2017 Bulletins

Supplemental Nutrition Assistance Program (SNAP) (01)
General Assistance (04)
Minnesota Family Investment Program (MFIP) (11)
Medicaid Management Information System (MMIS) (14)
Child and Teen Checkups (15)
Benefit Recovery (19)
Minnesota Health Care Programs Bulletins (21)
Managed Care Purchasing (24)
Aging Initiative (25)
SSIS (31)
General Fiscal Reporting and Accounting (32)
Community Living Supports (48)
Alcohol and Drug Abuse Division (51)
Mental Health Program (53)
Disability Services Division (56)
Nursing Homes (62)
Children’s Services (Including Title IV-E) (68)
General Social Services Issues (69)
Child Support Enforcement (75)
Direct Care and Treatment (76)
Reimbursement for State Facility Care (77)
General Department Information (85)
Office for Equal Opportunity, Affirmative Action (89)



FOOD SUPPORT (01)
17-01-01 Supplemental Nutrition Assistance Program (SNAP) Clarifications to Work Registration Process, Exemptions, ABAWDs, SNAP E&T Sanctions, Banked Month Guidance
SNAP Clarifications to Work Registration Process, Exemptions, ABAWDs, SNAP E&T Sanctions, and Banked Month Guidance. 8/29/17



OTHER
17-06-01 Increase in Monthly Assistance Standards for Refugee Cash Assistance (RCA)
This bulletin summarizes changes to monthly assistance standard accounts for Refugee Cash Assistance (RCA) effective March 1, 2017. 1/4/17



MINNESOTA FAMILY INVESTMENT PROGRAM (MFIP) (11)
17-11-01 DHS Reissues "Work Will Always Pay...With MFIP"
“Work Will Always Pay…With MFIP” handout for use by eligibility workers and job counselors. 10/1/17
17-11-02 2018 – 2019 Minnesota Family Investment Program (MFIP) Biennial Service Agreement (BSA) Guidelines
To provide information to county and nation/tribal directors on the requirements of the MFIP Biennial Service Agreement. 10/2/17



CHILD AND TEEN CHECKUPS (15)
17-15-01 2018-2020 Contracts for Child and Teen Checkups(C&TC) Administrative Services
Requirements for 2018 through 2020 C&TC administrative services 8/16/17



BENEFIT RECOVERY (19)
17-19-01 DHS Announces Publication of an MA Estate Recovery Manual and a Forthcoming Survey about Systems Access of MA Estate Recovery Staff
Publication of a Medical Assistance (MA) estate recovery manual for collection workers at local agencies and a forthcoming survey for security liaisons at local agencies requesting information about systems access of estate recovery staff 4/7/17
17-19-02 DHS Explains How to Enter Recovery Obligations in MMIS
MMIS obligation types and use of obligation types 8/24/17



