Page posted: 10/1/03
Page reviewed: 11/17/10
Page updated: 4/20/16
Long-term care consultation (LTCC): A variety of services designed to help people make decisions about long-term care needs and choose services and supports that reflect their needs and preferences.
The intention of the LTCC program is the following:
Upon request, any person with long-term or chronic care needs is entitled to receive LTCC services regardless of their age or eligibility for Minnesota Health Care Programs. The county where the person is located at the time of request or referral for LTCC service is responsible to provide the LTCC services.
Individuals, families, human services and health professionals, hospital and nursing facility staff may make referrals for LTCC services.
LTCC incorporates four main components. The components may be provided in any combination.
1. Consumer information and education about local long-term care services options.
Contracted case managers
Private contracted case management providers cannot complete:
Initial and annual LTCC assessments to determine and re-determine program eligibility are always the responsibility of the LTCC staff in the lead agencies. As these are administrative functions, lead agencies cannot delegate them to contracted case managers.
Contracted case managers may complete case management activities described in the waiver case management covered services section. Contracted case managers must meet the qualifications of each type of case management service. Case management qualifications by type.
LTCC does not include:
The county boards of commissioners establish LTCC teams. Two or more counties may collaborate to establish a joint local consultation team or teams. The board(s) may designate either the social services or public health departments as the lead agency for LTCC services. County LTCC Contact information
Each local LTCC team must include at least one social worker and one public health nurse from their respective county agencies. The county may use a team of either the social worker or public health nurse or both to conduct LTCC assessments. When one-person assessments are completed, consultation needs to be available between the social worker and the public health nurse to determine the most appropriate care for each person assessed.
If a county does not have sufficient public health nurse staff available, the county may request approval from the Commissioner of Human Services to assign a registered nurse with at least one-year experience in home care to participate on the LTCC team. Approval is granted based on information provided in the request.
Managed care teams
For people who receive their health care services under certain prepaid MA program, the managed care organization is responsible to determine service eligibility for HCBS programs included in their member’s benefit sets.
Prepaid MA programs that include home and community-based services are:
Managed care organizations may contract with county or tribal LTCC teams to perform LTCC functions. County and tribal LTCC staff can access information about a person’s managed care enrollment through the Medicaid Management Information System in the Recipient subsystem on the RPPH screen.
DHS may contract with federally recognized tribes to provide LTCC services.
The LTCC Supplemental Form for Assessment of Children under 18 DHS-3428C (PDF) is required when screening a child age 18 years or under. It provides a guide for determination of age-appropriate dependencies for the eight activities of daily living. A child may not be dependent in an ADL, if the amount of assistance needed is similar to the assistance appropriate for a typical child of the same age.
AC, EW, CADI & BI Waiver Case Mix Classification Worksheet DHS-3428B (PDF)
Process and Procedures
To initiate LTCC services, a person or their representative with the person’s consent may contact the LTCC team in the county which they are located at the time of their request.
The assessment process identifies:
LTCC assessment includes the following activities:
1. Inform and educate the general public regarding availability of LTCC services for individuals.
If Field 17 is checked yes, there is a history of a developmental disability or related condition diagnosis, then refer the person to the DD screening team for a comprehensive diagnostic assessment. Upon completion of the assessment, if the person qualifies for Rule 185 Case Management, complete the DD Screening Document DHS-3067 (PDF).
Conduct LTCC assessments in a face-to-face interview with the following:
People requested to attend the interview may provide information on the needs, strengths and preferences of the person necessary to develop a support plan that ensures health and safety. However, they cannot be a provider of service nor have any financial interest in the provision of services.
LTCC staff must give the person receiving an assessment or LTCC support plan and/or their legal representative, the following materials and information:
At the initial and annual LTCC assessments, the LTCC team provides transition assistance to persons residing in a nursing facility, hospital, regional treatment center or Intermediate Care Facility for Persons with Developmental Disabilities who request or are referred for assistance.
Transition assistance services must include the following:
Two reports will be sent to each county quarterly that list persons under age 65 years:
Use the reports to schedule mandatory, annual LTCC screenings for persons under the age of 65 years.
Counties develop transition processes with institutional social workers and discharge planners to ensure the following are met:
If a person who is eligible for a Minnesota Health Care Program is admitted to a nursing facility, the nursing facility must include a consultation team member or the case manager in the discharge planning process.
The county where the person is located is responsible to develop the LTCC community support plan. The CSP developed in conjunction with the LTCC program is abbreviated in comparison to the CSP developed for the Alternative Care program, waivers or targeted case management services. The LTCC community support plan:
Whether or not the person is eligible for one of the MHCPs, the LTCC team must provide the person and/or their legal representative with a written LTCC CSP upon request. The exception to this is when a person chooses to receive services in a long-term care facility.
The LTCC team:
All persons who choose HCBS services must receive a written LTCC Community Support Plan within 10 working days of their face-to-face assessment date. LTCC services end with the development and delivery of a written CSP.
If a person wants or needs assistance with implementation or further development of a CSP, the county may refer the person to any of the following for assistance:
Non MA participant
Enter screening document information through the Person Master Index Number function in MMIS as part of the entry of a Long Term Care Screening Document. See the MMIS User Manual, MinnesotaCare chapter, for further information about assigning a PMIN. County workers are required to enter the correct username and password to access the MMIS User Manual.
Non Minnesota resident
1. Use code “089” (out of state) in the County of Residence field.
65th birthday assessment
Lead agencies have a two-month period before or after the person’s 65th birthday to complete assessments and LTCC screening documents. During the two months before the birthday, lead agencies receive payment as fee-for-service with activity type 08 (65th birthday screen).
On or after the 65th birthday, lead agencies may:
Over age 65
Funds passed through nursing facility payments to the county contribute toward the cost of completing all required LTCC and PAS activities, including private pay.
Additional payment information
A claim will deny and post an edit if the following occur:
For timeline information, see CBSM – Assessment applicability and timelines.