Page reviewed: 5/6/24

Page updated: 2/5/26

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, Minn. Stat. §254B.01, subd. 2a, Minn. Stat. §148F.11

Definitions

Moving Home Minnesota (MHM) home and community-based services (HCBS) coordinator: DHS professional who processes intakes 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.

Alcohol and drug counselor (ADC): A person who holds a certification from the Upper Midwest Indian Council on Addictive Disorders (UMICAD) within American Indian SUD programs.

Authorized leave of absence: A person’s leave of absence from a qualified institution that is generally agreed to by the person, family or authorized representative.

Eligibility criteria

Transition planning, coordination and services

To enroll in MHM, the person must meet all the following criteria:

Services in the community

To receive 365/366 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) upon their return to the community 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 age 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 an IMD can count toward the required 60 days if the person spent at least one full day in a qualified institution immediately after IMD discharge and maintained their state-funded MA coverage while in the IMD.
Example: A person is in Anoka Metro Regional Treatment Center (AMRTC) for 45 days and then discharges to a qualified institution. They are not eligible for MHM while they are at AMRTC. Upon discharge into a qualified institution, the 45 days they spent at AMRTC counts toward their 60 continuous days for MHM eligibility.

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.

Leaves of absence

An authorized leave of absence for a person to visit the community before discharge from the qualified institution does not affect the person’s eligibility for MHM services. Authorized leaves of absence can include leave days, home visits, furloughs and weekday/weekend passes.

The qualified institution documents authorized leaves of absence in the person’s record with the following information:

Qualified community residences

People enrolled in MHM must transition to a qualified community residence to maintain their eligibility to receive post-transition 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:

Limitations

Qualified institutions and qualified community residences do not include:

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, DHS-3067 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:

For MnCHOICES assessments, the assessment must be in a “Completed – Ready for MMIS,” “Pending MMIS” or “Approved by MMIS” status in MnCHOICES. Assessments still “In Progress” in MnCHOICES cannot be used to establish level of care.

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.