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Minnesota Department of Human Services Community-Based Services Manual (CBSM)
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Housing access coordination

Page posted: 7/13/05

Page reviewed: 11/18/16

Page updated: 5/26/17

Legal authority

Federally approved BI, CAC, CADI and DD waiver plans

Background

Changes to the housing access coordination (HAC) waiver service launched July 1, 2016. The changes are based on the successful outcomes of the Housing Access Services (HAS) grant. Since fall 2009, more than 1,700 people have used HAS to move from licensed or unlicensed settings to homes of their own that are not owned, leased, or controlled by disability services providers.

The HAS grant program is still available. For more information, see The Arc of Minnesota – Housing access services.

Definition

Housing access coordination (HAC): A waiver service that helps people plan for, find and move to homes of their own that are not owned, leased or controlled by disability services providers. It is a pay-for-performance, person-centered service that pays for staff assistance based on the results achieved. A provider is reimbursed for actual time spent helping a person get housing.

Eligibility

A person is eligible to receive housing access coordination if he or she is enrolled on one of following waivers:

A person can use housing access coordination to move to his or her own home from any of the following settings:

  • • Family or corporate adult foster care homes
  • • Hospitals
  • • Institutions for Mental Diseases (IMD)
  • • Intensive rehabilitation treatment and rule 36 settings
  • • Intermediate care facilities for persons with developmental disabilities (ICF/DD)
  • • Nursing facilities
  • • Registered housing with services establishments
  • • Unlicensed settings.
  • Covered services

    Housing access coordination is delivered in four stages:

    1. Plan
    2. Find
    3. Move
    4. Follow-up.

    Each of the stages includes various supports. The four stages must be delivered in order.

    The first three stages – plan, find and move – include no more than 50 hours (200 units) each. The last stage – follow-up – includes no more than 50 hours (200 units) per year after a move is complete.

    1. Plan

    50 hours (200 units)

    The plan stage may include:

  • • Meetings between the person, the lead agency and HAC staff
  • • Developing a person-centered housing plan
  • • Creating a budget
  • • Applying for housing/utility voucher(s)
  • • Searching for housing
  • • Meetings with landlords
  • • Completing rental applications.
  • 2. Find

    50 hours (200 units)

    The find stage may include:

  • • Continue to search for housing
  • • Helping the person understand and negotiate a lease
  • • Signing a lease
  • • Arranging deposits
  • • Scheduling moving and packing services
  • • Assessment by an occupational therapist for modifications or assistive technology if needed
  • • Getting household goods.
  • 3. Move

    50 hours (200 units)

    The move stage includes arrangements to:

  • • Pack
  • • Move
  • Unpack.
  • 4. Follow-up

    50 hours (200 units) per year

    The follow-up stage is intended to help the person keep his or her home and may include:

  • • Going with a person to housing related meetings with his or her landlord
  • • Helping him or her understand and follow notices from his or her landlord about community rules
  • • Following up about housing benefits.
  • Non-covered services

    Housing access coordination does not cover :

  • • Deposits
  • • Food
  • • Furnishings
  • • Rent
  • • Utilities.
  • Housing access coordination cannot duplicate other services or assistance available to the person, such as relocation service coordination or transitional services.

    The transitional service, when used in conjunction with housing access coordination, can be used only for deposits, household goods and moving expenses.

    Secondary information

    A person may change his or her housing access coordination provider at any time.

    The home found through this service must be in the same housing market used by the general public.

    Provider standards and qualifications

    Housing access coordination is a DHS enrollment-required service. For more information, see CBSM – Waiver/AC service provider overview.

    Training

    To deliver and bill for housing access coordination, a provider agency and its staff need to complete the free, online training available on DHS TrainLink. The training includes information about how to:

  • • Plan for the service
  • • Deliver it
  • • Bill for it
  • Evidence of the provider’s completion of this training is required to enroll with MHCP.

    Responsibilities

    A housing access coordination provider must assure that:

  • • All staff successfully complete the required HAC training
  • • All staff who deliver face-to-face support know about local housing resources
  • • The agency and its staff do not have a direct or indirect financial interest in the property or housing a person is shown
  • • The agency and its staff do not move a person to a home that is owned, leased or controlled by a disability service provider.
  • A housing access coordination provider must also assure that all staff:

  • • Have a valid driver’s license and automobile insurance
  • • Complete mandated reporter training.
  • For more information, see Housing Access Coordination Providers Applicant Assurance Statement, DHS-6189L (PDF).

    Authorization, rates and billing

    The four stages should be authorized and billed for in order. For example, once units are authorized and billed for in the find stage, units should not be authorized or billed for in the plan stage.

    The lead agency may choose to authorize the:

    • Move stage only after a lease is signed

    • Follow-up stage only after the person has moved to a home of his/her own that is not owned, leased or controlled by a disability services provider.

    See Housing Access Coordination (HAC) Service Authorization and Billing, DHS-6128A (PDF) for a chart of this information.

    Exception process

    The lead agency may ask DHS to authorize up to an additional 50 hours in the plan and find stages for a person who has one or more of the following:

  • • Criminal record
  • • History of eviction(s) or unlawful detainer(s)
  • • Subpar credit (including bankruptcy).
  • To request DHS authorization, complete and submit Housing Access Coordination (HAC) Exception Request, DHS-6218 (PDF) according to the directions on the form.

    More than one move in less than eight months

    If the lead agency authorizes an additional move for a person less than eight months after he or she relocates, MMIS will trigger a suspended edit so DHS can review. DHS will approve the authorization if a person:

  • • Wants to move closer to a new job
  • • Chooses to move closer to or further from family, or
  • No longer feels safe in their environment due to intimidation or harm.
  • Procedure code and modifiers

    For procedure codes and modifiers, see Long-Term Services and Supports Service Rate Limits, DHS-3945 (PDF).

    Rates

    Housing access coordination is a framework service. The lead agency uses the Rate Management System (RMS) to determine rates. For more information, see CBSM – Rate Management System.

    Unforeseen circumstances

    If the person does not enroll on the BI, CAC, CADI or DD waiver for an unforeseen reason (i.e., death or a significant change in condition), the lead agency may request reimbursement for expense(s) it incurred in anticipation of the person enrolling.

    See CBSM — Waiver/AC reimbursement for unforeseen circumstances for more information.

    Managed care organization (MCO)

    If the person receives or was receiving services through an MCO, the lead agency contacts the specific MCO about the procedures it needs to follow for reimbursement. An MCO cannot request reimbursement from DHS under unforeseen circumstances.

    Additional resources

    HAC-specific

    Related

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    © 2017 Minnesota Department of Human Services Updated: 11/7/17 10:38 PM | Accessibility | Terms/Policy | Contact DHS | Top of Page | Updated: 11/7/17 10:38 PM