This guide explains how Special Needs BasicCare (SNBC) care coordinators enter health risk assessments into the Medicaid Management Information System (MMIS). SNBC uses Health Risk Assessment Screening Document – MSC+, MSHO and SNBC, DHS-3427H (PDF).

MMIS assigns an 11-digit authorization number to the screening document and automatically populates the authorization number field.

MMIS brings forward some information from the person’s previous LTC screening document and displays it on a new LTC screening document. Managed care organization (MCO) staff should enter required fields and update MMIS-populated fields as needed.

Enter the person’s date of birth in MMDDYYYY format.

Enter the two-digit code for the activity type:

Enter the date staff conducted the activity in MMDDYY format.

Enter the three-digit county or tribal code in the following fields:

MMIS will correct any entries that do not match existing data in the system.

For information about codes, refer to DSD MMIS Reference Guide – LTC screening ALT1 panel – County, tribal and health plan codes.

Enter the health plan code in the long-term care consultation county (LTCC CTY) field. The health plan code must match the health plan assigned on the RPPH screen in the person's file. If the code does not match, MMIS posts exception code 909 – PPHP PROVIDER NUMBER INVALID.

For information about codes, refer to DSD MMIS Reference Guide – LTC screening ALT1 panel – County, tribal and health plan codes.

Enter the care coordinator’s Unique Minnesota Provider Index (UMPI) number. All SNBC care coordinators must have a provider ID number and a provider type of 27.

To look up a provider number in MMIS:
1. Press function key F5 to navigate to the MMIS PROV RECIP KEY – CPRK panel.
2. Type the provider’s name in the PROVIDER NAME LOOKUP, ENTER FULL OR PARTIAL NAME IN LAST, FIRST, MI SEQUENCE field.
3. Press function key F4 to navigate to the MMIS PROVIDER LIST – PINQ panel in the provider file.
4. Press F8 to advance to the next page of the list, if necessary.
5. Press F7 to return to the previous page of the list, if necessary.
6. Locate the correct provider and copy the UMPI number.
7. Press function key F6 to return to the screening document.
8. Enter the provider number in the PROV NBR field.

Press a transmit/enter key to advance to the ALT2 panel.