Recipient screen descriptions
Page posted: 8/3/26
This page includes information about the recipient subsystem screens typically reviewed when entering screening documents and service agreements. For an overview of the recipient subsystem, refer to MMIS LTSS Manual – MMIS subsystems. For additional information about recipient subsystem screens, refer to MMIS User Manual.
The recipient screens on this page interact directly with the long-term care (LTC) screening document and service agreement in the prior authorization subsystem. Data in these recipient screens may cause exception codes (i.e., edits) later when you enter data into a screening document or service agreement. By understanding these recipient screens, you may be able to resolve eligibility exception codes that appear on your documents.
Each screen in MMIS has with a four-letter abbreviation. Screens in the recipient subsystem begin with the letter R.
The most relevant recipient subsystem detail screens are:
The following sections describe the data in each of these screens in more detail.
General notes
Scrolling
Many of these screens contain more data than what is currently visible. If you see a + (plus) near a data list, there is more data to view. Press F7 and F8 to scroll forward and back to view the additional data. For additional instructions about scrolling, refer to MMIS LTSS Manual – Function keys.
99/99/9999 dates
A date field in the recipient system listed as 99/99/99 means the span is open-ended or currently has no end date.
F12 key
The F12 key is available for use with limited fields on some screens. When available, you can press F12 to view the list of all valid values for the codes allowed for that field using these steps:
1. Move the cursor over the top of the code.
2. Press F12 to view the list of all valid values for the codes allowed for that field.
3. Press F7 and F8 to scroll and view the entire list.
4. Press F3 (save and exit) or F6 (exit without save) to return to the screen that you were on when you pressed F12.
If F12 is not available for a field, the message “INVALID KEY PRESSED” will appear.
Recipient summary: RSUM
The RSUM screen contains the most current information from seven recipient subsystem detail screens.
In many cases, the RSUM screen is the only screen you need to review to determine why eligibility data is causing exception codes on your screening document or service agreement. You might also review this screen as you prepare for an assessment. It can help you determine if the person is already on Medical Assistance (MA) or has previously been on a home and community-based services (HCBS) program.
The RSUM screen includes information (as applicable) about the person’s:
Note: The living arrangement coding in the recipient file means something different than the living arrangement coding used on the LTC screening document. The screening document living arrangement coding indicates who the person lives with as of the time of the assessment.
Note: MRRP means this person cannot access and (MMIS will not allow) flexible personal care assistance (PCA), PCA Choice, Community First Services and Supports (CFSS) budget model or consumer directed community supports (CDCS).
Recipient variables: RVAR
The RVAR screen lists all the detail screens included in the recipient subsystem. Y (yes) or N (no) indicates whether there is data on the individual screens for that person. Type RVAR in the NEXT field in the top left corner from any recipient screen to go to this screen. This step is a quick way to determine which screens have information to view.
This screen also shows the four-letter abbreviation associated with a detail screen. For example, you might see RHSP = yes for hospice.
Navigation
On the RVAR screen:
1. Press F8 to scroll forward through all screens listed under RVAR.
2. Press F7 to scroll backward.
3. Type the detail screen abbreviation in the next field in the upper left corner.
4. Press the transmit key to move directly to that screen.
Recipient eligibility: RELG
The RELG screen contains the person’s major health care program eligibility history, with the most current major program listed at the top. Some major programs may overlap.
An eligibility worker must determine eligibility for most major health care programs. They enter information in MMIS either by interface with MAXIS or manual entry.
Eligibility workers do not determine eligibility, eligibility span or time period for MinnesotaCare, Alternative Care (AC) or Essential Community Supports (ECS) programs. Instead, certified assessors determine eligibility (including financial eligibility) for AC and ECS. Entering a screening document to open, reopen or change to the AC or ECS program will develop the AC or ECS major program span on the RELG screen. The reassessment screening document will extend the AC or ECS major program end date, and the exit document will reduce the end date.
The RELG screen includes the case number field. You can use this number on the recipient key panel screen to look up the person’s case file and address(es). For more information, refer to MMIS LTSS Manual – Look up a person’s case number.
