Value-Based Payment for Medicaid Disability Services in Minnesota


Project Overview


To explore and propose value-based payment options for home and community-based service waivers for people with disabilities in Minnesota.

Project Motivation

Home and community-based services help people with disabilities live independently in their communities. To improve these services, Minnesota’s Department of Human Services contracted with Mathematica to explore value-based payment models used in other states, gather feedback from people with disabilities and their service providers, and propose policy options for the state legislature.

Prepared For

Minnesota Department of Human Services

Value-based payment has the potential to improve the quality of home and community-based services for people with disabilities.
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.

Related Staff

Jenna Libersky

Jenna Libersky

Principal Researcher

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Eric Morris

Eric Morris


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Jessica  Ross

Jessica Ross

Senior Researcher

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Debra  Lipson

Debra Lipson

Senior Fellow

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