Page reviewed: 11/29/22

Deficit Reduction Act 2005 (PL 109), §6071 (PDF), Patient Protection and Affordable Care Act 2010, §2403 (PDF), Minn. Stat. §256B.04, subd. 20

Moving Home Minnesota (MHM) services: Services available under the MHM demonstration to promote independent living.

Demonstration services: Services a state is testing to determine if they could become a permanent Medicaid waiver or state plan service.

Supplemental services: Short-term or one-time services to help a person move from an institutional setting to the community that are not covered by other Medicaid services.

The MHM program includes a range of demonstration and supplemental services to help people move from institutions to their own home in the community. MHM services promote the development and implementation of person-centered transition plans that reflect the person’s preferences and needs to live successfully in the community.

Some MHM services may be available in addition to state plan and waiver services. A person is eligible to receive some MHM services without affecting their waiver budget for:

Pre-transition services

The following demonstration services are available through MHM before a person transitions to the community:

Post-transition services

The following demonstration and supplemental services are available through MHM after a person transitions to the community for a 365-day enrollment period or 366-day enrollment period in a leap year:

Note

The new supplemental services announced in the July 1, 2025, eList announcement are available July 1, 2025, for people who are enrolled in MHM and:

The supplemental services will be available to people enrolled in Minnesota Senior Health Options (MSHO) and Minnesota Senior Care Plus (MSC+) on Aug. 1, 2025, to give managed care organizations adequate time to prepare for the launch, as required in their seniors managed care contract.

Before a person can receive MHM services, DHS must receive MHM Intake Form, DHS-5032 and determine the person is eligible for MHM, as explained on MHM Manual – Eligibility and MHM Manual – Guide for MHM access and substance use disorder (SUD).

For information about billing and submitting claims for MHM, refer to MHCP Provider Manual – MHM.

Fee-for-service instructions

Services that do not require prior authorization

The following MHM pre-transition services do not require a prior authorization or service agreement in MMIS and can be billed directly through MN–ITS:

Services that require prior authorization

MHM fee-for-service with BI, CAC, CADI, DD or EW

If a person is on fee-for-service BI, CAC, CADI, DD or EW, their waiver case manager or case management aide authorizes MHM post-transition community services on their waiver service agreement in MMIS. The case manager must add reason code 586 to the service line to indicate any MHM services added to the waiver service agreement.

MHM fee-for-service without a waiver

If a person is not on a waiver, the lead agency (or transition coordinator if the person does not have a lead agency) assigns an MHM demonstration case manager. The demonstration case manager is responsible to authorize the person’s MHM post-transition community services.

To authorize MHM post-transition community services for a person not on a waiver, the MHM demonstration case manager completes the MHM service agreement using MHM Service Authorization Plan (SAP), DHS-6759P and submits it using one of the following methods:

Managed care instructions

For a person age 65 or older who is enrolled in Minnesota Senior Health Options (MSHO) or Minnesota Senior Care Plus (MSC+) and receiving EW services, the managed care organization (MCO) is responsible to authorize both MHM and EW services. Providers should contact the MCOs directly for information on their billing and authorization processes. For contact information, refer to DHS – MCO contacts for MHCP providers.

For people enrolled in Special Needs BasicCare (SNBC) or Families and Children (PMAP), follow fee-for-service billing instructions.

Extension requests

DHS will allow extensions on a case-by-case basis for transition coordination. To request an extension for this service, complete MHM Communication Form, DHS-6759H using “Transition Coordination Extension Request” as the reason for communication.

Approval for additional units

The following services require DHS approval to exceed the service limits:

To request DHS approval for an exception to the limits for these services, complete MHM Communication Form, DHS-6759H using “Other” as the reason for communication. In the “Specify Other Reason” field, include the service, the additional number of units or dollars requested and the reason for the request.

MnCHOICES assessments have a field (MHM IND) to indicate when a person has chosen MHM services. Valid values for the MHM IND field in MMIS on the ALT4 screen are blank, Y or N. This field is optional and does not have to be Y for a person to be eligible for or to receive MHM services.

The county/tribal nation can add a Y to the MHM indicator field in MMIS when:

Lead agencies may provide and bill for MHM services. For a list of BRASS codes in SSIS for MHM services, refer to MHM Reference Guide (PDF).

The HCPCS/modifiers in SSIS for MHM are in the “not automated” claim category. In addition to entering BRASS codes into SSIS for MHM services, lead agencies must also follow the process for submitting claims on MHCP Provider Manual – MHM.

DHS Bulletin 24-32-05: Changes to the BRASS Manual for Calendar Years 2024 – 2025 (PDF) includes the most up-to-date information on BRASS codes. Contact dhs.ssishelp@state.mn.us with questions related to SSIS and BRASS code entry.

Minnesota receives an enhanced federal match when a person uses the MHM program. It applies to MHM services and any other HCBS the person uses during their transition and up to 365/366 days after their move into the community. The additional HCBS may include, but are not limited to, services available through:

Claims that receive this enhanced federal match will have “MHM CLIENT PRICING” on the CHF1 screen in MMIS.