MINNESOTA HEALTH CARE PROGRAMS BULLETINS (21)
17-21-01C Corrected #17-21-01C: DHS Explains Policy and Procedures for MA Cost-Effective Health Insurance (CEHI) and Why HSAs, MSAs, and VEBAs Are Not CEHI
Medical Assistance (MA) policy and procedures for CEHI, why MA cannot reimburse MA members for any health savings account (HSA) or Archer medical savings account (MSA) contributions, and why voluntary employees’ benefit associations (VEBAs) are not evaluated for CEHI 8/9/17
17-21-02 DHS Explains: Changes to MA Estate Recovery Resulting from CMS Approval of a Revised State Plan Amendment; and a New Statewide Funeral Expenses Policy
Changes to Medical Assistance (MA) estate recovery resulting from the Centers for Medicare & Medicaid Services (CMS) approval of a revised state plan amendment; and a new policy on funeral expenses. 1/25/17
17-21-03 DHS Announces Change to Hardship Waiver Criteria under Spousal Impoverishment Rules
Changes tothe implementation of additional hardship waiver criteria when a community spouse refuses to make assets available to a long-term-care (LTC) spouse 1/30/17
17-21-04 DHS Announces Change to Medical Assistance (MA) Special Needs Trust Requirements
Changes to MA policy regarding special needs trusts 1/30/17
17-21-05 DHS Explains How Unified Cash Asset Policy Affects Medical Assistance (MA) Eligibility
Changes in MA Eligibility for Minnesota Supplemental Aid (MSA) and Group Residential Housing (GRH) recipients 4/5/17
17-21-06 DHS Clarifies the Medical Assistance MAGI-based Income Calculation
Medical Assistance (MA) modified adjusted gross income (MAGI) based income calculation 4/17/17
17-21-07 DHS Clarifies use of SAVE for Minnesota Health Care Programs
Clarify the use of Systematic Alien Verification for Entitlements (SAVE) for verification of immigration status, lawful presence and U.S. citizenship for Minnesota Health Care Programs. 6/1/17
17-21-08 DHS Explains Changes to the Minnesota Health Care Programs (MHCP) Application for Medical Assistance for Long-Term-Care Services (MA-LTC)
Updates and revisions to the MHCP Application for MA-LTC 6/14/17
17-21-09 Expanding Supplemental Payments for Ambulance Services
Expanding Supplemental Medical Assistance payments for ambulance services provided by government-owned providers to fee-for-service Medical Assistance enrollees. 9/14/17



AGING INITIATIVE (25)
17-25-01 Elderly Waiver-Monthly Conversion Budget Limits and Maintenance Needs Allowance Changes
The process to determine the monthly conversion budget limit for Elderly Waiver (EW) clients leaving nursing facilities (NF). July 1, 2017 Maintenance Need Allowance (MNA). This replaces bulletin #14-25-08. 2/28/17
17-25-02 New Service for Elderly Waiver and Alternative Care: Individual Community Living Support
New Elderly Waiver and Alternative Care service for eligible older adults 3/30/17
17-25-02A Update to bulletin #17-25-02 Elderly Waiver and Alternative Care: Individual Community Living Support
Update to bulletin #17-25-02 Elderly Waiver and Alternative Care service for eligible older adults 11/17/17
17-25-03 MN Legislature Authorizes Rate Changes for Certain Long-Term Services and Supports
Information about rate and limit changes effective August 1, 2017. 6/30/17
17-25-04 Help for People Moving to Registered Housing with Services – Senior LinkAge Line®
Minnesota Statutes, section 256B.0911 includes decision-making support for people with current or anticipated long-term care needs who are considering Housing with Services (HwS) or assisted living as an option to meet those needs. This support is provided through a partnership between Long Term Care Options Counselors and MnCHOICES assessors. 7/12/17
17-25-05 2017 Legislative Amendments: Required Provider Communication for the Elderly Waiver and Alternative Care Programs
Legislative requirements related to assessor, case manager and provider communications under the Elderly Waiver (EW) and Alternative Care (AC) programs. 8/16/17
17-25-06 Required Activity: Admission to Medicaid-Certified Nursing Facilities and 90-day Redetermination
State and federal law require Pre-Admission Screening (PAS) before admission to Medical Assistance (MA)-certified nursing facilities (NF) regardless of payer source. 8/17/17
17-25-08 Policy and MMIS Screening Document Changes for Managed Care
New policy and MMIS screening document changes for Managed Care programs 10/6/17
17-25-09 Environmental Accessibility Adaptations service limit increase
Environmental Accessibility Adaptations (EAA) service limit increased from $10,000 to $20,000 per waiver year for Elderly Waiver (EW) and Alternative Care (AC) services provided on or after February 8, 2017. 10/30/17



