Next Free Webcast – Paying MN’s Long-Term Care Bill: A Study of Private- and Public-Pay Patterns – October 12, 2022

Earn 1 hr CEU, pre-approved for Social Workers by BOSW; self-submit other disciplines.
MGS is an approved Continuing Education Resource by the MN Board of Nursing.
(The CEU is free for MGS members; $15 for non-members.)

Presenters: Peter Spuit, MSW and Rachel Shands, MSW

Handout–Paying MN’s Long-Term Care Bill Private-and Public-Pay Patterns

In 2020-2021, Rachel Shands, MSW and Peter Spuit, MSW, working within the State of Minnesota’s Department of Human Services, conducted an Elderly Waiver Spenddown Study. The goal of the study is to increase the shared understanding of the circumstances and decisions of older Minnesotans eligible for enrollment in the Elderly Waiver program. A primary focus is on how these older adults make a range of decisions about paying for long term care supports with their own financial resources. The presenters have structured the session to explore the key findings and policy implications derived from the recent study.

Would you like more information? Click here to view the Elderly Waiver Spenddown Study


  1. Learn about the Department of Human Services Elderly Waiver Spenddown Study conducted in 2020-2021.
  2. Understand the goals, research activities, and key findings of the study.
  3. Explore the policy implications and system-change opportunities derived from the study.


Peter Spuit, MSW

Peter Spuit serves in the Aging and Adult Service Division of the Minnesota Department of Human Services on the Home and Community Based Services team which oversees the Elderly Waiver, Alternative Care, and Essential Community Supports programs. Peter’s role on the team is to oversee fiscal policy, quality assurance activities, and research and evaluation projects. Peter holds a Master of Social Work degree from the University of Minnesota, and a Bachelor of Arts degree from Luther College, in Decorah, Iowa.


Rachel Shands, MSW

Rachel Shands is the Home and Community Based Services (HCBS) Manager in the Aging and Adult Services Division of the MN Department of Human Services. Since 2016, she has overseen a team of professionals who implement the state’s publicly funded home and community-based services (HCBS) for older adults. Through these programs, low-income older adults have opportunities to remain living in their homes and communities with services and supports that improve their quality of life. Rachel’s work to support and enhance services for older adults has included service development, legislative coordination, and policy development.