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Minnesota Department of Human Services Moving Home Minnesota Program Manual
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Caregiver education: Education for Elderly Waiver recipients, using the New York University caregiver counseling and support intervention model.

Case consultation and collaboration: Development of the transition plan and in providing clinical expertise to support the MFP participant's placement in the community.

Case management services: Case management available to MHM participants who are not eligible for other types of case management.

Certified peer specialist services: Coaching, mentoring and assisting peers in skills building, goal setting, problem solving, helping to build self-directed recovery tools, such as wellness recovery action plans.

Comprehensive community support services: Short-term supportive services to help individuals connect with and establish informal supports in the community; ongoing support in maintaining housing: tenancy support, including dispute resolution with landlords and neighbors; household management and budgeting; assistance in organizing schedules and appointments; and, information and education provided to individuals who are play key supportive roles for the MFP participant.


Durable medical equipment and assistive technology: Equipment and technology not covered under one of the home and community-based services waivers.


Eligibility: Criteria people need to meet to be eligible to receive services through the demonstration.

Enrollment specialist: Staff who reviews the application, determines whether people are eligible, and enrolls eligible applicants in the demonstration.

Environmental modifications for safety and accessibility: Modifications not covered under one of the home and community-based services waivers.


Housing specialist: Resource for transition coordinators and providers of housing access services as they work with people to identify appropriate housing in their community.


Minnesota’s Money Follows the Person (MFP): A federal demonstration to reduce or eliminate barriers to people receiving long-term care services in home and community settings rather than in institutional settings. Minnesota’s Money Follows the Person Demonstration is known as Moving Home Minnesota (MHM).


Night supervision: Overnight assistance and monitoring in the home of a person to support the initial transition to the community for a period of no more than 12 hours in a 24-hour period.

Non-medical transportation to seek housing and employment: Pays for mileage for the transition coordinator to drive an individual to find housing or employment.


Personal emergency response system: Home devices that provide direct and immediate connection to a 24-hour on-call system.

Psycho-educational services: Education to participants and their families to help them better understand and deal with a mental health condition. Considered a children’s Mental Health demonstration Service


Qualified residence:

  • • Single-family home owned or leased by the individual or the individual’s family member;
  • • Apartment with an individual lease, with lockable access and egress, and which includes living, sleeping, bathing and cooking areas over which the individual or the individual’s family has domain and control; or
  • • Residence in a community-based residential setting, in which no more than four unrelated individuals reside.
  • Qualified institution(s):

  • • Hospitals
  • • Nursing facilities
  • • Intermediate Care Facilities for People with Developmental Disabilities (ICF/DD)
  • • Institutions for people with mental diseases (participants under 21 or 65 years of age or older).
  • R

    Respite: Services provided to persons unable to care for themselves, furnished on a short-term basis. This service is limited to children who have a diagnosis of mental illness.


    Supported employment (SE): sustained paid employment at or above minimum wage in an integrated setting with ongoing support. The intended outcome of this service is sustained, paid employment and work experience leading to further career development and independent community based employment. Services will include variations and approaches of supported employment such as Customized Employment.


    Tools, clothing and equipment necessary for employment: Employment supplies, equipment, or clothing for MHM participants under 65.

    Transition coordinator: Staff who help people in the demonstration move from the qualified institution to the community.


    Youth Assertive Community Treatment (Youth ACT): Comprehensive rehabilitative mental health service for youth ages 16-20 who have a diagnosis of serious mental illness or a co-occurring mental illness and substance abuse disorder. Services range from psychotherapy and skills training to medication monitoring and integrative dual disorders treatment. All services are delivered in a team treatment model. 

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