Minn. Stat. §256B.0621, subd. 2-4 and 6-10

Relocation service coordination targeted case management (RSC-TCM): A form of TCM that provides coordination of activities to help a person who resides in an eligible institution gain access to medical, social, educational, financial, housing and other services and supports that are necessary to move to the community.

Institution: For the purposes of this page, "institution" is defined as any of the following:

To receive RSC-TCM, a person must meet all of the following criteria:

Upon admission to or at any time during a stay in an eligible institution, a person (or someone acting on their behalf) can request RSC-TCM:

Note: If eligible, the person may choose to have a tribal nation complete their assessment. For more information, refer to CBSM – Tribal administration and management of home and community-based services (HCBS) programs.

Before authorizing RSC-TCM, the lead agency must review the person’s eligibility in the Medicaid Management Information System (MMIS) or the DHS Eligibility Verification System (EVS) (refer to MN-ITS User Manual – Eligibility verification).

A person needs an assessment to determine and document their eligibility for RSC-TCM. The timeline for authorization is different depending on the type of assessment:

A person eligible for RSC-TCM must be assigned an RSC targeted case manager who begins working with the person within 20 days of their request for services.

A person receiving RSC-TCM is limited to 180 consecutive days of service per eligible institutional admission. For more information, refer to the limitations section below.

To access RSC-TCM again, a person must have one full day in the community between discharge from the institution and eligible readmission. The financial worker must document this information in MMIS.

Counties of financial responsibility (CFRs) and enrolled tribal nations are responsible to ensure all eligible people receive RSC-TCM, except for people enrolled in the following programs:

MCOs are responsible to ensure people enrolled in the following programs receive RSC-TCM:

If a person is on MSHO or MSC+, the assigned MCO care coordinator provides or arranges for RSC-TCM. If a person has been receiving RSC-TCM before enrolling in the MCO, the person can choose to continue to work with their current RSC targeted case manager or receive RSC-TCM from the care coordinator.

The RSC targeted case manager must take the necessary steps to coordinate all relocation efforts with the CFR, tribal nation or MCO to ensure continuity of care and non-duplication of effort. This includes documenting the role and responsibilities of the RSC targeted case manager, as well as other professionals providing support to the person.

If the CFR, tribal nation or MCO is unable to provide RSC-TCM, it can:

Private RSC-TCM providers must coordinate efforts with the person’s CFR, tribal nation or MCO.

All people eligible for RSC-TCM must have free choice of the available providers of RSC-TCM. The CFR, tribal nation or MCO must provide service coordination provider options at the first contact and upon request. For a list of private providers, refer to CBSM – Transition services provider contact list.

RSC-TCM includes, but is not limited to:

RSC targeted case managers will contact and communicate with the person based on the person’s preferences and needs.

RSC-TCM does not include:

1. Services for a person who lives in the community or an ineligible institution
(Note: Intensive residential treatment services facilities licensed as board and lodging or supervised living facilities are not eligible RSC-TCM facilities.)

2. Services for a person who receives:

3. Services for a person currently on an HCBS waiver program

4. Transition assistance when a person moves from one institution to another, unless the person’s relocation plan indicates a move to another institution is a necessary step toward their eventual move to the community.

If the person receives RSC-TCM, they are limited to 180 consecutive days of RSC-TCM per eligible institutional admission, starting on the date they first receive any of the following services:

The 180-day limit starts on the date of service listed on the first TCM claim. MMIS will create a 180-day window based on that date, which prevents providers from billing past the 180-day limit.

The person cannot receive RSC-TCM, MH-TCM and VA/DD-TCM at the same time. This is considered a duplication of services.

The MnCHOICES/LTCC assessment results and the person’s preferences provide a foundation for the start of a relocation plan.

A relocation plan is a written document that includes steps to help the person successfully discharge from the institution to the community, and it identifies who is responsible to complete each step. The RSC targeted case manager works with the person to develop the relocation plan. It must include all of the following information:

The RSC targeted case manager may bill regardless of whether:

For more information, refer to: