Developmental disabilities screening
In response to the COVID-19 peacetime emergency, DHS has updated policy/procedures and issued related instructional bulletins to ensure continuity of care for people in Minnesota who access services. These changes:
Page posted: 10/1/03 | Page reviewed: | Page updated: 9/29/10 | |
Legal authority | Minn. Stat. §256B.092, Minn. R. Chapter 9525, parts 9525.0004 to 9525.0036 | ||
Definition | Developmental disabilities (DD) screening: An assessment for a person with a diagnosis of developmental disability or a related condition to evaluate the level of care needed. | ||
Purpose | The DD screening addresses if home and community-based services are appropriate for people: | ||
DD screening teams | The screening team consists of the: The case manager is responsible to: The case manager, with the concurrence of the person or legal representative, may invite other people to attend meetings of the screening team. No member of the screening team shall have any direct or indirect service interest. | ||
Secondary information | The case manager may also act as the QDDP if the case manager meets the federal definition. A registered nurse must be designated as either the case manager or the QDDP for people who are: Public guardianship representationCounty social service agencies may contract with a public agency, private agency or individual who is not a service provider for the person. The contract: People under the jurisdiction of a correctional agencyCase managers must consult with the corrections administrator regarding additional health, safety and supervision needs. | ||
Screening team responsibilities | The screening team is responsible to: 1. Review diagnostic data 2. Review health, social and developmental assessment data 3. Identify the level of services appropriate to maintain the person in the most normal and least restrictive setting consistent with the person's treatment needs 4. Identify other non-institutional public assistance or social service(s) that may prevent or delay long-term residential placement 5. Assess whether a person is in need of long-term residential care 6. Make recommendations about placement and payment for: 7. Evaluate the availability, location and quality of the services listed above, including the effect of placement alternatives on the person’s ability to maintain or improve existing patterns of contact and involvement with parents and other family members 8. Identify the cost implications of recommendations made regarding needed social services or public assistance 9. Make recommendations to a court as needed to assist the court in making decisions regarding commitment of people with developmental disabilities or related conditions 10. Inform the person and legal guardian or conservator or the parent (if the person is a minor) that they may appeal. | ||
Informed choice | If the screening team determines the person is eligible for ICF/DD or home and community-based services, the person or legal representative must make an informed choice between those services. See Case Manager’s Guide to Determining ICF/DD Level of Care for ICF/DD and DD Waiver Services, DHS-4147A (PDF) and Instructions, DHS-4147B (PDF). | ||
Timelines | The screening team makes an evaluation of need within: Full-team screenings must occur when: | ||
Billing | DD full-team screening (face-to-face) activities eligible for payment include time spent by the case manager for the following: A person (if not the case manager) who provides QDDP or state guardian representative services may bill for time spent to attend the meeting and travel time. Counties and tribal nations: MMIS and SSIS are programmed to post an edit if counties or tribal nations: A billing claim cannot include multiple from and through dates. Bill units of time for all activities: ExampleAction date: 09/01/09 DocumentationThe screening team completes, signs and submits the DD Screening Document, DHS-3067 (PDF) to DHS for authorization of Medical Assistance payments. For more information, see CBSM – Screening documents and services agreements. The case manager, QDDP and/or state guardian representative document the amount of time spent for each activity on the Case Manager’s Cost Report for DD Full-Team Screening (PDF) or similar form. The billing date for all screening activities must match the action date of an approved full-team screening document. Submitting claims through MMISBatch all full-team screening activities eligible for payment into one claim using procedure code T2024. The claim date must match the date of an approved full-team screening date (activity date on ALT1 screen). Document all activities in the person’s case file: Submitting claims through SSISEffective Oct. 1, 2010, claim all completed DD full-team screening activities through SSIS. When entering a time record for DD screenings in SSIS, the worker must: 1. Select the BRASS service for DD Screenings (505 for children and adults) 2. Select the screening activity in the SSIS staff activity time record module to record the full-team screening activities, along with the time spent completing those tasks. Enter only the claimable full-team screening activities listed above in SSIS using the time record activity screening 3. Record activities that are not claimable under another: | ||
Additional resources | CBSM – Level of care | ||
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