Comparison of MHM, RSC-TCM and HSS
Page posted: 10/7/22
Moving Home Minnesota (MHM), relocation service coordination – targeted case management (RSC-TCM) and Housing Stabilization Services (HSS) can all help a person on Medical Assistance (MA) move to the community. However, each program/service has different requirements for who it can serve.
A person has the right to choose which program/service is right for them, but sometimes it can be hard to determine which option they should use. Lead agencies should consider asking some of the following questions:
The following table provides a comparison between the programs/services.
Eligibility criteria | MHM | RSC-TCM | HSS |
Be on MA | Yes | Yes | Yes |
Age | No requirement | No requirement | Age 18 or older |
Resides in a hospital | Yes, for 60 or more days | Yes, and there is no requirement for length of stay | Yes, and there is no requirement for length of stay |
Resides in a nursing facility | Yes, for 60 or more days | Yes, and there is no requirement for length of stay | Yes, and there is no requirement for length of stay |
Resides in an intermediate care facility for persons with developmental disabilities (ICF/DD) | Yes, for 60 or more days | Yes, and there is no requirement for length of stay | Yes, and there is no requirement for length of stay |
Resides in an institution for mental disease (IMD) | Yes, for 60 or more days Note: The person must be younger than age 21 or age 65 or older. | Yes, and there is no requirement for length of stay Note: The person must be younger than age 21 or age 65 or older. | Yes, and there is no requirement for length of stay Note: The person must be younger than age 21 or age 65 or older. |
Resides in a psychiatric residential treatment facility | Yes, for 60 or more days | No | No |
Resides in an intensive residential treatment services setting | No | No | Yes, and there is no requirement for length of stay |
Resides in a Minnesota security hospital | No | No | Yes, and there is no requirement for length of stay |
Resides in a regional treatment center (RTC) | No | Yes, and there is no requirement for length of stay | No |
Resides in the community | No | No | Yes Note: The person must meet the housing instability requirement by having one of the risk factors on MHCP Provider Manual – HSS eligible members. |
Level of care requirement | The person must continue to meet an institutional level of care, as determined by a MnCHOICES or long-term care consultation (LTCC) assessment, to receive MHM community services post-transition. | The person needs an assessment to determine and document their eligibility for RSC-TCM. The timeline for authorization is different depending on the type of assessment: | The person must have a documented disability or disabling condition and be assessed to require assistance. For more information, see MHCP Provider Manual – HSS eligible members. |
Community housing requirements | The person’s home must meet one of the following criteria: | The person must transition to a community setting that meets the HCBS settings rule. For more information, see DHS – HCBS settings transition plan. | The person must transition to a community setting that meets the HCBS settings rule, excluding foster care settings. The person cannot use housing transition services to move to a provider-controlled setting in which Brain Injury (BI) or Community Access for Disability Inclusion (CADI) 24-hour customized living services will support the person once they move in, unless the person is moving out of homelessness and also meets the definition of long-term homeless. For more information, see DHS – HSS. |
Additional services | MHM demonstration services help the person remain in the community. These services include funds for furnishings, supplies, rent, utility deposits and moving expenses. For more information, see MHM demonstration and supplemental services table (PDF). | There are no additional services. To access additional services after the 180 days of RSC-TCM expire, the person must enroll in an HCBS waiver, state plan services or MHM. | HSS housing sustaining services help the person remain in the community. For more information, see DHS – HSS. |
Length of service eligibility | The person receives 180 days of transition planning and coordination. MHM may grant extensions to the 180-day transition planning and transition coordination eligibility span under certain circumstances. A transition coordinator may request an extension by submitting MHM Communication Form, DHS-6759H and selecting the transition coordination extension request option from the reason for communication drop-down menu. The person receives 365 days of demonstration and community services after they move to the community. MHM community services can be suspended if the person is re-institutionalized for 30 days or more and then resume once the person returns to the community. | The person receives 180 days of RSC-TCM. | The person receives 150 hours of housing transition Services. DHS may authorize an additional 150 hours for people who meet exception requirements outlined in HSS Eligibility Request, DHS-7948. The person receives 150 hours of housing sustaining services. DHS may authorize an additional 150 hours for people who meet exception requirements outlined in HSS Eligibility Request, DHS-7948. |
Billing | Providers may bill for the following services while the person is still in the institution: Providers must bill for post-transition demonstration and supplemental services after the person has moved to the community. For more information, see MHM demonstration and supplemental services table (PDF). | Providers may bill for RSC-TCM while the person is in the institution. If the person is accessing HCBS waiver services, providers cannot bill until the person is opened to the waiver. | For a person residing in an institutional setting, providers may only bill for housing consultation services and housing transition services provided during the time the person was in an institution after the date the person is discharged from the institutional setting and enrolled in housing transition services. For more information about HSS and institutional settings, see the transition services tab on DHS – HSS. |
Resources
CBSM – RSC-TCM
DHS – HSS
HSS Eligibility Request, DHS-7948
MHCP Provider Manual – HSS eligible members
MHM Communication Form, DHS-6759H
MHM demonstration and supplemental services table (PDF)
MHM Program Manual – Services
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