Page reviewed: 5/6/24

Page updated: 5/6/24

Legal authority

Deficit Reduction Act of 2005 (P.L. 109), section 6071 (PDF), Patient Protection and Affordable Care Act, 2010 (P.L. 111-148) §2403 (PDF), Consolidated Appropriations Act, 2021 (P.L. 116-260), §204 (PDF), Minn. Stat. §256B.04, subd. 20, Minn. Stat. §256B.0759, subd. 2, Section 1115 of the Social Security Act

Definitions

Moving Home Minnesota (MHM) home and community-based services (HCBS) coordinator: Professional who helps with intake and confirms a person’s eligibility to participate in MHM.

Lead agency: County, tribal nation or managed care organization (MCO).

Substance use disorder (SUD) services: Services that include assessment of needs, treatment planning and interventions to address a person’s needs as a result of substance use.

1115 SUD System Reform Demonstration: A federal waiver that implements the American Society of Addiction Medicine (ASAM) criteria and specific levels of care.

Licensed alcohol and drug counselor (LADC): A person who holds a valid license issued under Minn. Stat. §148F.01 to provide alcohol and drug counseling.

Eligibility criteria

Transition planning, coordination and services

To enroll in MHM and receive transition planning, coordination and services, the person must meet all of the following criteria:

Services in the community

To receive 365 days of MHM services in the community after the transition, the person must:

Additional requirements for people age 65 and older

In addition to the criteria above, all people age 65 or older who receive MHM must enroll in the Elderly Waiver (EW) to access MHM services, unless they are eligible to enroll in a disability waiver program. For additional information, refer to:

Qualified institutions

A qualified institution can be any of the following:

1. Hospital, including community behavioral health hospital (CBHH).

2. Nursing facility.

3. Intermediate care facility for persons with developmental disabilities (ICF/DD).

4. Child and adolescent behavioral health services (CABHS).

5. Psychiatric residential treatment facility (PRTF).

6. Institute for mental disease (IMD) for people younger than 21 and older than age 64 who reside in an IMD, to the extent the services are covered by federally funded MA as described in Eligibility Policy Manual – Program for people living in IMDs (section 2.5.4).
Note: For a person age 21 to 64, days spent in IMDs that are not qualified institutions may be included in calculating 60 consecutive days only if they have at least one full day in a qualified institution receiving MA reimbursement.

7. IMD/SUD that meets the following requirements:

For more information about the SUD population, refer to MHM Program Manual – Guide for MHM access and SUD.

Qualified community residences

People enrolled in MHM must transition to a qualified community residence to maintain their eligibility to receive MHM services in the community. A qualified community residence should honor personal choice and control of the person’s home and give them opportunities for independence and community integration.

A qualified community residence includes:

Level of care

A person can meet the institutional level of care requirement through one of the following methods. The person’s choice of MHM in the screening document does not affect their eligibility.

Developmental Disabilities (DD) Screening Document

A person meets the level of care requirement if they have a DD Screening Document with:

MnCHOICES

A person meets the level of care requirement if they have a MnCHOICES assessment with:

The Moving Home Minnesota field is required in MnCHOICES, so the lead agency must select Yes or No for it. However, this field does not affect the person’s eligibility.

Preadmission screenings and health risk assessments are not allowed for the purpose of establishing level of care.

Instructions for MCOs

For legacy long-term care consultation (LTCC) assessments, the MCO must submit Minnesota LTCC Services Assessment Form, DHS-3428 (PDF) or LTC Screening Document, DHS-3427 (PDF) for DHS to review via either:

Instructions for SUD population

For information about meeting the level of care requirement for SUD, refer to MHM Program Manual – Guide for MHM access and SUD.

Enrollment

For information about enrollment, refer to MHM Program Manual – Enrollment.