Minnesota Minnesota

DSD MMIS Reference Guide

DSD MMIS Reference Guide


MMIS SERVICE AGMT – AHC3 screen for CSG

Note: DHS will keep this page for historical reference during the transition from personal care assistance (PCA) and the Consumer Support Grant (CSG) to Community First Services and Supports (CFSS). For more information, refer to DSD MMIS Reference Guide – MMIS transition from PCA and CSG to CFSS.

Page posted: 5/20/11

Page reviewed:

Page updated: 9/30/24

Transition from CSG to CFSS

DHS is in the process of replacing personal care assistance (PCA) and the Consumer Support Grant (CSG) with Community First Services and Supports (CFSS). For more information about this transition, refer to CFSS Manual – Transition from PCA and CSG to CFSS.

DHS must update the Medicaid Management Information System (MMIS) to allow counties/tribal nations to enter a CFSS service agreement (SA). Some fields have minor changes. For more information, refer to DSD MMIS Reference Guide – MMIS transition from PCA and CSG to CFSS.

During the transition from CSG to CFSS, the county/tribal nation follows the instructions below to enter a new SA in MMIS:

  • · Conducts the assessment.
  • · Enters three months of CSG services with the CSG procedure code (T2025).
  • · Enters a line for the county/tribal nation administrative fee with the CSG procedure code (T2025).
  • · Enters a line for consultation services. For more information, refer to DSD MMIS Reference Guide – ASA3 screen for consultation services (T1023).
  • Comment screen navigation

    Enter text on the additional information screen.

    Enter a maximum of 13 lines of text.

    No word wrap or spelling check is available.

    Press the tab key to move to the next line.

    Comments on the AHC3 screen do not display on recipient or provider service agreement (SA) letters.

    ADDITIONAL INFORMATION field

    Enter any additional information regarding this SA.

    Document when applicable:

  • · Name of the legal guardian when the person is a minor child.
  • · Second responsible party name and relationship to the person.
  • · EN applies to person’s home care rating.
  • · Reason for forced exception code.
  • Comments on the AHC3 screen do not appear on the SA letters.

    Date and initial all comments.

    CSG with PCA assessment

    Document the PCA units/day, QP supervision hours/month if the person were to return to PCA.

    Cashing out current PCA SA

    Document the PCA units/day, QP supervision hours/month if the person were to return to PCA.

    Document the date to close the current PCA SA when cashing out PCA for CSG.

    Notice of reduction

    Document the CSG dollar amount on the current SA (the higher amount) for each CSG line.

    Document the reason for reduction in CSG monthly budget amount.

    Document the PCA units/day, QP supervision hours/month if the person were to return to PCA.

    Notice of termination

    Document the CSG dollar amount on the current SA (the higher amount) for each CSG line.

    Document the reason for termination of CSG.

    Document the date of termination of CSG.

    Denial of CSG

    Document the reason for denial of CSG.

    CSG combined PCA and PDN or HHA

    Document the date to close the home care SA for HCN/HHA when cashing out HCN/HHA for CSG.

    CSG with FSG

    Document the monthly FSG dollar amount for FSG line.

    Document the reason for termination of FSG. Effective Aug. 1, 2012, FSG is no longer allowed with CSG.

    Document the date of termination of FSG.

    Navigation

    Press a transmit key to advance to the ADHS screen.

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