets, 667 bushels average donation was $ 1. 78 per meal The Food Stamp Training & words a curable disease. In the State of cucumbers, 103 bushels peppers, 7 43 in 1997. Besides providing a hot Employment Program (FSET) serves Minnesota its ravages are on the bushels tomatoes, 1509 bushels carrots, nutritious meal older adults receive approximately 15,000 adult increase ... the most successful means of 700 bushels turnips, 914 bushels daily contact with volunteers who participants each year, and places nearly dealing with this disease will be through onions, 283 bushels radishes, 9024 deliver meals. Past surveys show that 5,000 in employment at an average cost the establishment ofsanatoria." pounds asparagus, 25,050 pounds 12% who receive home delivered meals of$ 389.00 rhubarb, 5600 doz. Green onions, see friends and relatives less than once a The program is funded with a In 1928, a group ofpatients at 4035 doz. Sweet corn, 76 tons of month. Nearly 10% report having no combination offederal and state funds. Cambridge were placed on a special cabbage, and 25 tons squash. " one in their neighborhood to call for ketogenic diet, sponsored by Mayo help. DHS processed 572,000 incoming Clinic and the University ofMinnesota, In 1996 and 1997, Minnesota had the receipts (checks), compared to 95,000 in in an attempt to test whether certain lowest Food Stamp payment error rate The provider/recipient help-desk 1990. The increase in volume is largely diets were ofvalue in the treatment of in the Midwest Region. Minnesota's handles more than 36,000 calls each due to client premiums for the newly epilepsy. error rate was 6.95 and 6.6 % month. implemented MinnesotaCare program. respectively, compared to the national The resident population at Minnesota average of9.22 %. Minnesota received More than 20, 000 providers attend the State Hospitals increased 25 fold awards ftom the US. Department of statewide workshops held by the between the years 1870-1975. Agriculture for this achievement for provider training unit each year. both years. 34 References: Ah-Gwah-Ching Historical Erickson, William D. 1992. Minnesota Guidebook to State Society. 1992. Mn. State Sanato "Establishing Minnesota's First Agency Services 1996-99. Hospital for ~he Insane." Minne rium 1907-1961/Ah-Gwah-Ching Minnesota School and Colony. sota History Magazine, Summer. Nursing Home 1962-1982: 75th 1950. Thirteenth Biennial Report, DiamondJubilee. Published for Faribault Regional Treatment June 30. Ah-Gwah-Ching, June. Center, 1973. History Chronology. Minnesota State Board of Control Aune, Linda, ed. 1997. A History Faribault Regional Center. 1993. Library Materials. ofFergus Falls Regional Treatment Faribault Regional Center, A Minnesota State Board of Control. center, 1890-1997. Published for Community in Transition, 1923. History ofthe State Board of the Fergus Falls Regional Treat brochure prepared by FRTC. ment Center. Control ofMinnesota and the 17 Faribault Regional Center. 1997. State Institutions under the Man Brainerd Regional Human Ser The Round Table, Volume XXIV, agement andJurisdiction ofthe vices Center Public Relations Number six, Apr/May/June. Board 1901-1922. Department. 1998. History of Brainerd Regional Human Services Faribault Regional Center. 1998. Pritchette, Marlene, ed. 1990. Center. Faribault Regional Center Historical Anoka-Metro Regional Treatment Highlights 1879-1998. Center History. Prepared for the Cambridge State Hospital. 1975. Anoka-Metro Regional Treatment Hultberg, Joye~, ed. 1995. Moose June 1925 to June 1975 - 50 years Center. for CSH Lake State Hospital/Moose Lake Regional Treatment Center Seaquist, Elizabeth. 1961. "His Department of Human Services. Chronicle, 1938-1995. Published tory of St. Peter State Hospital 1990-1998. Department ofHu for the Moose Lake Regional 1866-1961." Minnesota Welfare man Services News. Treatment Center. Magazine, Summer. Department of Human Services. Johnson, Eugene J. 1986. History Willmar Regional Treatment 1992. Department ofHuman ofPublic Welfare in Hennepin Center. 1987. Willmar Regional Services Report to the Public 1992. County - 1937-1985, Hennepin Treatment Center 1912-1987: 75 Department of Human Services. County Bureau of Social Services. Years Serving the People ofMinne sota, A Tradition ofSpecialty Health 1994. Department ofHuman McFarland, Anne. 1975. A Social Services. Services Report to the Public 1994. History ofAnoka State Hospital. Prepared for Anoka-Metro Re gional Treatment Center. 35 Credits: Editor & Research: Munna Yasiri All staff and divisions who have contributed to the content. Graphic Design: Danette Thiers A deep debt of gratitude to Mr. DHS building photos: Ron Lang, veteran of the Depart Mary Jo Sawicki ment of Human Services, who will Research & Consulting: be retiring in 1998. The History Kate Severin Booklet was Mr. Lang's "brain Department of Human Services child" and without his early efforts Management Services Staff to maintain records and gather this information, this booklet would Department of Human Services never have come to pass. Communications Office Staff Archives & st~ff from Anoka, Cambridge, St. Peter, Faribault, ·"And last, but not least, to the Moose Lake, Ah-Gwah-Ching, many thousands of employees, Willmar, Brainerd regional cen ,'pist and present, of the ters/facilities. Depar~ment .... who have made history. Editorial Board: Maria Gomez, Terry Gunderson, Ron Lang, L_isa Rotegard, Kate Severin, Danette Thiers, Munna Yasiri. Front cover photos left to right (clockwise) 1. Girls cottage at Owatonna State School - Circa 1915 2. Clasroom at Hospital for Crippled Children, St. Paul - Circa 1920 3. Patient's ward - Minnesota State Sanatoritim - Circa 1950 4. English to Work program participant - 1996 5. Children of Color Initiative - 1995 . " HV 98 . M6 M46 1998 J Minnesota. Dept. of Human Services. Memories of our past 1 r,s zn any HV 98 .M6 M46 1998 l Minnesota. Dept. of Human what the Services. ti Memories of our ' pas t -· · tandwith , • rf ~ ----< -7!:~ ~:: .··~ u nctzo n 01 -··---- e rhould be v 1.EGlSLAT\\IE REFERENCE l\BH;\Rv, ,!f.. St~ Off«;e Dt:;~diP ~ ~ !M,1~ DEMCO ------~-- - .,:.,1.;i..,, •