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DSD MMIS Reference Guide

DSD MMIS Reference Guide


DSD MMIS Reference Guide

The DSD MMIS Reference Guide contains instructions to enter screening documents and service agreements into MMIS for Disability Services Division (DSD) programs. DSD will update and expand the guide when there are changes in MMIS.

MMIS training opportunities

DSD offers two self-paced online learning modules specific to MMIS and the disability and aging home and community-based programs.

DHS created a new self-paced training video to explain updates to MMIS that will allow counties/tribal nations to enter CFSS service agreements in MMIS. For more information, refer to Self-paced online course: CFSS MMIS Updates Training.

The Aging and Adult Services Division (AASD) and the Minnesota Board on Aging offer online courses and training materials specific to MMIS. For more information, refer to the MMIS training section of DHS – Aging and Adult Services: training and webinars.

What’s new

DHS documents new pages and page updates in this chart.

Date

Section

Page

Action

12/12/25

PCA/CFSS type B service agreements

45-day temporary increase of PCA/CFSS services

Updated the instructions to add CFSS Assessment for 45-Day Temporary Increase Assessment, DHS-6893M

11/24/25

PCA/CFSS type B service agreements

Update a type B CFSS service agreement

Added new page for the transition from PCA and CSG to CFSS

10/30/25

PCA/CFSS type B service agreements

45-day temporary increase of PCA/CFSS services

Updated the instructions to finalize a 45-day temporary increase of PCA/CFSS services

9/22/25

PCA/CFSS type B service agreement

MMIS transition from PCA and CSG to CFSS

Made the following changes:

  • · Updated the phase 3 instructions for counties/tribal nations
  • · Clarified information throughout the page
  • 9/17/25

    PCA/CFSS type B service agreement

    Finalize a type B service agreement for PCA/CFSS

    Clarified the instructions to finalize a service agreement without DHS reviewer exception codes

    8/18/25

    PCA/CFSS type B service agreement

    Finalize a type B service agreement for PCA/CFSS

    Made the following changes:

  • · Clarified the instructions to enter the applicable status on each line on the ASA3 screen in the service authorization after an assessment or reassessment section
  • · Added instructions to follow if the county/tribal nation makes an error they cannot edit
  • 7/22/25

    PCA/CFSS type B service agreement

    Type B service agreement (SA) for PCA/CFSS

    Made the following changes:

  • · Updated instructions to explain the county/tribal nation can edit a type B CFSS service agreement for up to 183 days after the SA start date
  • · Added instructions to use the COPY FROM feature
  • 7/14/25

    PCA/CFSS type B service agreement

    MMIS transition from PCA and CSG to CFSS

    Updated instructions to explain the county/tribal nation can edit a type B CFSS service agreement for up to 183 days after the SA start date

    7/9/25

    PCA/CFSS type B service agreement

    Finalize a type B service agreement for PCA/CFSS

    Made the following updates:

  • · Updated the instructions to finalize an SA without DHS reviewer exception codes
  • · Added more situations when the county/tribal nation must deny or pend lines on the ASA3 screen and/or the SA
  • · Updated instructions to explain the county/tribal nation can edit a type B CFSS service agreement for up to 183 days after the SA start date
  • · Clarified information throughout the page
  • 7/9/25

    PCA/CFSS type B service agreement

    ASA1 screen for PCA/CFSS

    Updated instructions to explain the county/tribal nation can edit a type B CFSS service agreement for up to 183 days after the SA start date

    6/25/25

    CSG type B service agreement

    Type B service agreement for CSG

    Clarified the instructions in the transition from CSG to CFSS section

    6/12/25

    PCA/CFSS type B service agreement

    ASA3 screen for personal care services (T1019)

    Corrected instructions to follow when the person has not selected a provider in the provider number field (PROV NBR) section

    6/12/25

    PCA/CFSS type B service agreement

    ASA3 screen for worker supervision/training line (PCA: T1019 – UA; CFSS: S5116)

    Corrected instructions to follow when the person has not selected a provider in the provider number field (PROV NBR) section

    6/12/25

    PCA/CFSS type B service agreement

    ASA3 screen for CFSS failed background studies (T2040 – UB, UA and U6)

    Corrected instructions to follow when the person has not selected a provider in the provider number field (PROV NBR) section

