9. Informational Update – Long-Term Services & Supports (LTSS) County Cost Share

Board of Commissioners Meeting · 2026-07-14 · agenda_item

Clay County is reviewing a potential new cost share for Long-Term Services and Supports (LTSS), which are MA-funded services for older adults and individuals with disabilities. This informational update concerns a contingent county cost share for specific disability waiver residential services, scheduled to begin July 1, 2027, unless statewide savings are found. The county is currently preparing its 2027 budget and must estimate a potential financial liability that could range from $505,000 to $543,000 for the latter half of 2027, and over $1.3-1.4 million annually starting in 2028. This item is currently under review as an informational update, with legislative efforts and advisory council recommendations ongoing to potentially reduce or eliminate this cost share. The scope of work would involve financial planning, budgeting, and potentially adapting administrative processes to manage these new costs. Contractors, suppliers, and service providers in financial services, government administration, and related support fields may find opportunities as the county navigates this developing financial landscape. Early engagement could provide insight into the county's planning needs before final budget allocations and policy decisions are made.

contingent cost share for 4 specific disability waiver residential services

4

LTSS expenditures for the FY 2028-2029 biennium

177.5 million

potential cost during the second half of 2027

505,000

potential cost during the second half of 2027

543,000

annual costs projected to exceed

1.3 million

annual costs projected to exceed

1.4 million