To view valid values and a description of the codes used within various fields on this screen:
1. Move the cursor over the top of code.
2. Press F12 to view the list of all valid values for the codes allowed for that field.
3. Press F7 and F8 to scroll and view the entire list.
4. Press F3 (save and exit) or F6 (exit without save) to return to the RELG screen.
Exception codes related to recipient eligibility
It is important to use the RELG screen to both avoid and resolve exception codes when you enter an LTC screening document or service agreement. MMIS will post certain exceptions codes if you:
Recipient waiver: RWVR
The RWVR screen provides a history of the person’s waiver and ECS eligibility periods. The data comes from the LTC or developmental disabilities (DD) screening document. RWVR does not include AC eligibility spans. You can find those spans in RSUM and RELG screens.
The RWVR screen shows the person’s current or most recent eligibility period first. An open, reopen or change LTC screening document creates an eligibility span for BI, CAC, CADI, ECS and EW.
When you enter a reassessment screening document, the “waiver through” date increases. When you enter an exit screening document, the date decreases.
The start date is based on the effective date of the screening document. The end date is the last day of the eligibility period.
Note: The “last screening date” field on RWVR is not the date of the last assessment. It is the effective date from the most recently approved screening document used to open or continue the program.
Exception codes related to recipient waiver
MMIS will post exception codes if you:
Recipient living arrangement: RLVA
The RLVA screen includes information about LTC eligibility and living arrangement.
LTC eligibility
The top half of the RLVA screen indicates if the eligibility worker determined a period of ineligibility for waiver, AC, ECS or MA-funded nursing facility services. The reasons for ineligibility appear as codes with date spans related to each code.
An A, F, H, I, L or N ineligibility code will post an exception code on a waiver, AC or ECS screening document when you try to open, reopen, change or continue an HCBS program at reassessment. The exception codes indicate the person’s waiver, AC or ECS program span cannot overlap this period. In addition, a service agreement cannot overlap with the LTC ineligibility period.
A person who is already on MA but has not applied and been approved for MA-LTC will have a U code (unknown) in the top half of the RLVA screen. An ineligibility type of U may only overlap with an AC or ECS eligibility span. An eligibility worker must remove the U code in RLVA before you can open, change or reopen the person to any waiver program. The U code will also post service agreement exception codes if there are overlapping dates between the U code span and the service agreement header dates.
A P code indicates the person uses a managed care product and the health plan is responsible for LTC services, including EW.
Living arrangement
The bottom half of the RLVA screen:
MMIS will post exception codes if the effective date of waiver eligibility or service agreement header dates overlaps with an institutional living arrangement. Contact the eligibility worker if you have questions about or corrections to the data on this screen.
Navigation
If you entered the recipient subsystem at the main menu, you can view data in another subsystem from the various recipient subsystem screens. The F4 key is a navigation key that takes you out of the screen into another subsystem to view information. For more information about F4, refer to MMIS LTSS Manual – Function keys.
For example, you might want to navigate to the provider subsystem from the RLVA screen. To do this:
1. Move the cursor to the out-of-home NPI field.
2. Press F4 to open the PSUM screen (provider summary) in the provider subsystem.
3. Press the transmit key to open the PADD screen, which shows the provider’s name, address and telephone and fax numbers.
4. Press the transmit key to view additional provider screens.
5. Press F3 (save and exit) or F6 (exit without save) once to return to the RLVA screen.
Recipient prepaid health: RPPH
The top half of the RPPH screen shows managed care exclusion reasons, if applicable. Some people are excluded from enrollment in managed care. To view valid values for exclusion reason codes listed on this screen:
1. Move the cursor over the top of one of the exclusion reason codes within the XCL field.
2. Press F12 to view the list of all valid values for exclusion reason codes.
3. Press F7 and F8 to scroll and view the entire list.
4. Press F3 (save and exit) or F6 (exit without save) to return to the RPPH screen.
The bottom of the RPPH screen shows the person’s managed care enrollment periods, starting with the most recent period. On this screen:
Exception codes
It is important to check the RPPH screen to avoid screening document exception codes related to the person’s managed care enrollment.
