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Housing Support Supplemental Services

Revised: 05-18-2018

Overview

Effective July 1, 2017, Group Residential Housing (GRH) is now called Housing Support.

Housing Support supplemental services are for eligible recipients of Housing Support room and board. The purpose of Housing Support supplemental services is to help individuals receiving Housing Support room and board to maintain their housing. Individuals must be eligible and receiving Housing Support room and board to be eligible for the supplemental services. To learn more about this program, see Minnesota Statutes 256I.

Individuals are not eligible for supplemental services if they receive personal care assistance (PCA) or any waiver services, or if they live in an adult foster care setting.

The Minnesota Legislature establishes the Housing Support supplemental service rate and the current rate is $482.84. Counties and tribes negotiate the supplemental service rates with providers and cannot exceed the maximum rate unless authorized by the legislature.

Eligible Providers

To be eligible to provide, bill and be paid by Minnesota Health Care Programs (MHCP) for providing Housing Support supplemental services, providers must do the following:

  • • Have a signed Housing Support agreement with the county or tribe where the residence is located
  • • Be an enrolled MHCP provider
  • • Have an approved service authorization for each client being served
  • MHCP Enrollment

    MHCP requires you to enroll each practice location where Housing Support supplemental services are provided.

    A practice location is where services are being provided as listed here:

  • • Residential practice location - If you provide supplemental services to recipients in a Housing Support setting or program where all residents live in one residential setting, the practice location is the residential setting.
  • • Office practice location - If you provide supplemental services to recipients in a Housing Support setting or program where residents live in multiple, scattered-site locations, the practice location is the office setting from which employees are sent out to provide the services (for example, a scattered site long-term homeless supportive housing program).
  • To enroll each practice location, complete and fax the following forms and documents to MHCP Provider Enrollment at 651-431-7462 as noted here.

    Enrolling a New Housing Support Location

    To enroll a new Housing Support location, complete the following:

  • Housing Support Supplemental Services - Provider Enrollment Application (DHS-5924) (PDF)
  • • Copy of the signed Housing Support agreement with the lead agency (county or tribe) to provide supplemental services signed by the lead agency
  • • Optional forms if enrolling only to provide supplemental services:
  • Disclosure of Ownership and Control Interest of an Entity (DHS-5259) (PDF)
  • EFT Vendor Number Notification (DHS-3725) (PDF)
  • Adding Housing Support Supplemental Services to an Existing Record

    To add Housing Support supplemental services to an existing home and community-based services enrollment record, complete the following:

  • Housing Support Supplemental Services - Provider Enrollment Application (DHS-5924) (PDF)
  • • Copy of the current Housing Support agreement with the lead agency to provide supplemental services signed by the lead agency
  • MCHP Provider Enrollment processes applications in the order received. If you have already submitted your application, Provider Enrollment is processing it, and will contact you in writing if anything further is needed. 

    MNITS
    MHCP requires those who provide supplemental services register for a MN−ITS account. You will receive a welcome letter with your MN−ITS registration information once you are approved as an MHCP enrolled provider.

    Eligible Recipients

    Recipients of Housing Support supplemental services must be eligible and receiving Housing Support room and board. Eligibility includes the following:

  • • Certified disability or disabling condition, or 65 years old or older
  • • Low income and low assets
  • • Reside in a setting authorized by the county or tribe with a Housing Support agreement
  • To qualify for the Housing Support supplemental services, individuals must also have two of the following needs:

  • • Tenancy supports to assist an individual with the following:
  • • Find his or her own home
  • • Negotiate with landlord
  • • Secure furniture and household supplies
  • • Understand and maintain tenant responsibilities
  • • Conflict negotiation
  • • Budget and financial education
  • • Supportive services to assist with the following:
  • • Basic living and social skills
  • • Household management
  • • Monitor overall well-being
  • • Problem solving
  • • Employment supports to assist with the following:
  • • Maintain or increase employment
  • • Increase earnings
  • • Understand and utilize appropriate benefits and services
  • • Improve physical or mental health
  • • Move toward self-sufficiency
  • • Achieve personal goals
  • • Health supervision services to assist with the following:
  • • Preparation and administration of medications other than injectable
  • • The provision of therapeutic diets
  • • Take vital signs
  • • Provide assistance in dressing, grooming, bathing or with walking devices
  • Setting Type

