Minnesota Minnesota

DSD MMIS Reference Guide

DSD MMIS Reference Guide


LTC Screening Document for SNBC

Page posted: 5/20/11

Page reviewed:

Page updated:

SNBC program

Health plan staff enter Minnesota long term care screening documents directly into the Medicaid Management Information System (MMIS) for Special Needs BasicCare for people with disabilities. Use information on LTC Screening Document – AC, CAC, CADI, EW, MSC+, MSHO, SNBC, TBIW (DHS-3427) to complete the required fields in MMIS.

Counties/tribal nations:

  • · Contact health plans to find out what services the plan will authorize.
  • · Enter service agreements into MMIS for the authorized services.
  • LTC for SNBC

    Begin at the ASCR panel in MMIS to initiate a new LTC screening document for the following:

  • · Face-to-face health risk assessment.
  • · Health risk assessment by telephone.
  • · Recipient’s refusal of health risk assessment.
  • Reference guides

    LTC Screening ALT1 Panel for SNBC
    LTC Screening ALT2 Panel for SNBC
    LTC Screening ALT3 Panel for SNBC
    LTC Screening ALT4 Panel for SNBC
    LTC Screening Comments Panels for SNBC
    LTC Screening Finalize SNBC

    Additional resources

    LTC Screening County, Tribal and Health Plan codes
    MMIS for SNBC online DHS module

    Report this page