MMIS will post an exception code if:
For more information, refer to MMIS LTSS Manual – Managed care and MMIS.
Navigation
Name and managed care products
To view the health plan’s name and a list of the products it offers:
1. Move the cursor to the health plan field on the RPPH screen.
2. Press F4 to open the PPH1 screen.
3. Press F7 and F8 to scroll through the information.
4. Press F3 (save and exit) or F6 (exit without save) to return to the RPPH screen.
To view more information about a health plan product:
1. Type X to the left of the product line while on the PPH1 screen.
2. Press the transmit key.
3. Press F6 (exit without save) to return to the PPH1 screen.
More information about products
You can also view more information about a health plan product using these steps:
1. Move the cursor to the product ID while on the RPPH screen.
2. Press F4 for a more detailed screen about covered populations, living arrangements and age ranges.
3. Press the transmit key to move through additional screens for information about included or excluded services within the managed care product.
4. Press F3 (save and exit) or F6 (exit without save) to return to the RPPH screen.
Reasons for enrollment changes
To view the list of reasons why the person changed enrollment:
1. Move the cursor to the change reason field on the RPPH screen.
2. Press F12.
3. Press F3 (save and exit) or F6 (exit without save) to return to the RPPH screen.
Reasons for disenrollment
To view the list of reasons why the person disenrolled:
1. Move the cursor to the disenrollment reason field on the RPPH screen.
2. Press F12.
3. Press F7 and F8 to scroll through the information.
4. Press F3 (save and exit) or F6 (exit without save) to return to the RPPH screen.
Recipient Medicare: RMCR
The RMCR screen shows if the person is eligible for Medicare Part A, B and/or D, including begin dates and end dates. An end date listed as 99/99/99 means the span is open-ended or currently has no end date. If an eligibility worker has not previously entered another span, the certified assessor and/or the AC/ECS case manager updates information about Medicare eligibility for parts A and B through the LTC screening document. The Medicare information entered via the LTC screening document will not update previous information currently on the RMCR screen.
Exception codes
MMIS will post exception codes on the service agreement if authorized services may be covered under Medicare (e.g., home care services) and the service dates overlap with the Medicare eligibility dates.
Other recipient subsystem screens
You might access other recipient screens described below.
Recipient case manager: RMGR
The RMGR screen shows a history of all case managers entered on the person’s screening documents.
To navigate to the provider file and view contact information on the PADD screen:
1. Move the cursor to the NPI number.
2. Press F4.
3. Press the transmit key to move forward through the provider file screens.
4. Press F3 (save and exit) or F6 (exit without save) to return to the RMGR screen.
Recipient spenddown: RSPD
The RSDP screen shows the Special Income Standard (SIS)/EW waiver obligation or other spenddowns. Each month is located on one screen and grouped by the method field. Press F8 to view each month’s amounts.
This screen also shows designated or assigned providers the person selected for spenddown and waiver obligation.
Recipient policies: RPOL
The RPOL screen shows third-party payers. Press F4 while the cursor is on any field to view more information.
Recipient hospice: RHSP
The RHSP screen shows hospice election periods.
Recipient information: RCIP
The RCIP screen shows demographic information about the person, including but not limited to their social security number, Medicare ID, date of death, marital status and language preference and/or interpreter needs.
Recipient MRRP: RPCR and RPRR
The RPCR screen shows primary care use review data. The data shows dates when the person is restricted to specific medical providers due to being enrolled in MRRP.
The RPRR screens shows referral information that a person enrolled in MRRP received from their primary care provider. For more information about MRRP, refer to MRRP Brochure, DHS-6752 (PDF).
Additional resources
MMIS LTSS Manual – Function keys
MMIS LTSS Manual – Look up a person’s case number
MMIS LTSS Manual – Managed care and MMIS
MMIS LTSS Manual – MMIS subsystems
Report this page