GENERAL FISCAL REPORTING AND ACCOUNTING (32)
17-32-01 Information to Assist Counties and Tribes with Preparation & Submission of Fiscal Reports
Consolidated reference information for county and tribal fiscal reports required by DHS Financial Operations Division. 1/17/17
17-32-02 DHS Publishes Standard Invoice Field Codes for Calendar Year 2017
Invoice field codes used by DHS Financial Operations Division (FOD) when issuing payments by electronic funds transfers (EFT) or warrants, to county and tribal human service agencies 1/17/17
17-32-03 Income Maintenance Random Moment Study (IMRMS) Operational Procedures; Programs/Activity Definitions
IMRMS operations procedures, programs and activity definitions 2/1/17
17-32-04 DHS Issues Instructions for Preparing the Income Maintenance Quarterly Expense Report, Form DHS-2550
Information and instructions for preparing the Income Maintenance Quarterly Expense Report, DHS 2550 2/1/17
17-32-05 Title IV-E Group Residential Facilities (GRF) Time Study-Operations & Activity Codes
Group Residential Facilities (GRF) operational procedures, training materials for GRF Coordinators and all staff participants. Includes activity codes and definitions for the GRF time study. 2/8/17
17-32-06 Title IV-E Group Residential Facility Cost Report (DHS-2901) Instructions
Title IV-E Group Residential Facilities (GRF) annual cost report instructions. 2/8/17
17-32-07 Pre-Northstar Foster Care Program Maintenance Rates
Maintenance and difficulty of care payment rates by age category for the Pre-Northstar Legacy foster care program. 2/23/17
17-32-08 Social Service Time Study - Operations and Activity Codes
Social Service Time Study (SSTS) Operational Procedures, Training Material for SSTS coordinators and all staff participants. Includes activity categories, codes and definitions for the SSTS. 3/20/17
17-32-09 Mental Health Certified Facilities (MHC) Time Study-Operations and Activity Codes
Mental Health Certified Facilities (MHC) operational procedures, training materials for MHC Coordinators and all staff participants. Includes activity codes and definitions for the MHC time study. 3/30/17
17-32-10 Group Residential Facilities with Mental Health Certification (MHC) - Cost Report Instructions
Group Residential Facilities with Mental Health Certification (MHC) annual cost report instructions. 3/30/17
17-32-11 Title IV-E Placing Agencies Time Study (PATS)- Operations and Activity Codes
Placing Agencies Time Study (PATS) operational procedures, training materials for PATS Coordinators and all staff participants. Includes activity codes and definitions for the PATS time study. 3/31/17
17-32-12 Placing Agencies Time Study Cost Report (DHS-3298) Instructions
Provides current instructions for Rule 4 Placing Agencies to complete the annual cost report. 3/31/17
17-32-13 CY2017 Mental Health Grant Fiscal Reporting Information
CY2017 Mental Health Grants Fiscal Reporting Information 4/24/17
17-32-14 Revised Northstar Care for Children Basic and Supplemental Payment Rates and Initial Clothing Allowance
Basic and Supplemental payment rates for Northstar Care for Children, and Initial Clothing Allowance for all children in foster care, effective July 1, 2017 through June 30, 2018 5/16/17
17-32-15 Human Services Performance Management System 2017 Measures, Thresholds, and Reporting Schedule
An overview of the 2017 measures, thresholds, and reporting schedule for the Human Services Performance Management system (referred to hereafter as the Performance Management system). 5/18/17
17-32-16 Instructions for Completing the MFIP-Consolidated Fund Report, Form DHS-2902
Instructions for completing the quarterly MFIP-Consolidated Fund Support Services Fiscal Report (DHS-2902). 7/27/17
17-32-17 Instructions for Completing the Social Service Fund Report, Form DHS-2556
Instructions for completing the quarterly Social Service Fund Report (DHS-2556). 8/22/17
17-32-18 Calendar Year 2018 Participation Rates
Information for county human service agencies to assist them in preparing calendar year (CY) 2018 budgets. 8/22/17
17-32-19 Changes to DHS BRASS Manual for Calendar Years 2018 - 2019
Budgeting, Reporting and Accounting for Social Services (BRASS) Manual for calendar years (CY) 2018- 2019. 10/5/17



