Page posted: 6/11/19 | Page reviewed: 7/26/22 | Page updated: 7/26/22 |
Legal authority | Person-Centered, Informed Choice and Transition Protocol (PDF), CMS final rule for Medicaid programs under Social Security Act §1915(c) and §1915(i) |
Definition | My Move Plan Summary: A transition plan that: · Helps the person identify the support they need for a successful move· Ensures the move plan addresses what is important to and important for the person’s move· Clarifies roles and expectations before, during and after the move· Facilitates a successful, easy move by clearly communicating all key elements of the move plan· Helps transfer the person’s supports and services· Ensures the person has a written record of their move plan, including, but not limited to the responsibilities of all parties, important contact information, appointment arrangements and the locations of their belongings and medications. |
Overview and purpose | When a person moves from one residence to another and does not intend to return, the Person-Centered, Informed Choice and Transition Protocol requires the case manager/care coordinator to work with the person to create a summary of the move plan using My Move Plan Summary, DHS-3936. For the specific requirement, see transition requirement 3.D (TR3.D) on page 22 of Person-Centered, Informed Choice and Transition Protocol, DHS-3825 (PDF). Professionals with this responsibility include, but are not limited to: · Waiver and Alternative Care case managers and care coordinators· Rule 185 case managers· Vulnerable adult/developmental disabilities targeted case managers· Relocation service coordination targeted case managers. For a complete list of responsible professionals, see table 2: responsible professionals on page 10 of Person-Centered, Informed Choice and Transition Protocol, DHS-3825 (PDF). |
Lead agency responsibilities | The case manager/care coordinator is responsible to: · Complete My Move Plan Summary, DHS-3936 with the person by following the instructions on the form· Share DHS-3936 with the person and the supports they have identified (paid and unpaid)· Discuss the moving process with the person and document changes to their support plan· Refer to DHS-3936 throughout the move· Update DHS-3936 when it needs changes· Document in the support plan if the move does not get the person to their preferred setting and, if applicable, reference ongoing work toward the person’s goal· Sign and keep a copy of the completed DHS-3936 in the person’s file.If the case manager/care coordinator does not complete DHS-3936, they must use DHS-3936 to indicate the reason: · The person is confident with their plan to move, or they are moving with family/friends and do not need additional supports· The person already moved, and their case manager/care coordinator was not aware of it· The person does not want to complete DHS-3936. |
Training | “Supporting my move: A case manager’s role” is an online, on-demand course for disability waiver case managers to guide them through their role and responsibilities in supporting a person to find a new home. This course is available through TrainLink. You must have a unique key to register and receive credit for training. Steps to take courseThe case manager should: · Go to TrainLink· Select Disability Services Learning Center· Select Sign On in the upper right hand corner · Enter your unique key· Select Find a Course· Search 'Supporting my move'· Select the course· Select Start Course. |
Additional resources | CBSM – Person-centered practices
CBSM – Person-Centered, Informed Choice and Transition Protocol
CBSM – Requirements for a person’s own home
Disability Hub MN – Housing toolkit
Disability Hub MN – Informed choice toolkit
My Move Plan Summary, DHS-3936 |
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