Minnesota Minnesota

Moving Home Minnesota Program Manual

Moving Home Minnesota Program Manual

Moving Home Minnesota (MHM) specialized supplies and equipment

Page posted: 5/1/25

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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

Specialized supplies and equipment: MHM service a person may receive after moving to the community. This service can include devices (including assistive technology), controls, medical appliances or supplies. Specialized supplies and equipment must be:

  • · Based on the person’s assessed areas of needs to live in their community.
  • · Documented in their MHM Transition Planning Tool (TPT), DHS-6759J.

    • Assistive technology: For the federal definition of assistive technology, refer to MN Guide to Assistive Technology – Definition.

    Demonstration case management (DCM): MHM service a person may receive after moving to the community. This service monitors and evaluates the person’s MHM community services and supports as they adjust in the community. DCM must be:

  • · Based on the person’s assessed areas of needs to live in their community.
  • · Documented in their MHM TPT, DHS-6759J.

    • 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 costs for specialized supplies and equipment for up to 365/366 days after their move into the community if they meet all the following criteria:

  • · The person moves to an MHM qualified community residence from an MHM qualified institution. For more information, refer to MHM Manual – Eligibility.
  • · The transition coordinator or demonstration case manager documents the person’s need for additional community support in the person’s TPT.
  • · The person is not able to access this service from other funding sources (e.g., community nonprofit organizations, Medical Assistance [MA] state plan services, waiver programs).

    • Waiver interaction

    If the person enrolls in a home and community-based services (HCBS) waiver program, they cannot receive costs for specialized supplies and equipment in addition to their waiver services.

    Covered services

    Covered items may include, but are not limited to:

  • · Durable and non-durable medical equipment and supplies denied under the MA state plan.
  • · Add-ons to otherwise-approved MA state plan items determined necessary to meet the needs identified in the person’s TPT.
  • · Electronic tablets, both as part of a system of environmental controls and as an augmentative communication device (refer to the limitations section lower on this page).
  • · Assistive technology (refer to MN Guide to Assistive Technology – Definition).
  • · Standalone equipment (e.g., shower chair, portable/travel ramp for use in the community) that is not part of a home or vehicle modification project through the MHM environmental modifications service.
  • · Equipment repair and maintenance, unless covered by the manufacturer's warranty.
  • · Used equipment when all criteria are met (refer to used equipment section lower on this page).
  • · Medication dispensing equipment.
  • · Adaptive positioning devices.
  • · Adaptive utensils.

    • Non-covered services

    This service does not cover:

  • · Experimental treatments.
  • · Items covered under MA state plan or waivers.
  • · Items covered under third-party payer liability (refer to MHCP Provider Manual – Medicare and other insurance).
  • · Items that do not provide direct medical or remedial benefit to the person.
  • · Oral nutritional products and electrolyte products.
  • · Foods (including organic or special diet needs), organ extracts and over-the-counter food supplemental products.
  • · Prescription and over-the-counter medications, compounds, solutions and related fees (including premiums and co-payments).
  • · Items sold as used equipment to a second member of the same family (refer to the used equipment section below).
  • · Utilities that operate the equipment or supply.

    • In addition, an item is not covered if it restricts a person’s rights or restrains them, and either:

  • · The item is not an adaptive aid or equipment, orthotic device or other medical equipment ordered by a licensed health professional to treat a diagnosed medical condition.
  • · The item violates the provisions of Minn. R. 9544.

    • Limitations

    Costs for specialized supplies and equipment must be reasonable and necessary expenses for a person to establish their basic living arrangement.

    Specialized supplies and equipment are available during the person’s 365/366-day MHM community service period, after their move from an institution. Dates of service must be within the eligibility span. This service requires prior authorization. For more information, refer to the authorization, rates and billing section below.

    The combined total for environmental assessment and modifications and specialized supplies and equipment cannot exceed $3,000 without DHS approval.

    An electronic tablet is funded through the MA state plan as durable medical equipment if the person uses it only for purposes of augmentative communication.

    Used equipment

    The lead agency, case manager or demonstration case manager may authorize funding for used equipment when the equipment has been evaluated by one of the following professionals:

  • · Provider of specialized supplies and equipment.
  • · Occupational therapist who specializes in selling, installing or assessing equipment.
  • · Physical therapist who specializes in selling, installing or assessing equipment.

    • The professional evaluating the equipment must ensure:

  • · The used equipment meets the needs of the person.
  • · The used equipment has been determined to be in good, working order.
  • · Fair market value is established for the equipment.
  • · The used equipment is cost-effective compared to purchasing new equipment.

    • MHM will not fund used equipment when sold to a second member of the same family. For the purposes of this policy, family is defined as parents, siblings and children, any of whom are related by birth, marriage or adoption.

    Provider standards and qualifications

    Specialized supplies and equipment is a DHS enrollment-required service. For more information, refer to MHCP Provider Manual – MHM.

    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 complete Specialized Supplies and Equipment Provider Assurance Statement, DHS-6189T (PDF) and be one of the following:

  • · Approved by DHS (compliance with MHCP waiver provider enrollment)
  • · Pharmacy.
  • · Home health agency.
  • · Medical supplier.
  • · County or tribal nation.

    • 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

    The lead agency (or transition coordinator if the person does not have a lead agency) assigns an MHM demonstration case manager. The demonstration case manager is responsible to authorize the person’s MHM post-transition community services.

    This service requires a service authorization. DHS pays the provider as indicated on the service agreement.

    For instructions about authorizing MHM community services and how to receive prior authorization, refer to MHM Manual – 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 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.

    • Each claim must include one of the following modifiers:

  • · New = NU
  • · Repair = RB
  • · Rental = RR
  • · Used = UE

    • Additional resources

    MHM demonstration and supplemental services table (PDF)
    MHM Manual – Eligibility
    MHM Manual – Services
    MHM Manual – Transition coordination
    MHM TPT, DHS-6759J
    LTSS Service Rate Limits, DHS-3945 (PDF)
    MHM SSIS Reference Guide (PDF)
    Specialized Supplies and Equipment Provider Assurance Statement, DHS-6189T (PDF)

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