Comparison of MHM and RSC-TCM
Page updated: 11/12/25
Moving Home Minnesota (MHM) and relocation service coordination – targeted case management (RSC-TCM) can both support a person on Medical Assistance (MA) as they move to the community. However, MHM and RSC-TCM have different eligibility requirements.
A person has the right to choose which program/service is right for them, but it can be hard to decide which option to use. This page provides a comparison of MHM and RSC-TCM. It can be useful to help a person make an informed choice about transition services.
Note: A person cannot use MHM or RSC-TCM if they currently reside in the community.
Eligibility criteria
Criteria | MHM | RSC-TCM |
Be on Medical Assistance | Yes | Yes |
Age | No requirement | No requirement |
Length of stay requirement | Yes, a person must have been in a qualified institution for 60 or more days. They may start their qualified institutional stay at one institution and then move to another qualified institution. This time period must be continuous to fulfill the 60-day institutional stay requirement. For more information about qualified institutions, refer to the qualified institutions section. | No requirement |
Assessment requirements and level of care | A person can meet the institutional level of care requirement through one of the following methods: For institution for mental disease (IMD)/substance use disorder (SUD), a person can meet the institutional level of care requirement through Professional Statement of Need (PSN), DHS-7122 (PDF). | A person needs an assessment to determine and document their eligibility for RSC-TCM through the following methods: |
Limitations | A person receives 180 days of MHM transition planning and coordination. DHS may grant extensions to the 180-day transition planning and transition coordination eligibility span under certain circumstances. A transition coordinator may request an extension by submitting MHM Communication Form, DHS-6759H (select the transition coordination extension request option from the reason for communication drop-down menu). A person receives 365/366 days of MHM demonstration and community services after they move to a qualified community residence. MHM community services will be suspended if the person is re-institutionalized for 30 days or more and then resume once the person returns to the community. | A person receives 180 days of RSC-TCM. The 180-consecutive-day limit is for each admission to an eligible institution after a stay in the community. The use of any targeted case management service will begin the 180-day timeline for RSC-TCM. |
Qualified community residence requirements | A person enrolled in MHM must transition to a qualified community residence to maintain their eligibility to receive MHM services in the community. A qualified community residence should honor personal choice and control of the person’s home and give them opportunities for independence and community integration. A qualified community residence includes: Note: Sober living homes and environments, recovery residences and board and lodging are not considered qualified community residences. | A person using RSC-TCM must transition to a community setting that meets the home and community-based services (HCBS) settings rule. For more information, refer to DHS – Minnesota’s implementation of the HCBS settings rule. |
Qualified institutions
This section identifies which institution types are considered qualified institutions for MHM and RSC-TCM.
Institution type | MHM | RSC-TCM |
Hospital | Yes | Yes |
Skilled nursing facility (SNF) | Yes | Yes |
Intermediate care facility for persons with developmental disabilities (ICF/DD) | Yes | Yes |
Psychiatric residential treatment facility (PRTF) | Yes | No |
Child and adolescent behavioral health hospital (CABHH) | Yes | No |
Intensive residential treatment services (IRTS) setting | No | No |
Community behavioral health hospital (CBHH) | Yes | Yes |
IMD | Yes, but the person must be younger than age 22 or older than age 64. Note: For a person age 21 to 64, days spent in an IMD can count toward the required 60 days if the person spent at least one full day in a qualified institution immediately after IMD discharge and maintained their state-funded MA coverage while in the IMD. | Yes, but the person must be younger than age 22 or older than age 64. |
IMD/SUD | Yes, but the person must be age 21 to 64, and the institution must meets all the following requirements: | No |
Minnesota Security Hospital (Forensic Mental Health Program) | Yes, but the person must be younger than age 22 or older than age 64. Note: For a person age 21 to 64, days spent in an IMD can count toward the required 60 days if the person spent at least one full day in a qualified institution immediately after IMD discharge and maintained their state-funded MA coverage while in the IMD. | Yes, but the person must be younger than age 22 or older than age 64. |
Regional treatment center (RTC) | Yes, but the person must be younger than age 22 or older than age 64. Note: For a person age 21 to 64, days spent in an IMD can count toward the required 60 days if the person spent at least one full day in a qualified institution immediately after IMD discharge and maintained their state-funded MA coverage while in the IMD. | Yes, but the person must be younger than age 22 or older than age 64. |
Resources
CBSM – RSC-TCM
MHM Communication Form, DHS-6759H
MHM Program Manual – Services
PSN Form Guidance for Qualified Professionals, DHS-7122A (PDF)
PSN, DHS-7122 (PDF)
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