Home and community-based services (HCBS) program management reports
Page posted: 8/3/26
This page includes a list of reports lead agencies commonly access to support HCBS program management. You can view the reports described on this page online using Infopac.
Report ID | Report name | Description |
Labeled “Report” | PERSON ELIGIBILITY CHANGES | Infopac generates this report on a weekly basis each Friday for people with a change in one or more of the following: This report is one tool to provide information about changes in eligibility. It is important for case managers and care coordinators to receive timely notification of eligibility changes for people receiving case management services. Changes in eligibility have an impact on HCBS, care planning and service delivery. This report: This report is labeled “Report” and is placed in the CML folder of the following MN–ITS accounts: |
MW2083 | SERVICE AGREEMENT/PROCEDURE CODE RATE CHANGE | Infopac generates this report whenever it automatically changes a service rate. There are three versions: Use this report to identify changed service agreements due to a cost of living adjustment (COLA) rate change mandated by the legislature. You must check line items for accuracy and reapproval. |
MW2086 | SA'S FOR PROVIDERS W/ CAT-OF-SVC ENDED - DHS | Infopac generates this report every day to identify service agreements that have a line item with no supporting category of service, specialty and/or license code for the provider on the line item. This report is not cumulative. There are four versions: This report is sorted by the SACTAD field or, if blank, by the county of case manager. If there is no case manager on the service agreement, the report is sorted by the county of service for EW and AC programs or CFR for the disability programs. Case managers must check the PCOS screen (for COS code), the PPGM screen (for specialty code) or the PLIC screen (for license codes) in the provider subsystem and/or contact the provider to determine if they need to adjust or deny the line item period. Future line items automatically change the line item status from “approved” to “pend”. For more information, refer to MMIS LTSS Manual – MMIS automated changes to service agreements. |
MW2216 | WAIVER SLOT ALLOCATION MASTER LIST | Infopac generates this report every day for EW case managers or other staff to check that the people they support are listed on the report, and people who have left the EW program no longer show on the report. This report is sorted by the CFR or Tribal Nation. Each person on the report has a waiver “slot.” A person with a “Y” in the Delete Column will keep their slot until the beginning of the new waiver year on July 1. If the person has not returned to EW, MMIS will release the slot for use. For more information, refer to MMIS LTSS Manual – EW slot allocation report. |
MW2453 | NOTICE OF OPEN CASES | Infopac generates this report every month for screening documents approved within the reporting period for the certified assessor/case manager/care coordinator listed on the screening document. This report is not cumulative. This report is sorted by the LTCC county field from the LTC screening document, then by the case manager, certified assessor or care coordinator name when the case manager field is populated. Use this report to track when: |
MW2455 | LTC UNACCEPTED SCRNG DOCUMENT RPT - COUNTY | Infopac generates this cumulative report every week to identify the screening documents that are in suspense for more than two weeks and the number of days since they were entered. The report can be used by case managers or the lead agency (based on the lead agency identified in the LTCC county field if the case manager field is blank). You must either delete the screening document or enter a new document that corrects the problem that is keeping the document in suspense. For instructions to find these documents, refer to MMIS LTSS Manual – Use inquiry mode with LTC screening documents. |
MW2457 | LTC CUMULATIVE SVC ENCUM AND PMTS | Infopac generates this monthly report for people with a service agreement. It is sorted by: This report lists the cumulative encumbrance and payments of each procedure code as of the service date. Each program has a section for the current and past year. Use this report to: |
MW2460 | LTC CUMULATIVE ENCUMBRANCE AND PAYMENTS | Infopac generates this monthly report for people by program with a service agreement. It is sorted by: This report lists the cumulative encumbrance and payments by person and by program as of the service date. Each program has a section for the current and past year. Use this report to track the total encumbrance for each person against the total amount of claims that were paid on their behalf. |
MW0504 | PPHP CURRENT ENROLLMENT REPORT - FOR COUNTY | Infopac generates this report after capitation to report data for the next month. It is sorted by financial worker service location and financial worker ID. Use this report to identify people in the servicing county who enroll in an MCO. |
MW0506 | PPHP POTENTIAL ENROLLMENT REPORT | Infopac generates this report after capitation to report data for the next month. It is sorted is by financial worker service location and financial worker ID. This report identifies: This report helps enrollment staff provide enrollment materials and assistance. |
MW0507 | PPHP NEW ENROLLEE REPORT (SORT BY COUNTY OF SERVICE) | Infopac generates this report after capitation and identifies people who are enrolled in the following MCO programs for the following month: It is sorted by the service location and then by MCO. Use this report to identify new enrollees who are also on a waiver or ECS. Note: The MnDHO managed care product is discontinued. |
MW0510 | RECIPIENT CAPITATION ERROR REPORT | Infopac generates this report to identify people whose enrollment spans will be closed by MMIS for the upcoming month. It is sorted by the county of service and then by financial worker ID. Financial workers must review the cases before enrollment cutoff or capitation to make the necessary updates for cases that should continue. |
MW0535 | PPHP COUNTY ELDERLY DISENROLLMENT REPORT | Infopac generates this report after capitation to report data for the following month. It is sorted by financial worker service location and financial worker ID. This report shows people age 65 and older who disenrolled from managed care and the reason of disenrollment. Use this report to determine if the person may be eligible for AC, ECS or EW. Note that some people may have disenrolled due to death. |
Additional resources
Communication of LTSS Eligibility Form, DHS-5181
MMIS LTSS Manual – EW slot allocation report
MMIS LTSS Manual – MMIS automated changes to service agreements
MMIS LTSS Manual – Use inquiry mode with LTC screening documents
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