    6/12/25

    PCA/CFSS type B service agreement

    ASA3 screen for FMS provider fees (T2040 – UB and UA)

    Corrected instructions to follow when the person has not selected a provider in the provider number field (PROV NBR) section

    6/12/25

    PCA/CFSS type B service agreement

    ASA3 screen for PERS (S5160, S5161, S5162)

    Corrected instructions to follow when the person has not selected a provider in the provider number field (PROV NBR) section

    6/12/25

    PCA/CFSS type B service agreement

    ASA3 screen for goods and services (T5999)

    Corrected instructions to follow when the person has not selected a provider in the provider number field (PROV NBR) section

    6/12/25

    PCA/CFSS type B service agreement

    ASA3 screen for consultation services (T1023)

    Corrected instructions to follow when the person has not selected a provider in the provider number field (PROV NBR) section

    5/9/25

    PCA/CFSS type B service agreement

    MMIS transition from PCA and CSG to CFSS

    Updated the phase 3 instructions for counties/tribal nations

    5/2/25

    PCA/CFSS type B service agreement

    ASA3 screen overview

    Updated the overview section with a note to explain potential errors the county/tribal nation may receive when they update an SA with a personal care (T1019) line

    4/15/25

    PCA/CFSS type B service agreement

    ASA3 screen for personal care services (T1019)

    Added instructions to resolve MMIS exception code 323 error to the initial authorization section and instructions to resolve the REQ TOT AMT field error to the requested total amount field section

    For more information, refer to the April 15, 2025 eList announcement.

    4/2/25

    PCA/CFSS type B service agreement

    ASA3 screen overview

    Clarified the CFSS service agreement calculator instructions

    3/12/25

    PCA/CFSS type B service agreement

    ASA3 screen for worker supervision/training (PCA: T1019 – UA; CFSS: S5116)

    Clarified that the county/tribal nation always enters the full amount of the current rate in the requested total amount (REQ TOT AMT) field

    2/28/25

    PCA/CFSS type B service agreement

    45-day temporary start of CFSS services

    Added instructions to add a worker supervision/training (S5116) line on the ASA3 screen

    1/6/25

    PCA/CFSS type B service agreement

    ASA3 screen overview

    Clarified instructions to adjust a person’s units to match the length of their service agreement

    11/26/24

    PCA/CFSS type B service agreement

    ASA3 screen for worker supervision/training (PCA: T1019 – UA; CFSS: S5116)

    Updated information about a service extension for people who currently use PCA/CSG services while they transition to CFSS

    For more information, refer to the Nov. 26, 2024 eList announcement.

    11/26/24

    PCA/CFSS type B service agreement

    MMIS transition from PCA and CSG to CFSS

    Made the following updates:

  • · Clarified information throughout the page
  • · Updated information about a service extension for people who currently use PCA/CSG services while they transition to CFSS. For more information, refer to the Nov. 26, 2024 eList announcement.
  • 11/26/24

    PCA/CFSS type B service agreement

    Type B service agreement (SA) for PCA/CFSS

    Updated information about a service extension for people who currently use PCA/CSG services while they transition to CFSS

    For more information, refer to the Nov. 26, 2024 eList announcement.

    11/26/24

    PCA/CFSS type B service agreement

    ASA3 screen for personal care services (T1019)

    Updated information about a service extension for people who currently use PCA/CSG services while they transition to CFSS

    For more information, refer to the Nov. 26, 2024 eList announcement.

    11/26/24

    PCA/CFSS type B service agreement

    ASA3 screen for consultation services (T1023)

    Updated information about a service extension for people who currently use PCA/CSG services while they transition to CFSS

    For more information, refer to the Nov. 26, 2024 eList announcement.

    11/26/24

    CSG type B service agreement

    Type B service agreement for CSG

    Updated information about a service extension for people who currently use PCA/CSG services while they transition to CFSS

    For more information, refer to the Nov. 26, 2024 eList announcement.

    11/25/24

    PCA/CFSS type B service agreement

    ASA3 screen for consultation services (T1023)

    Added information about claims-only modifiers

    11/18/24

    PCA/CFSS type B service agreement

    ASA3 screen for personal care services (T1019)

    Clarified instructions for the requested total units and requested total amount fields

    11/5/24

    PCA/CFSS type B service agreement

    45-day temporary increase of PCA/CFSS services

    Updated information throughout the page for the transition from PCA and CSG to CFSS

    11/4/24

    PCA/CFSS type B service agreement

    ASA3 screen overview

    Clarified how to calculate total units/dollars of personal care in the total units/dollars (CFSS) section.

