Page posted: 5/28/25 | Page reviewed: | Page updated: |
Legal authority | Deficit Reduction Act, 2005 (PL 109) §6071 (PDF), Patient Protection and Affordable Care Act, 2010 §2403 (PDF), Minn. Stat. §256B.04, subd. 20 |
Definitions | Personal emergency response systems (PERS): MHM service a person may receive after moving to the community. This service includes: · An electronic device typically worn as a pendant or bracelet that includes an alert or panic button the person can press in the event of a fall or other emergency.· Installation and monitoring of the device.This service must be: · Based on the person’s assessed areas of needs to live in their community.· Documented in their MHM Transition Planning Tool (TPT), DHS-6759J. Transition coordination: MHM service that provides coordination of activities to support a person who resides in a qualified institution to gain access to medical, social, education, financial, housing and other services and supports that are necessary to move to the community. For more information, refer to MHM Manual – Transition coordination. Transition coordinator: Professional who carries out the transition coordination service and supports a person to move from a qualified institution to the community with MHM. Lead agency: County, tribal nation or managed care organization (MCO). |
Eligibility | A person is eligible to receive MHM PERS for up to 365/366 days after their move into a qualified community residence if they meet all the following criteria: · The person moves to an MHM qualified community residence from an MHM qualified institution. For more information, refer to MHM Manual – Eligibility.· The person is not enrolled in a home and community-based services (HCBS) waiver program, as described on CBSM – Waiver/AC overview. · The person is not able to access PERS from other funding sources (e.g., community nonprofit organizations, Medical Assistance [MA] state plan).· The transition coordinator or demonstration case manager documents the person’s need for additional community support in the person’s TPT.· The person chooses to receive PERS.Waiver interactionIf the person will enroll in an HCBS waiver program, they must use waiver PERS, as described on CBSM – PERS. They cannot use MHM PERS. |
Covered services | MHM PERS includes three parts. Each part has its own limit per service agreement year: · Purchase of the PERS equipment, including necessary training or instruction on use of the equipment ($1,500 maximum).· Installation, setup and testing of the PERS equipment ($500 maximum).· Monthly monitoring fees up to the end of the person’s MHM enrollment span for MHM community services ($110 monthly maximum). |
Non-covered services | MHM PERS does not cover: · Equipment used to deliver MA or other waiver services.· Sensing and/or monitoring systems that do not require activation by the person (refer to CBSM – Monitoring technology for policy about those systems).· Supervision or monitoring of activities of daily living (ADLs) provided to meet the requirements of another service.· Telehealth and biometric monitoring devices.· Video equipment. |
Limitations | MHM PERS: · Is only available during the person’s MHM community service enrollment span.· Cannot reimburse the person directly. |
Provider standards and qualifications | PERS is an approval-option: purchased item service. For more information, refer to CBSM – Lead agency oversight of waiver/AC approval-option service vendors. The provider must: · Maintain all applicable licenses, permits and registrations as required for their business.· Provide services in a cost-effective and appropriate way to meet the person’s needs, as identified in their TPT.· Adhere to all requirements and responsibilities. Eligible providersThe following providers may enroll with Minnesota Health Care Programs (MHCP) to provide PERS equipment and related services: · Lead agency as an approval-option: purchased-item service (refer to CBSM – Waiver/AC service provider overview).· State medical equipment provider, as defined under Minn. R. 9515.0195.· Pharmacy licensed by the Minnesota Board of Pharmacy in accordance with Minn. R. 6800.0100 to 6800.9954.· Medicare-certified home health agency, as defined under Minn. R. 9505.0195. |
Authorization, rates and billing | Service authorizationThe lead agency (or transition coordinator if the person does not have a lead agency) assigns an MHM demonstration case manager. The demonstration case manager is responsible to authorize the person’s MHM post-transition community services. This service requires a service authorization. DHS pays the provider as indicated on the service agreement. For instructions about authorizing MHM community services and how to receive prior authorization and request additional units, refer to MHM Manual – Services. RatesThe MHM PERS provider claims the actual cost of the items purchased. The rates cannot exceed the rate limit in Long-Term Services and Supports (LTSS) Service Rate Limits, DHS-3945 (PDF). BillingThe MHM PERS services provider must: · Plan and deliver services based on the person's needs and submit claims based on items actually purchased.· Keep receipts of items purchased in the person’s record. |
Additional resources | MHM demonstration and supplemental services table (PDF)
MHM Manual – Eligibility
MHM Manual – Services
MHM Manual – Transition coordination
MHM TPT, DHS-6759J
Community Support Plan with Coordinated Services and Supports Plan, DHS-6791B
LTSS Service Rate Limits, DHS-3945 (PDF)
MHM SSIS Reference Guide (PDF)
CBSM – Waiver/AC service provider overview
CBSM – PERS for waiver, AC and ECS |
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