Minnesota Minnesota

MMIS Long-Term Services and Supports Manual

MMIS Long-Term Services and Supports Manual

Alternative Care (AC) program reports

Page posted: 8/3/26

In addition to the program management reports listed on MMIS LTSS Manual – Home and community-based services (HCBS) program management reports, the following AC-related reports are available online using Infopac.

Report ID

Report name

Description

MWN190

AC OVERDUE PREMIUMS

Infopac generates this semimonthly report for the county of service and Tribal Nation on the first and 16th days of the month. This report lists people on AC who were obligated to pay a fee but have an overdue amount (or a total of overdue amounts) within the past four years.

MWN193

AC CLIENT INFORMATION

Infopac generates this monthly report for the county of service and Tribal Nation on the ninth day of the month. This report lists people on AC who are obligated to pay a fee.

MW2208

AC CUMULATIVE SERVICE ENCUMBRANCE AND PAYMENTS

Infopac generates this monthly report for the county of financial responsibility and Tribal Nation. This report lists the cumulative encumbrance and payments of each procedure code as of the date of payment.

Use this report to:

  • · Determine the total encumbered and/or paid amounts for each service during the reporting period.
  • · Compare your county/Tribal Nation’s average with the state’s average amounts.

    • MW2488

    AC CUMULATIVE SERVICE ENCUMBRANCE AND PAYMENTS

    Infopac generates this biweekly report in response to the MMIS provider pay-run cycle. It is sorted alphabetically by the county of financial responsibility and Tribal Nation, then by provider name and number.

    Local AC program administrators use it to:

  • · Monitor and track provider billing and payment patterns.
  • · Provide quality assurance oversight on the level of provider services delivered.

    • Providers may submit claims up to 365 days from the date of service.

    AC discretionary services

    Lead agencies need DHS approval to administer AC “other” services, which include discretionary services.

    For lead agencies with approval to authorize discretionary services, the PFIN screen in the provider subsystem lists approved lead agencies with the current and previous years' total claims paid under X5527 for discretionary services. The DIS-AMT-USED amount on the PFIN screen updates every two weeks after the MMIS warrant payment.

    For more information, refer to:

  • · AC Application for Discretionary Services, DHS-5815 (PDF).
  • · CBSM – AC discretionary services.

    • Additional resources

    MMIS LTSS Manual – Home and community-based services (HCBS) program management reports

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