COMMUNITY LIVING SUPPORTS (48)
17-48-01 Successful Life Project
The Successful Life Project provides on-going consultation and follow-up for people previously served at the former Minnesota Extended Treatment Options (METO) program from July 1, 1997 through May 1, 2011 or the Minnesota Specialty Health System (MSHS)-Cambridge program. 1/19/17



CHEMICAL HEALTH (51)
17-51-01 DHS Provides Policy for Certified Community Behavioral Health Clinics
Minnesota has been selected by the Centers for Medicare and Medicaid Services (CMS) and the Substance Abuse and Mental Health Services Administration (SAMHSA) as a demonstration state for Certified Community Behavioral Health Centers (CCBHC). Counties, managed care organizations, and other stakeholders should be aware of opportunities this presents for referrals as well as reimbursement and service standard changes that will happen as part of this model. 3/1/17
17-51-02 Outpatient Substance Use Disorder Services in Certified Community Behavioral Health Clinics
Outpatient substance use disorder (SUD) services in Certified Community Behavioral Health Clinics. This includes eligibility, service core components, funding, payment, data collection, and reporting. 8/30/17



MENTAL HEALTH PROGRAM (53)
17-53-01 DHS Provides Updates Requirement for Standardized Outcome Measures for Children's Mental Health
This bulletin replaces bulletin 09-53-02. DHS policy requires children’s mental health service providers to complete standardized outcome measures for all children receiving clinical services. 3/1/17
17-53-02 DHS Provides Policy for Certified Community Behavioral Health Clinics
Minnesota has been selected by the Centers for Medicare and Medicaid Services (CMS) and the Substance Abuse and Mental Health Services Administration (SAMHSA) as a demonstration state for Certified Community Behavioral Health Centers (CCBHC). Counties, managed care organizations, and other stakeholders should be aware of opportunities this presents for referrals as well as reimbursement and service standard changes that will happen as part of this model. 3/1/17
17-53-03 Mental Health Targeted Case Management in Certified Community Behavioral Health Clinics
Mental Health Targeted Case Management services in Certified Community Behavioral Health Clinics. This includes eligibility, service core components, funding, payment, data collection, and reporting. 8/25/17



DISABILITY SERVICES DIVISION (56)
17-56-01 Lead Agency Requirements for Person-Centered Principles and Practices - Part 4
Revision to the Person-Centered, Informed Choice and Transition Protocol monitoring process; Revisions to the Person-Centered, Informed Choice and Transition Protocol 5/22/17



NURSING HOMES (62)
17-62-01 DHS Adjusts Nursing Home Property Limitations and Dollar Thresholds in 2016
2016 adjustments to limitations and dollar thresholds used in nursing facility property rate calculations. 1/19/17
17-62-01a Nursing Facility Policy Changes in 2017 Legislation
Changes enacted during the 2017 legislative session 9/18/17



