Minnesota Minnesota

DSD MMIS Reference Guide

DSD MMIS Reference Guide


Type B Home Care Service Agreement

Page posted: 6/8/11

Page reviewed:

Page updated: 8/10/2016

Home Care Service Agreement

Lead agency staff enter Type B Home Care Service Agreements into the Medicaid Management Information System to:

  • · Document the results of personal care assistance assessments
  • · Prior authorize PCA services under MA state plan, the Consumer Support Grant program and home and community-based waivers
  • · Prior authorize home care services for home health aide, home care nursing and skilled nursing visits
  • Use the results on the PCA Assessment and Service Plan (DHS-3244) to complete the PCA assessment fields in MMIS. MMIS denies claims for payment of services that do not have current authorization.

    The Type B Service Agreement contains nine panels that MMIS displays in a specific sequence referred to as a queue. The order of MMIS panels by acronym in the Type B SA queue are ASA1, ASA2, ASA3, AHC1, AHC2, AHC3, ADHS, APRV and ARCP.

    Service Agreement Letters

    Service agreement letters:

  • · Document authorization of services and
  • · Provide legal notice to recipient and providers of services authorized, reduced, terminated or denied
  • MMIS generates service agreement letters in an overnight process on approved or denied service agreements. MMIS does not generate a letter for service agreements in suspended status.

    Letters to recipients and providers listed on service agreement lines:

  • · Communicate results of assessments, service dates and services authorized and
  • · Include text associated with reason codes entered
  • DHS Reviewer

    When applicable, MMIS posts DHS reviewer exception codes (EC) and automatically routes a Type B SA to DHS for review and finalization. DHS reviewer exception codes have a status of 3 (deny) or 4 (suspend).

    Lead agencies should review and when possible, resolve what caused the exception code to post. While lead agencies may make changes that cause an exception code to go away, lead agencies cannot resolve all exception codes.

    Review Common DHS reviewer exception codes.

    COR queue

    County and tribal workers are able to view suspended Type B service agreements for PCA and CSG in the County of Residence queue that corresponds to their worker ID.

    Counties that use a county-contracted agency to enter PCA service agreements must check the COR queue regularly to identify PCA service agreements that require finalization.

    Reports

    DHS generates reports related to personal care assistance and the Community Support Grant from data stored in MMIS. Reports help lead agencies track service agreements for PCA and CSG. DHS MMIS security grants access to view Type B service agreement reports to a county and tribal workers based on business needs.

    General Reference Guides

    Access county of residence queue
    Open Type B Service Agreement in MMIS to finalize
    Type B Service Agreement for CSG
    Type B Service Agreement for PCA

    Additional resource pages

    Home care reason codes
    PCA Assessment fields in MMIS

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