Managed care use of the long-term care (LTC) screening document
Page posted: 8/3/26
This page includes instructions for:
General instructions for MSHO and MSC+ staff
In-person assessments and eligibility updates
MSHO and MSC+ staff use the LTC screening document in the same ways as county and Tribal Nation staff for many activities. They:
When MSHO and MSC+ staff complete a MnCHOICES assessment using activity type 02 for a person in the community and they do not open to Elderly Waiver (EW), MSHO and MSC+ staff use program type 18.
Note: Program type 18 was previously used for HRAs completed in the community and entered into MMIS.
For instructions, refer to MMIS LTSS Manual – Work with the LTC screening document.
EW services
The benefit set for people enrolled in MSHO and MSC+ includes EW services. For people on EW, MSHO and MSC+ staff:
For instructions, refer to MMIS LTSS Manual – Work with the LTC screening document.
Other uses
MSHO and MSC+ staff use activity type 01 and 04 and program type 19 for:
General instructions for SNBC staff
SNBC staff use activity type 01 and program type 28 when they complete PAS for people enrolled in SNBC.
Instructions for ECS program transitions
People who transitioned to ECS using program type 30 can be enrolled in MSHO, MSC+ or SNBC. The county/Tribal Nation manages the ECS transition program for people enrolled in SNBC. DHS enters service agreements into MMIS for people in the ECS transition program and MSHO/MSC+ while they are enrolled with any MCO. For information about ECS, refer to CBSM – ECS.
For the ECS transitional program type 30, MSHO/MSC+ staff can:
Instructions for HRAs and waivers
An HRA is required for people enrolled under MSHO, MSC+ or SNBC during any of the following circumstances:
MCOs use MnCHOICES to complete HRAs. Previously, MCOs entered HRAs into MMIS, so you might notice these types of screening documents in a person’s screening document history. The document type field on the ASCR (screening document) key panel screen is "H". When these documents were saved in MMIS, MMIS showed them on the selection screen as type L-H. These HRA documents do not follow the same rules as the type L screening documents.
You do not have to delete type L-H document(s) to enter a missing document.
Instructions for MCO monthly capitation payments
The MCO receives a monthly capitation amount paid for each person enrolled. MMIS determines the payment amount six days before the next month.
For capitation dates, refer to the managed care key dates section on DHS – Health plan systems workgroup information.
MSHO-specific information
For people on MSHO, the capitation payment is determined by the person’s rate cell. Each rate cell has a different payment rate. There are four rate cells for MSHO:
For rate cell B, the EW eligibility span must include the following month for the current month’s capitation assignment. If the eligibility span does not include the following month, the rate cell will change to A for the following month. It is important to complete reassessments and enter reassessment screening documents into MMIS in a timely manner before the capitation date of that month to avoid changing the rate cell from B to A.
MSC+-specific information
For people on MSC+, the capitation payment is determined by the person’s product ID:
Timely entry of screening documents for assessments and reassessment screening will determine if the EW eligibility span is open on the day of capitation.
If you enter MMIS documentation late, capitation does not correct retroactively. The MCO must continue to pay for EW services to meet the person’s needs, regardless of the rate cell or capitation paid. EW services must begin on or after the effective date of the person’s eligibility for the EW program.
Additional resources
CBSM – ECS
DHS – Health plan systems workgroup information
MMIS LTSS Manual – Work with the LTC screening document
MMIS LTSS Manual – Managed care and MMIS
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