Page posted: 10/01/03
Page updated: 6/29/15
Relocation Service Coordination (RSC) are activities coordinated and designed to help a person who resides in an eligible institution to gain access to needed medical, social, educational, financial, housing and other services and supports that are necessary to move from an eligible institution to the community.
Institutions are defined in statute as:
To receive RSC, a person must be:
A person between the ages of 21 and 65 years who is receiving inpatient mental health services in an RTC is usually not eligible for MA. However, persons under the age of 21 years or over 65 years will be eligible for RSC if they are currently receiving MA.
The DHS Eligibility Verification System (EVS) can verify eligibility prior to providing services.
If EVS indicates that a person is currently enrolled in a Minnesota Senior Health Option (MSHO), the RSC provider is to contact the health plan and arrange for that plan to provide relocation assistance.
If EVS indicates a person is enrolled in one of Minnesota’s remaining prepaid health care programs, RSC may be provided, but the provider is to take the necessary steps to make sure that all relocation efforts are coordinated with the appropriate health plan to ensure continuity of care and non-duplication of effort.
Activities include, but are not limited to:
Transition assistance when a person moves from one institution to another. For example, if a nursing facility closes, a provider cannot bill for activities related to finding another nursing facility for a person, unless a person’s relocation plan indicates that a move to another institution is a necessary step toward the eventual community integration of that person.
Persons opened to home and community-based waivers are not eligible for RSC.
The provision of RSC is limited to 180 consecutive days. The 180-day limit is a “per admission” limit meaning that a person may receive another 180 days of RSC if they are re-admitted to an eligible institution.
A billing claim may be made regardless of whether the community reintegration takes place through a home and community-based waiver or by other means. For example, community services and supports are obtained through personal care assistant services, home health or other services to meet the needs of the person.
It is the legal responsibility of the County of Financial Responsibility (CFR) or tribe to assure that a person receives RSC within 20 working days from the date requested.
Provider Standards and Qualifications
An MA-enrolled provider must also have:
RSC service coordinators/case managers are persons employed by or authorized by the RSC providers identified above. A service coordinator/case manage must have:
1. Skills in identifying and assessing a wide range of needs
2. Knowledge of local community resources and how to use those resources for the benefit of the person
Bachelor’s degree in social work, nursing, psychology, sociology or a closely related field from an accredited four-year college or university or a bachelor’s degree from an accredited four-year college or university in a field other than social work, nursing, psychology, sociology or a closed related field plus one year of experience in the delivery of social services to the target population as a supervised social worker in a public or private social services agency
RSC providers may contract with a private vendor to provide RSC but are responsible for ensuring that the vendor is capable of rendering all or part of relocation services.
Contracted vendors must have a procedure in place that notifies the person and the person’s legal representative of any conflict of interest, if the contracted vendor also provides or will provide the person’s community services and supports upon discharge. Contracted providers must provide information on all conflicts of interest and obtain the person’s informed consent or provide the person with alternatives.
Case managers/service coordinators who provide relocation related services should be trained in person-centered approaches to planning, or have access to someone trained in person-centered planning who can assist with the development and implementation of the relocation plan.
Process and Procedure
Comparison of LTC, RSC and CAC, CADI and BI Waivers for Persons with Disabilities and Aged 65 and Older – Under construction
Effective Date: 10/01/03
Review Date: 6/29/15
Prior to or upon admission to an institution, when a county provides formal screening,) the person is to be informed of, and offered, Relocation Service Coordination (RSC) services.
A person or someone acting on his or her behalf can make a request to receive RSC at any time while he/she is residing in an institution. A request is to be made to the person’s county of financial responsibility or federally recognized tribe.
Within 20 working days of receipt of the request, a case manager/service coordinator must visit the person.
It is the legal responsibility of the county of financial responsibility or tribe to assure that a person receives RSC when requested.
If the county of financial responsibility or tribe is unable to provide RSC services due to distance from the person, the provider may contact the county where the person is living and request that it provide this service, or contract with a private vendor.
RSC begins with the assessment of the person using either the:
The provision of RSC is closely linked to the above processes. These assessment tools are required for any person being admitted to an institution. Both processes are to be used to provide persons with community service options in order to prevent admissions OR to provide transition assistance (RSC) in the event an admission cannot be avoided.
If a person is admitted and requests RSC services, both processes include a means for assessing a person’s health, psychosocial and functional strengths and needs, in addition to, assisting the person identify needed and available services.
The results of the assessment, coupled with the preferences of the person, provide a foundation for the start of the relocation effort. It is the responsibility of the RSC service coordinator to implement and refine the plan accordingly.
Click here to view screening forms.
When a person indicates a desire to receive RSC, certain fields on the LTC Screening Document (PDF) or DD Screening Document must be completed in order to:
Completion of required fields in the Long-Term Care Screening Document or the Developmental Disability Document.
The following must be documented when making a RSC-related contact:
Billing is handled on the CMS-1500.
Billing for RSC is limited to 180 consecutive days. A claim may be made regardless of whether the person’s community reintegration takes place through a home and community-based waiver or by other means (for example, the person’s community services and supports are obtained through personal care assistant services, home health or other services).
The 180-day limit starts on the date of service listed on the first RSC claim. MMIS will create a 180-day window based on that date which will prevent providers from billing past the 180-day limit. Providers will not be able to authorize additional days beyond the 180-day limit unless the person: 1) Receives RSC
2) Is discharged and
3) Is re-admitted at a later date. In this scenario, providers may authorize an additional 180-day period of time assuming the person indicated they would like to pursue again.
Providers should not bill RSC unless you are sure that the person is intent on pursuing a community placement. If the person wants to "explore their options" or "see what’s out there", the Department recommends not billing this activity as RSC. Doing so may preclude you from billing at a later date when the person is sure they want to pursue this.
Providers do not need to wait for discharge to occur prior to billing. In fact, claims will be paid even if the relocation plan is not ultimately successful and no community placement takes place.
All eligible RSC activities will be reimbursed through the MA program. Billing is handled on the CMS-1500. Providers may submit claims throughout the relocation process using the following information.
Most counties will use the County Services Information System (CSIS) or other applicable information system to record activities and time related to RSC. RSC can be documented using the following BRASS codes:
For Social Services Information System (SSIS) time entry, billable activities fall under one of the following staff activity codes:
County staff should use Category E "Other" and code 68 "Other Social Services and Third Party Billings" on the Social Services Time Study (SSTS) for random moments which occur while working on RSC activity.
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