Noske Law Firm

Solutions For Provider Problems & Concerns

245D LICENSING

October 8, 2020

Five percent (5%) rate increase for continuing providers July 1, 2014 Rate Increase Details

Appears some Minnesota Counties are requiring providers for AFC Elderly Waiver (203A) licenses to also hold a 245D license.

If you are aware of your County doing the same please let me know.

Not everyone who has a 245A license is required to obtain a 245D-HCBS license as in the following situations

(but not limited solely thereto):

Situation 1) You are a provider of “foster care services” that are not funded by one of the disability waivers (BI, CAC,

or CADI). This applies even if you receive a difficulty of care rate in addition to GRH payments.

Note: A provider is required to obtain the 245D-HCBS program license if the foster care services are funded by one of the

disability waivers. This requirement applies whether the provider operates a “family” or a “corporate” foster care site.

Situation 2) Foster care services for persons age 65 or older under the Elderly Waiver (EW) or the Alternative Care

(AC) programs.

Noske Law Firm is available to assist you.

This Blog is not intended to nor does it provide the viewer legal advice.

Sunny Place Foster Homes LLC

“James Noske is a man with a heart of gold, we felt supported, cared for and expertly guided throughout our entire case. James has the

Cheryl S

Best ever! James was well versed and super supportive of my case. James Noske helped give me peace of mind during my case and was

Willis Testimonial

Subject: Great Help Thank you for all that you did in helping us get our business licensed, through the state. You were always there to

Joseph Mckiernan

I found myself in a Very difficult legal situation and I feel fortunate to have had James Noske as my legal counsel. The contest against

Testimonials

I found myself in a Very difficult legal situation and I feel fortunate to have had James Noske as my legal counsel. The contest against an aggressor with a large firm lasted over 2 years but thanks to Mr. Noske’s expert legal advice and practical knowledge of my case we prevailed. Thanks Jim!

Mr. Noske comes highly recommended due to the legal representation he gave to my family. We were involved with an extended interaction with my homeowner’s insurance that they refused to pay. Intentional delays, resulting in running the two year deadline almost to the bitter end, which would have ensured the insurance company not having to pay what they owed. Mr. Noske took over the case, successfully met all deadlines and presented the information which led to a great outcome I could not have resolved myself. We are forever grateful. Thank you.

We want to thank James Noske for your continued legal assistance in the Adult Foster Care Field. We feel we have been challenged more than most, and are at ease knowing Noske Law Firm is assisting us with these matters. Thank you James Noske!!

James was not at the beginning of our fight, but I do believe if he was, it wouldn’t have gone so far in the wrong direction. James is very knowledgeable about the law and what should be said and what shouldn’t. Our daycare license was temporarily suspended, conditionally suspended, and then in the revocation stage, when I finally asked for help. An allegation is a poison, not proven that the county runs with. The allegation of a family member, not my husband or I is the reason for legal actions taken against us. The allegation was not on our property, or during daycare hours of operation. Background : I was a nursing assistant for 10+years, ran a daycare a total of about 5 years, and we, my husband and I; fostered children for 13+years and even adopted 2 children. The revocation meant I could no longer do any of those things. Crushing yes. James Noske was the lion we needed to step in. Thanks to James Noske my husband and I are able to work in any health care/child care field we choose.