CHILDREN'S SERVICES (INCLUDING TITLE IV-E) (68)
17-68-01 Revised Child Maltreatment Intake, Screening and Response Path Guidelines
December 2016 revision of DHS-5144, Minnesota’s Child Maltreatment Intake, Screening and Response Path Guidelines. 1/5/17
17-68-02 Minnesota’s Out-of-Home Care and Permanency Report, 2015
An annual summary of data regarding children in out-of-home care and permanency outcomes in Minnesota’s child welfare system. Information on child maltreatment in Minnesota was published in a separate report in October 2016. 1/19/17
17-68-03 The Every Student Succeeds Act of 2015
The Every Student Succeeds Act [Public Law Number 114-95] and its provisions for children in foster care. 2/15/17
17-68-04 Minnesota's Best Practices for Child Protection Facility Investigation
Best practice protocols for front-end child protection Facility Investigation for local social services agencies. 3/6/17
17-68-05 Provider Training Requirements for the Child Care Assistance Program
Child Care Assistance Program implements federal training requirements for child care providers registered with the Child Care Assistance Program. 3/6/17
17-68-06C Corrected #17-68-06C: Changes to Child Care Assistance Program Immunization Requirements
Child Care Assistance Program rescinds immunization requirements for children receiving child care assistance. 7/3/17
17-68-07 Procedures for Emergency Relative Placements
Child foster care emergency relative placement procedures. 3/31/17
17-68-08 Updated Federal Poverty Guidelines and Suggested Social Services Fee Schedule
Updated Federal Poverty Guidelines (FPG) and suggested social services fee schedule. 5/1/17
17-68-09 Sex Trafficked Children and Youth Investigative Protocols
Investigative protocols for sex trafficked children and youth. 5/8/17
17-68-10 Children eligible for Title IV-E foster care and benefits from Social Security
Title IV-E eligible children who receive benefits from the Social Security Administration 5/10/17
17-68-11 Minnesota Assessment of Parenting for Children and Youth
Northstar Care for Children assessment tool 5/10/17
17-68-12 Transfer of Placement and Care Responsibility from Corrections to Local Social Services Agency
Corrections placements transferred to local social services agencies. 5/19/17
17-68-13 Title IV-E Foster Care Placement, Care and Supervision Agreement
Title IV-E Foster Care Placement, Care and Supervision Agreement with local social service and corrections agencies. 5/19/17
17-68-14 Overview of 2017 Child Welfare Legislation
2017 child welfare legislation 7/12/17
17-68-15 Transferring Northstar Kinship Assistance Benefits to Successor Relative Custodians
Policy and procedure guidance for transferring Northstar Kinship Assistance benefits to successor relative custodians. 7/14/17
17-68-16 Federal and State Changes to the Child Care Assistance Program – Overview
Federal and State Changes to the Child Care Assistance Program – Overview 7/24/17
17-68-17 Child Welfare - Targeted Case Management Policy Guidelines
Child Welfare - Targeted Case Management (CW-TCM) requirements for county and tribal agencies and contracted vendors. 7/26/17
17-68-18 Prenatal Exposure to Substance Use
To address the Comprehensive Addiction and Recovery Act (CARA) 2016 amendment to the Child Abuse Prevention and Treatment Act (CAPTA) and to provide policy and procedural guidance. 8/7/17
17-68-19 Federal and State Changes to the Child Care Assistance Program – Phase 1
Child Care Assistance Program Phase 1 changes effective the week of September 25, 2017 made as a result of the federal Child Care and Development Block Grant (CCDBG) Act of 2014 and the 2017 state legislative session. 9/6/17
17-68-20C Corrected #17-68-20C: Extended Foster Care for Youth Ages 18 up to 21
Fostering Connections to Success and Increasing Adoptions Act of 2008 [Public Law 110-351], including foster care for youth ages 18 up to 21. 10/26/17
17-68-21 Allocations Announced for Adolescent Independent Living Skills Funding
Budget instructions, eligibility, funding priorities, use and fiscal management of funds for the Support for Emancipation and Living Functionally (SELF) program. 9/25/17
17-68-22 Federal and State Changes to the Child Care Assistance Program – Phase 2
Child Care Assistance Program Phase 2 changes effective October 23, 2017 made as a result of the federal Child Care Development Block Grant (CCDBG) Act of 2014 and the 2017 State Legislative session. 10/11/17
17-68-23 2017 Social Services Block Grant Annual Report
Describes the federal Social Services Block Grant (SSBG) requirements in Minnesota. 10/24/17



DIRECT CARE/TREATMENT (76)
17-76-01 Direct Care and Treatment – Forensic Services Billing Rates for Court Ordered Examinations
Forensic Services provides inpatient and outpatient court ordered examination that are coordinated through the Forensic Network. New rates have been established and are effective 10/01/2017. This bulletin replaces bulletin #15-76-03. 9/7/17



REIMBURSEMENT FOR STATE FACILITY CARE (77)
17-77-01 Direct Care and Treatment Cost of Care Rates as of July 1, 2017
Interim rates for cost of care for Direct Care & Treatment Mental Health Services, Forensic Services and the Sex Offender Program 6/7/17

More information on bulletins

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