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Minnesota Department of Human Services ICF/DD Manual
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Termination of Services

Page posted: 08/01/05

Page reviewed: 3/15/11

Page updated: 08/01/05

Legal Authority

Minn. Stat. §245B.07, subd. 8 (3) and Minn. Stat. §256B.092, subd. 3

Definition

Termination of services: Discharge of a person initiated by an ICF/DD.

Compliance Principles

Prior to notice of service termination, ICFs must document actions taken to minimize or eliminate the need to terminate services. ICFs/DD are required to notify the person, their legal representative and case manager of an intended termination from the ICF/DD in writing at least 60 days prior to the proposed termination of services.

When a temporary suspension of services is to result in a termination of services, the 60-day notice begins with the decision to terminate services and not the date of the temporary suspension of services.

An ICF/DD must terminate services to a person when the ICF/DD no longer provides active treatment. Medical Assistance can only reimburse ICF/DD services if active treatment is a part of the Individual Service Plan and actively provided.

Service Termination

1. Document actions taken to minimize or eliminate the need to terminate services.
2. Upon discharge:

  • • Develop a final summary of the recipient’s developmental, behavioral, social, health and nutritional status
  • • Document in the recipient’s record the discharge is for good cause
  • • Obtain consent of the person, parent(s) if the client is a minor or legal guardian to provide a copy of the final summary to authorized persons and agencies
  • • Provide a post-discharge plan of care to help the person adjust to the new living environment
  • • Provide a reasonable time to prepare the person, family and legal guardian for the discharge
  • Policies and Procedures

    ICF/DD policies and procedures must include provisions for service termination, coordination of care and appeal rights.

    Record Retention

    ICFs/DD are responsible to retain recipient service records for at least three years following termination of services.

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