Community Residential Services (CRS) in Minnesota: Complete Guide for Case Managers
Complete guide to Community Residential Services in Minnesota, including eligibility, licensing requirements, and how CRS supports individuals with disabilities in community settings.
What are Community Residential Services?
Community Residential Services (CRS) provide 24-hour supervision, support, and care for individuals with disabilities in licensed residential settings. These services are designed to help people live as independently as possible while receiving the support they need in a home-like environment.
CRS programs focus on person-centered care, community integration, and skill development. They serve individuals who need more support than can be provided in their own homes but want to live in a community setting rather than an institutional facility.
Key Principle: CRS follows the principle of providing support in the least restrictive environment that meets the individual's needs while ensuring their health and safety.
Who Qualifies for CRS?
Eligibility Requirements
CRS is available to individuals who meet specific eligibility criteria related to their disability, functional needs, and waiver program enrollment.
Primary Eligibility Requirements
- Must be 18 years of age or older
- Have a qualifying disability (developmental, mental health, brain injury)
- Require 24-hour supervision for health and safety
- Meet financial eligibility for Medical Assistance
- Complete required assessments (MnCHOICES or SIS)
Types of CRS Programs
Minnesota offers several types of community residential programs to meet different needs and preferences:
Community Residential Setting (CRS)
Licensed residential facility serving 1-4 individuals
Supervised Living Facility (SLF)
Larger residential facility serving 5-16 individuals
Foster Care for Adults
Family-based care in a licensed foster home
Licensing and Standards
All CRS providers in Minnesota must meet strict licensing requirements to ensure quality and safety:
Key Licensing Standards:
- DHS licensing under Minnesota Rule 245D
- Staff training and certification requirements
- Background checks for all staff
- Health and safety standards
- Person-centered planning requirements
- Regular inspections and monitoring
Moratorium on CRS Development
Important Notice
Minnesota has a moratorium on the development of new Community Residential Settings (CRS) and corporate foster care settings that has been in effect since September 1, 2009.
What This Means
The moratorium limits the development of new CRS settings and corporate foster care facilities. This means:
- New CRS settings cannot be developed without specific exceptions
- Existing capacity must be managed carefully
- Changes in ownership or location require approval
- Limited exceptions exist for specific circumstances
Exceptions to the Moratorium
Limited exceptions may be granted for:
Community Transitions
- • Movement from state hospitals
- • Closure of nursing facilities
- • ICF/DD closures
- • Regional treatment center restructuring
Specialized Care
- • Hospital-level care needs
- • Brain Injury services
- • Community Alternative Care
- • SLF closures (until June 30, 2025)
Impact on CRS Placement
Due to the moratorium, CRS placement options may be limited. It's important to:
Work closely with your case manager to understand current capacity
Consider alternative residential options when appropriate
Plan ahead as placement timelines may be longer
Explore less restrictive alternatives when possible
How to Get Started with CRS
Step-by-Step Process
Complete MnCHOICES assessment or SIS assessment to determine eligibility and level of need
Apply for and receive approval for an appropriate waiver program (DD, CAC, CADI, or BI)
Research and visit potential CRS providers to find the best fit for individual needs and preferences
Participate in person-centered planning to develop individualized support plans and goals
Work with the provider to plan a smooth transition to the new residential setting
Costs and Funding Sources
CRS is primarily funded through Minnesota's waiver programs, which cover most service costs for eligible individuals:
Primary Funding Sources:
- • Developmental Disabilities (DD) Waiver
- • Community Alternative Care (CAC) Waiver
- • Community Access for Disability Inclusion (CADI) Waiver
- • Brain Injury (BI) Waiver
Most individuals will have minimal out-of-pocket costs, as waiver programs cover room, board, and support services. Personal spending money and some personal items may be the individual's responsibility.
Choosing the Right CRS Provider
Selecting the right CRS provider is crucial for successful outcomes. Consider these factors:
Location and Community
Consider proximity to family, friends, work, and community resources.
Staff Experience
Look for providers with experience serving individuals with similar needs.
Philosophy and Approach
Ensure the provider's philosophy aligns with the individual's values and goals.
Frequently Asked Questions
What is the difference between CRS and other residential options?
CRS provides 24-hour supervision in a licensed residential setting, while other options like supported living provide services in the person's own home or apartment. CRS is appropriate for individuals who need more intensive support than can be provided in independent settings.
How do I know if CRS is the right choice?
CRS may be appropriate if the individual needs 24-hour supervision, has complex medical or behavioral needs, requires assistance with daily living skills, or would benefit from a structured residential environment with peer support.
Can someone move from CRS to more independent living?
Yes, many individuals transition from CRS to more independent settings as their skills develop. The goal is always to support people in the least restrictive environment that meets their needs while ensuring their health and safety.
How long does it take to find a CRS placement?
Placement timelines vary based on individual needs, geographic preferences, and availability. Due to the moratorium on new CRS development, placement may take longer than in the past. It can range from a few weeks to several months.
What role do families play in CRS?
Families remain involved in care planning and decision-making. They participate in person-centered planning meetings, visits, and ongoing support. The level of family involvement is based on the individual's preferences and needs.
How does the moratorium affect CRS availability?
The moratorium limits new CRS development, which means existing capacity is carefully managed. This may result in longer wait times for placement and fewer options in some areas. Case managers work to find the best available options and may suggest alternative residential services when appropriate.
Need Help with CRS Placement?
Our experienced team can help you navigate the CRS process and find the right residential placement for your client's unique needs.