    10/31/24

    PCA/CFSS type B service agreement

    AHC2 screen for PCA/CFSS

    Clarified information in the PCA and CFSS assessment field definitions section

    10/31/24

    PCA/CFSS type B service agreement

    Finalize a type B service agreement for PCA/CFSS

    Made the following changes:

  • · Corrected an error and clarified the county/tribal nation can edit a CFSS SA for up to 60 days after the date in the agreement start date field on the ASA1 screen
  • · Clarified information throughout the page
  • 10/25/24

    PCA/CFSS type B service agreement

    ASA1 screen for PCA/CFSS

    Updated information throughout the page for the transition from PCA and CSG to CFSS

    10/21/24

    PCA/CFSS type B service agreement

    45-day temporary start of CFSS services

    Updated information throughout the page for the transition from PCA and CSG to CFSS

    10/18/24

    PCA/CFSS type B service agreement

    ASA3 screen for goods and services (T5999)

    Corrected information in the requested total amount field (REQ TOT AMT) section

    10/10/24

    PCA/CFSS type B service agreement

    ASA3 screen for worker supervision/training (PCA: T1019 – UA; CFSS: S5116)

    Added a link to Long-Term Services and Supports Service Rate Limits, DHS-3945 (PDF)

    10/3/24

    PCA/CFSS type B service agreement

    AHC2 screen for PCA/CFSS

    Updated information throughout the page for the transition from PCA and CSG to CFSS

    10/2/24

    PCA/CFSS type B service agreement

    MMIS transition from PCA and CSG to CFSS

    Added new page to explain the transition from PCA and CSG to CFSS

    10/1/24

    PCA/CFSS type B service agreement

    Type B service agreement (SA) for PCA/CFSS

    Updated information throughout the page for the transition from PCA and CSG to CFSS

    10/1/24

    PCA/CFSS type B service agreement

    ASA2 screen for PCA/CFSS

    Updated information throughout the page for the transition from PCA and CSG to CFSS

    10/1/24

    PCA/CFSS type B service agreement

    Finalize a type B service agreement for PCA/CFSS

    Updated information throughout the page for the transition from PCA and CSG to CFSS

    9/30/24

    CSG type B service agreement

    Notice of denial of CSG

    Added a note about the transition from PCA and CSG to CFSS

    9/30/24

    CSG type B service agreement

    EN home care rating for CSG

    Added a note about the transition from PCA and CSG to CFSS

    9/30/24

    CSG type B service agreement

    10-day notice of termination of CSG

    Added a note about the transition from PCA and CSG to CFSS

    9/30/24

    CSG type B service agreement

    10-day notice of reduction of CSG services

    Added a note about the transition from PCA and CSG to CFSS

    9/30/24

    CSG type B service agreement

    Finalize a type B service agreement for CSG and CSG with FSG

    Added a note about the transition from PCA and CSG to CFSS

    9/30/24

    CSG type B service agreement

    ARCP screen for CSG and CSG with FSG

    Added a note about the transition from PCA and CSG to CFSS

    9/30/24

    CSG type B service agreement

    Type B service agreement for CSG

    Added a note about the transition from PCA and CSG to CFSS

    9/30/24

    CSG type B service agreement

    ADHS screen for CSG

    Added a note about the transition from PCA and CSG to CFSS

    9/30/24

    CSG type B service agreement

    AHC3 screen for CSG

    Added a note about the transition from PCA and CSG to CFSS

    9/30/24

    CSG type B service agreement

    AHC2 screen for CSG

    Added a note about the transition from PCA and CSG to CFSS

    9/30/24

    CSG type B service agreement

    AHC1 screen for CSG

    Added a note about the transition from PCA and CSG to CFSS

    9/30/24

    CSG type B service agreement

    ASA3 screen CSG and FSE lines

    Added a note about the transition from PCA and CSG to CFSS

    9/30/24

    CSG type B service agreement

    ASA2 screen for CSG

    Added a note about the transition from PCA and CSG to CFSS

    9/30/24

    CSG type B service agreement

    ASA1 screen for CSG

    Added a note about the transition from PCA and CSG to CFSS

    9/30/24

    CSG type B service agreement

    Type B service agreement for CSG

    Added a note about the transition from PCA and CSG to CFSS

    9/30/24

    PCA/CFSS type B service agreement

    Notice of denial of PCA services

    Made the following changes:

