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Minnesota Department of Human Services Community-Based Services Manual (CBSM)
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Relocation Service Coordination (RSC)

Page posted: 10/01/03

Page reviewed:

Page updated: 6/29/15

Legal Authority

Minn. Stat. §256B.0621, subd. 2-4 and 6-10

Definition

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:

  • • Hospitals
  • • Nursing facilities (NFs) including certified boarding care facilities
  • Intermediate care facilities for persons with developmental disabilities
  • • Regional treatment centers (RTCs) providing inpatient services to persons currently receiving Medical Assistance
  • Eligibility

    To receive RSC, a person must be:

  • • Eligible for Medical Assistance (MA)
  • • Reside in an eligible institution at the time services are rendered
  • • Choose to receive RSC services
  • 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.

    Covered Services

    Activities include, but are not limited to:

  • • Development and implementation of a relocation plan
  • • Needed update of a relocation plan
  • • Routine contact or communication with a person, or others identified as necessary to develop or implement the goals stated within a relocation plan
  • • Coordination of referrals and assisting a person to access services
  • • Coordination and monitoring of the overall implementation of a relocation plan
  • • Completion and maintenance of required documentation
  • • Travel to conduct a visit with a person or others identified as necessary to develop and implement the goals of a relocation plan
  • • Coordination of efforts with the discharge planner at the institution and others
  • Non-Covered Services

    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.

    Limitations

    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.

    Secondary Information

    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:

  • • The legal authority to provide public welfare under Minn. Stat. §393.01, subd. 7 and Minn. Stat. §393.07, is a federally recognized Indian tribe, or is a facility of the Indian Health Service
  • • Demonstrated capacity and experience to provide the necessary resources
  • • Administrative capacity and experience to provide and ensure the quality of services required
  • • The legal authority to provide complete investigative and protective services under Minn. Stat. §393.07, subd. 1 and 2
  • • A financial management system that provides accurate documentation of services and costs
  • • The capacity to document and maintain individual case records
  • 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

    Access
    Assessment
    Authorization
    Documentation

    Billing

    Additional Resources

    Comparison of LTC, RSC and CAC, CADI and BI Waivers for Persons with Disabilities and Aged 65 and Older – Under construction

    Relocation service coordination targeted case management private providers

    Process and Procedure- Relocation Service Coordination (RSC)

    Effective Date: 10/01/03

    Review Date: 6/29/15

    Access

    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.

    Assessment

    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.

    RSC Forms

    Click here to view screening forms.

    Authorization

    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:

  • • Ensure provider payment for the screening activities performed and
  • • Authorize the payment of the RSC claim.
  • See Instructions for Completing and Entering the LTC Screening Document and Service Agreement into MMIS DHS-4625 (PDF).
  • Documentation

    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:

  • • Name of recipient
  • • Name of person contacted if other than the recipient
  • • Date and time of the contact
  • • Length of contact
  • • Place of contact
  • • Summary of the nature of the contact
  • • Case manager name / worker #
  • Billing is handled on the CMS-1500.

    Billing

    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.

  • • Service -Case Management - 15 minute
  • • Procedure Code - T1017
  • • Unit - 15 minute
  • • Maximum Rate
  • 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:

  • • 194x Relocation Service Coordination (RSC) - children
  • • 694x Relocation Service Coordination (RSC) - adults
  • For Social Services Information System (SSIS) time entry, billable activities fall under one of the following staff activity codes:

  • • 7 – Client contact
  • • 8 – Collateral contact
  • • 9 – Consultation
  • • 10 – Coordination
  • • 16 – Documentation
  • • 34 – Transportation
  • • 35 – Travel in county
  • • 36 – Travel out of county
  • 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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    © 2017 Minnesota Department of Human Services Updated: 6/29/15 10:08 AM | Accessibility | Terms/Policy | Contact DHS | Top of Page | Updated: 6/29/15 10:08 AM