Minnesota Minnesota

Moving Home Minnesota Program Manual

Moving Home Minnesota Program Manual

Moving Home Minnesota (MHM) transitional services

Page posted: 4/17/25

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Page updated:

Legal authority

Deficit Reduction Act, 2005 (PL 109) §6071 (PDF), Patient Protection and Affordable Care Act, 2010 §2403 (PDF), Minn. Stat. §256B.04, subd. 20

Definitions

Transitional services: Items and expenses necessary and reasonable for a person to transition from a qualified institution to an MHM qualified community residence.

Transition coordination: MHM service that provides coordination of activities to support a person who resides in a qualified institution to gain access to medical, social, education, financial, housing and other services and supports that are necessary to move to the community. For more information, refer to MHM Manual – Transition coordination.

Transition coordinator: Professional who carries out the transition coordination service and supports a person to move from a qualified institution to the community with MHM.

Lead agency: County, tribal nation or managed care organization (MCO).

Eligibility

A person is eligible to receive MHM transitional services before discharge from the qualified institution if they meet all the following criteria:

  • · Intends to move to an MHM qualified community residence from an MHM qualified institution. For more information, refer to MHM Manual – Eligibility.
  • · Not enrolled in a home and community-based services (HCBS) waiver program, as described on CBSM – Waiver/AC overview; or if on a waiver, does not meet eligibility for waiver transitional services, as described on CBSM – Transitional services – BI, CAC, CADI and DD and CBSM – Transitional services – AC and EW.
  • · Not accessing this service from other funding sources (e.g., community nonprofit organizations, Medical Assistance [MA] state plan, waiver programs).
  • · Has a need for the service that is documented in their MHM Transition Planning Tool (TPT), DHS-6759J.
  • · Chooses to receive transitional services.

    • Waiver interaction

    If the person will enroll in an HCBS waiver program, they must use waiver transitional services. If the person is not eligible for waiver transitional services, they may use MHM transitional services.

    Covered services

    MHM transitional services cover items in three categories: furnishings, supplies and expenses associated with securing housing. The following sections include examples of these items.

    Furnishings

    Covered items could include, but are not limited to:

  • · Bed frame, box spring and mattress.
  • · Dressers and lamps.
  • · Dining table and chairs.
  • · Sofas.
  • · Window coverings.

    • Supplies

    Covered items could include, but are not limited to:

  • · Cleaning supplies.
  • · Dishes, drinking glasses and flatware.
  • · Pots and pans.
  • · Bedsheets and blankets.
  • · Towels.

    • Expenses associated with securing housing

    Covered items could include, but are not limited to:

  • · Housing application fees.
  • · Rent deposits.
  • · Moving expenses (e.g., moving vehicle rental, packing, unpacking).
  • · Pest and allergen treatment of the home.
  • · Utility set-up fees and deposits.
  • · Background check and rental history fees for the purpose of securing housing.

    • Non-covered services

    MHM transitional services do not cover:

  • · Clothing.
  • · Food.
  • · Personal items.
  • · Items, expenses or supports that duplicate other waiver services (e.g., chore services, homemaker, environmental accessibility adaptations, specialized equipment and supplies).
  • · Recreational and diversionary items (e.g., computers, DVD players, televisions, cable access).
  • · Rent or mortgage payments.
  • · Past-due rent or mortgage payments.
  • · Gift cards or cash given directly to the person.
  • · Supports to move (e.g., assistance from people to arrange for utilities or search for and secure another home in the community).
  • · Transition coordinator time spent purchasing items. This time must be billed as a separate service under MHM Manual – Transition coordination.

    • Service amount

    Costs for MHM transitional services must be reasonable and necessary expenses for the person to establish their basic living arrangement.

    The total available funds per MHM enrollment span for transitional services cannot exceed:

  • · Furnishings: Maximum total of $2,000.
  • · Supplies: Maximum total of $500.
  • · Expenses associated with securing housing: Maximum total of $2,500.

    • There are no exceptions to these limitations.

    Limitations

    MHM transitional services:

  • · Are available before the person is discharged from the qualified institution.
  • · Are available for up to 45 days after discharge from a qualified institution.
  • · Are only available as long as the person has an uninterrupted continuous stay at a qualified community residence, as verified in MHM Communication Form, DHS-6759H.
  • · Are not available when a person moves to a non-qualified community residence.
  • · Cannot reimburse the person directly.

    • Provider standards and qualifications

    The provider must:

  • · Maintain all applicable licenses, permits and registrations as required for their business.
  • · Provide services in a cost-effective and appropriate way to meet the person’s needs, as identified in their TPT.
  • · Adhere to all requirements and responsibilities.

    • License requirements

    The provider must be one of the following:

  • · County or tribal nation.
  • · Approved by DHS (compliance with MHCP waiver provider enrollment and have a signed MHM Transition Planning, Transition Coordination and Demonstration Case Management – Provider Assurance Statement, DHS-3879 (PDF).

    • Background studies

    Minn. Stat. Ch. 245C requires a licensed program to conduct background studies. Providers who have direct contact with the person must have a completed background study (for a complete list, refer to Minn. Stat. §245D.03). A provider must complete and submit individual background studies using New Electronically Transmitted Study (NETStudy) through DHS licensing.

    Authorization, rates and billing

    Service authorization

    A service authorization is not required for MHM transitional services.

    Rate

    The lead agency or provider claims the actual cost of the items purchased. The rates cannot exceed the rate limit in Long-Term Services and Supports (LTSS) Service Rate Limits, DHS-3945 (PDF).

    Billing

    The MHM transitional services provider must:

  • · Plan and deliver services based on the person's needs and submit claims based on items actually purchased.
  • · Keep receipts of items purchased in the person’s record.
  • · Not submit claims until DHS MHM eligibility and enrollment has confirmed the qualified community residence.

    • Additional resources

    MHM demonstration and supplemental services table (PDF)
    MHM Manual – Eligibility
    MHM Manual – Services
    MHM Manual – Transition coordination
    MHM TPT, DHS-6759J
    CBSM – Transitional services – AC and EW
    CBSM – Transitional services – BI, CAC, CADI and DDCBSM – Housing resources
    CBSM – Waiver/AC reimbursement for unforeseen circumstances
    CBSM – Waiver/AC service provider overview
    LTSS Service Rate Limits, DHS-3945 (PDF)
    MHM SSIS Reference Guide (PDF)

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