  • · Updated the page title
  • · Added a note about the transition from PCA and CSG to CFSS
  • · Added information about the 10-day notice of reduction of PCA services
  • · Added information about the 10-day notice of termination of PCA services
  • 9/30/24

    PCA/CFSS type B service agreement

    EN home care rating for PCA/CFSS

    Updated information throughout the page for the transition from PCA and CSG to CFSS

    9/30/24

    PCA/CFSS type B service agreement

    45-day temporary start of PCA services

    Added a note about the transition from PCA and CSG to CFSS

    9/30/24

    PCA/CFSS type B service agreement

    45-day temporary increase of PCA services

    Added a note about the transition from PCA and CSG to CFSS

    9/30/24

    PCA/CFSS type B service agreement

    ARCP screen for PCA/CFSS

    Updated information throughout the page for the transition from PCA and CSG to CFSS

    9/30/24

    PCA/CFSS type B service agreement

    APRV screen for PCA/CFSS

    Updated information throughout the page for the transition from PCA and CSG to CFSS

    9/30/24

    PCA/CFSS type B service agreement

    ADHS screen for PCA/CFSS

    Updated information throughout the page for the transition from PCA and CSG to CFSS

    9/30/24

    PCA/CFSS type B service agreement

    AHC3 screen for PCA/CFSS

    Updated information throughout the page for the transition from PCA and CSG to CFSS

    9/30/24

    PCA/CFSS type B service agreement

    AHC1 screen for PCA/CFSS

    Updated information throughout the page for the transition from PCA and CSG to CFSS

    9/30/24

    PCA/CFSS type B service agreement

    ASA3 screen for consultation services (T1023)

    Added new page for the transition from PCA and CSG to CFSS

    9/30/24

    PCA/CFSS type B service agreement

    ASA3 screen for goods and services (T5999)

    Added new page for the transition from PCA and CSG to CFSS

    9/30/24

    PCA/CFSS type B service agreement

    ASA3 screen for PERS (S5160, S5161, S5162)

    Added new page for the transition from PCA and CSG to CFSS

    9/30/24

    PCA/CFSS type B service agreement

    ASA3 screen for FMS provider fees (T2040 – UB and UA)

    Added new page for the transition from PCA and CSG to CFSS

    9/30/24

    PCA/CFSS type B service agreement

    ASA3 screen for CFSS failed background studies (T2040 – UB, UA and U6)

    Added new page for the transition from PCA and CSG to CFSS

    9/30/24

    PCA/CFSS type B service agreement

    ASA3 screen for a person on Minnesota Restricted Recipient Program (MRRP)

    Updated information throughout the page for the transition from PCA and CSG to CFSS

    9/30/24

    PCA/CFSS type B service agreement

    ASA3 screen for worker supervision/training (PCA: T1019 – UA; CFSS: S5116)

    Updated information throughout the page for the transition from PCA and CSG to CFSS

    9/30/24

    PCA/CFSS type B service agreement

    ASA3 screen for personal care services (T1019)

    Updated information throughout the page for the transition from PCA and CSG to CFSS

    9/30/24

    PCA/CFSS type B service agreement

    ASA3 screen overview

    Added new page for the transition from PCA and CSG to CFSS

    9/27/24

    PCA/CFSS type B service agreement

    ASA1 screen for PCA

    Added a note about the transition from PCA and CSG to CFSS

    5/26/20

    SNBC LTC screening document

    LTC screening ALT4 and ALT5 panels for SNBC

    Comprehensively reviewed and made the following changes throughout the page:

  • · Clarified information
  • · Removed outdated information
  • 5/21/20

    SNBC LTC screening document

    LTC screening ALT2 panel for section B for SNBC

    Comprehensively reviewed and added fields for assessment team, dental concerns and dentist

    5/19/20

    SNBC LTC screening document

    LTC screening ALT1 panel for SNBC

    Comprehensively reviewed and made the following changes throughout the page:

  • · Clarified information
  • · Removed outdated information
  • 5/19/20

    Main

    MMIS LTC screening ALT1 panel – County, tribal and health plan codes

    Updated codes for health plans

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