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Day training and habilitation

Page posted: 10/1/03

Page reviewed: 2/1/16

Page updated: 2/1/16

Legal authority

Federally approved DD Waiver plan, Minn. Stat. §245D.03, Minn. Stat. §252.28, Minn. Stat. §252.40 to §252.46, Minn. Stat. §256B.092, Minn. Stat. §256B.501, Minn. R. 9505.0315, Minn. R. 9525.1200, Minn. R. chapter 9525


Day training and habilitation (DT&H): Services that develop and maintain life skills for people with developmental disabilities or related conditions so they can fully participate in community life.

Additional information

Day training and habilitation (DT&H) services for people with developmental disabilities and related conditions:

  • • Develop skills that help people achieve greater independence, productivity and community inclusion
  • • Increase and maintain a person's physical, intellectual, emotional and social functioning
  • • Can be coordinated with physical, occupational and speech-language-communication therapies if indicated in the person's coordinated service and support plan (CSSP)
  • • Can supplement and support skill development occurring in therapy, residential or other community settings.
  • Eligibility

    DT&H services are available to people who:

  • • Are 18 years or older
  • • Are diagnosed with a developmental disability or have a related condition
  • • Are not special education, public school students as defined in Minn. Stat., §125A.03
  • • Have received either a MNChoices assessment or a developmental disabilities screening
  • • Have DT&H services indicated in their CSSP.
  • School age youth and adults under 22 years old

    When a person’s support team or Individualized Education Program (IEP) team plans to use DT&H service provider for school-age youth and/or adults who are under 22 years old, either the lead agency, school or provider must notify DHS by contacting the DSD Response Center to receive authorization.

    DHS must receive the following required information:

  • • Person’s name and PMI number
  • • Provider site where the person will receive services
  • • Date services begin
  • • Description of the needed services to be provided by the provider
  • • Copy of the person’s diploma and graduation date (if the person is no longer in school).
  • Payment for services

    The school district pays for provider services to school-age youth and adults under the age of 22, when the person is a student who has not graduated.

    DT&H service providers can receive payment from DHS for services provided to young adults, ages 18 to 22, when both:

  • • The person has graduated from school
  • • The person is eligible for DT&H services (please see the eligibility section).
  • Covered services

    DT&H services provide training, supervision and support in the areas of:

  • • Communication
  • • Community access, mobility and inclusion
  • • Independent living
  • • Money management and budgeting
  • • Pedestrian/street safety
  • • Positive behavior support
  • • Public transportation
  • • Recreation and leisure
  • • Self-care
  • • Self-preservation
  • • Socialization
  • • Use of various community resource
  • • Work related skills training.
  • DT&H service providers must provide, arrange and pay for transportation to and from service sites for people who receive DT&H services.

    Non-covered services

    DT&H services do not include:

  • • Special education services available and funded under the Individuals with Disabilities Education ACT (IDEA)
  • • Vocational services available and funded under Section 110 of the Rehabilitation Act of 1973.
  • Special transportation (STS)

    Special Transportation Services (STS) are nonemergency medical transportation services provided to eligible Minnesota Health Care Program (MHCP) recipients. For more information, refer to Minn. Stat. §256B.0625, subd. 17.

    Case managers cannot authorize special transportation services as a form of DT&H transportation.

    Secondary Information

    DD Waiver DT&H services

    DT&H services provided under the Developmental Disabilities (DD) Waiver are provided in non-residential community settings separate from the person’s home or residential service site.

    People living in ICFs/DD

    People who live in Intermediate Care Facilities for Persons with Developmental Disabilities (ICFs/DD) can receive needed training and habilitation services via the services during the day service option when identified in the person’s CSSP.

    ICFs/DD residents also can receive DT&H services in their residence when medically necessary and indicated in their CSSP.

    Provider standards

    DT&H providers must hold a license under Minn. Stat. Chapter 245D as an intensive support service provider.

    Providers licensed under 245D must report all uses of controlled procedures, emergency use of manual restraint and prohibited procedures according to Minn. Stat. 245D.06, subd. 5 to DHS via the Behavioral Intervention Report Form DHS-5148 (PDF).

    Minn. Stat. Chapter 245C requires all licensed programs to conduct background studies. Minn. Stat. 245D.03 lists individuals subject to background studies. Providers must complete and submit individual background studies using New Electronically Transmitted Study (NETStudy) through DHS licensing.

    Provider responsibilities

    DT&H service providers are responsible to:

  • • Provide the amount and type of services authorized in the CSSP.
  • • Design services to achieve outcomes indicated in the person's CSSP.
  • • Enter into agreements with ICFs/DD to ensure compliance with applicable federal laws and regulations as well as state statutes and rules.
  • • Provide, arrange and pay for transportation of persons receiving DT&H services to and from service sites.
  • Lead agency responsibilities

    Lead agencies are responsible to:

  • • Authorize DT&H services indicated in the person's CSSP
  • • Submit required DT&H determination of need applications to the DSD Response Center when there are proposed changes to DT&H service programs (see the need determination requirements section below)
  • • Ensure DT&H service providers arrange, provide and pay for transportation to and from service sites for people receiving DT&H services in the most efficient and reasonable way possible
  • • Monitor and evaluate the cost and effectiveness of DT&H services.
  • Need determination requirements

    When a lead agency proposes to develop, increase, change, decrease or terminate DT&H services, it must follow DHS procedures for need determination. See CBSM — DT&H services need determination for more information.

    DHS responsibilities

    DHS is responsible to:

  • • Determine the need for DT&H services
  • • Establish payment methods and rates
  • • Monitor and evaluate the cost and effectiveness of DT&H services
  • • Provide information and technical assistance to lead agencies and DT&H service providers
  • • Oversee the provision of DT&H services to adults with developmental disabilities.
  • Additional resources

    Briefcase resource document: Transportation and day and employment services
    MHCP Provider Manual – Day training and habilitation

    245D resources

    College of Direct Supports courses
    DHS Licensing

    MHCP Provider Training resources

    Related policies

    CBSM — DT&H services need determination

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