Minnesota Minnesota

DSD MMIS Reference Guide

DSD MMIS Reference Guide


DD Waiver type R-S service agreement (SA)

Page posted: 5/25/11

Page reviewed:

Page updated:

DD Waiver service agreement

Developmental Disabilities (DD) Waiver services must be prior authorized. SAs identify:

  • · Date span recipient may receive services.
  • · Number of units (how much service) authorized.
  • · Provider(s) authorized to provide the service(s).
  • · Rate(s) of reimbursement.
  • · Services authorized.
  • There are two service agreement types for the DD Waiver program. Use information on the Service Agreement form DHS-3070 to complete MMIS service agreement fields for DD Waiver program.

    1. Enter a type R service agreement for DD conversion waiver. Use a conversion waiver when the recipient resides in a facility and is converting to a community setting.

    2. Enter a type S service agreement for the DD diversion waiver. Use a diversion waiver to authorize services that keep the recipient in the community.

    Enter a type R or S service agreement into MMIS for DD Waiver

    The following approved DD screening documents must be in MMIS before entering a new service agreement for DD Waiver:

  • · Action Type 01 – Full Team DD SD (Developmental Disabilities screening document) and
  • · Action Type 04 – Waiver-in DD SD or
  • · Approved Action Type 02 – Annual Review DD SD
  • Go to the screening document key panel (ASCR). Review screening document history to confirm required DD screening documents are complete.

    Reference guides

    MMIS displays panels in a queue order. The reference guides follow the MMIS queue order:

    Type R-S ASA1 panel for DD Waiver
    Type R-S ASA2 panel for DD Waiver
    Type R-S ASA3 panel for DD Waiver
    Type R-S ADHS panel for DD Waiver
    Type R-S APRV panel for DD Waiver
    Type R-S ARCP panel for DD Waiver
    Type R-S finalize PCA

    Report this page