    Housing Support Supplemental Services

    GROUP SETTINGS

    X

    Adult foster care

     

    Board and lodging

    X

    Board and lodging with special services

    X

    Hotel and restaurant

     

    Non-certified boarding care home

    X

    Supervised living facility

    X

    Registered as housing with services

    X

    Tribe certified

    X

    COMMUNITY-BASED SETTINGS

     

    Long-term homeless supportive housing

    X

    Registered as housing with services

    X

    Tribe certified

    X

    Covered Services

    Supplemental services minimally include, but are not limited to, oversight and up to 24-hour supervision, medication reminders, assistance with transportation, arranging for meetings and appointments, and arranging for medical and social services.

    Additional services may be covered if authorized in statute for a specific residence or category of housing.

    Service Authorization (SA) Requirements

    To provide Housing Support supplemental services and receive reimbursement for these services, there must be an approved SA for each individual being served. The county eligibility workers create the SA after the room and board has been approved.

    Information on the SA includes:

  • • The MHCP enrolled provider information who is authorized to provide the supplemental services
  • • Service authorization number
  • • Rrecipient ID and recipient name
  • • Date span of authorized services
  • • Approved procedure code
  • • Rate of payment for the service
  • MHCP places the SA into the Service Authorization Letters (SAL) folder of your MN–ITS miscellaneous received mailbox.

    Before an SA can be approved, you must:

  • • Have a signed Housing Support agreement with the county or tribe where the residence is located
  • • Be an enrolled MHCP provider
  • An SA is valid once approved unless one or more of the following occurs:

  • • The recipient becomes ineligible for services
  • • The recipient changes providers
  • • The providers enrollment status changes or is pending updates
  • • The contract ends with the county
  • Once the issue is resolved, the SA may be valid again.

    Billing

    Submitting Claims

    When submitting claims for Housing Support supplemental services, do the following:

  • • Use MN−ITS Direct Data Entry (DDE) or your own X12 compliance software (batch billing system)
  • • Use only the MN−ITS Professional (837P) claim. Refer to the MN−ITS User Guide for claim completion Instructions
  • • Bill only for services already provided
  • • Bill only for services approved on the SA. Note: Services that require an SA cannot be billed on the same claim as services that do not require an SA
  • • Provider must enter a diagnosis code when submitting claims for all Housing Support supplemental services. Providers are required to use the most current, most specific diagnosis code when submitting their claims. MHCP will not display the diagnosis code of the recipient on the SA.
  • Approved Supplemental Housing Support Diagnosis Codes

    Disabling Condition Code
    Developmental disability
    Learning disability
    Mental illness
    Physical illness, injury or impairment
    Chemical dependency

    Primary Diagnosis Code
    F84.9
    F81.89
    F99
    R69
    F19.20

    Follow these billing guidelines:

  • • Use only the information listed on the approved SA when submitting claims for reimbursement
  • • Use only daily spans on claim; date spans are not allowed on claim
  • • Use only the Housing Support per diem amount as listed on SA
  • • Housing Support per diem rate is procedure code H0043 with U5 modifier
  • Note: Housing Support room and board payments and how providers receive these payments will not change. Providers will continue to receive room and board payments through the DHS MAXIS system. When billing for Housing Support supplemental services, do not bill for the date of exit (the day the person moves out). Housing Support room and board payments are also not paid for the date a person moves out.
  • Definitions

    Refer to Minnesota Statutes 256.03 for Definitions

    Legal References

    Minnesota Statutes 256I, Group Residential Statute

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