Minnesota Minnesota

DSD MMIS Reference Guide

DSD MMIS Reference Guide


MMIS SERVICE AGMT – ASA3 screen CSG and FSE lines

Note: DHS will keep this page for historical reference during the transition from personal care assistance (PCA) and the Consumer Support Grant (CSG) to Community First Services and Supports (CFSS). For more information, refer to DSD MMIS Reference Guide – MMIS transition from PCA and CSG to CFSS.

Page posted: 5/20/11

Page reviewed:

Page updated: 9/30/24

Transition from CSG to CFSS

DHS is in the process of replacing personal care assistance (PCA) and the Consumer Support Grant (CSG) with Community First Services and Supports (CFSS). For more information about this transition, refer to CFSS Manual – Transition from PCA and CSG to CFSS.

DHS must update the Medicaid Management Information System (MMIS) to allow counties/tribal nations to enter a CFSS service agreement (SA). Some fields have minor changes. For more information, refer to DSD MMIS Reference Guide – MMIS transition from PCA and CSG to CFSS.

During the transition from CSG to CFSS, the county/tribal nation follows the instructions below to enter a new SA in MMIS:

  • · Conducts the assessment.
  • · Enters three months of CSG services with the CSG procedure code (T2025).
  • · Enters a line for the county/tribal nation administrative fee with the CSG procedure code (T2025).
  • · Enters a line for consultation services. For more information, refer to DSD MMIS Reference Guide – ASA3 screen for consultation services (T1023).
  • LI COMMENTS field

    Enter a short comment (optional). Comment will appear on the recipient and provider service agreement letters. Only the provider listed in the PROVIDER NAME/NBR field of this line will see the comment.

    PROC field

    Enter procedure code T2025 on the CSG line and the FSE line.

    CSG with PCA assessment, CSG combined PCA and HCN or HHA

    Enter CSG as two lines using procedure code T2025 (CONSUMER SUPPORT GRANT).

  • · Enter one T2025 line for the FSE provider
  • · Enter another T2025 line for the county provider
  • Enter only one T2025 line for the county provider when a FSE is not used.

    Notice of reduction, notice of termination

    Enter CSG notice of reduction as two lines using procedure code T2025 (CONSUMER SUPPORT GRANT).

  • · Enter one T2025 line for the FSE provider.
  • · Enter another T2025 line for the county provider.
  • Enter only one T2025 line for the county provider when a FSE is not used.

    Denial of CSG

    Enter CSG notice of denial as one line using procedure code T2025 (CONSUMER SUPPORT GRANT).

    MOD1-4 field

    Tab past the four modifier fields.

    START/END DT fields

    Enter the correct dates in MMDDYY format. Line start and end dates for CSG and FSE lines are the same as the AGMT START/END dates on the ASA1 screen.

    REQ TOT AMT field

    Enter the requested dollar amount based on the CSG Budget Caps on the CSG and FSE lines.

    CSG with PCA assessment

    Multiply the monthly CSG budget amount times the number of months on the line.

  • · Enter 95% of the total CSG amount on the line for FSE provider.
  • · Enter 5% of the total CSG amount on the line for county provider.
  • · Enter the total CSG amount on the line when FSE is not used.
  • Notice of reduction, notice of termination

    Multiply the current (higher) monthly CSG budget amount times the number of months on the notice of reduction or termination line.

  • · Enter 95% of the total CSG amount on the line for FSE provider.
  • · Enter 5% of the total CSG amount on the line for county provider.
  • · Enter the total CSG amount on the line when FSE is NOT used.
  • Document the CSG monthly amount on the current SA on the AHC3 screen for DHS reviewer.

    Denial of CSG

    Leave the REQ TOT AMT field blank.

    CSG combined PCA and HCN or HHA

    Leave the REQ TOT AMT field blank. DHS adds the correct dollar amount following the medical necessity review where the home care rating is determined.

    PROV NBR field

    Enter the provider’s NPI (National Provider Index) number or the UMPI (Unique Minnesota Provider Index) number in the provider number field.

  • · Enter the FSE provider number on the line for FSE (95% line).
  • · Enter the county provider number on the line for county. Counties should use Provider Type 45 (County Human Service Agency), or 61 (County Public Health Nursing Org) provider number for CSG.
  • · Enter the county provider number on the T2025 line when NOT using FSE.
  • Denial of CSG

    Enter the county provider number on the line for denial of CSG following an initial PCA assessment. Counties should use Provider Type 45 (County Human Service Agency), or 61 (County Public Health Nursing Org) provider number for CSG.

    Look up a provider number in MMIS

    1. Press function key F5 to navigate to the MMIS PROV RECIP KEY – CPRK screen.
    2. Type the provider’s name in the PROVIDER NAME LOOKUP, ENTER FULL OR PARTIAL NAME IN LAST, FIRST, MI SEQUENCE: field.
    3. Press function key F4 to navigate to the MMIS PROVIDER LIST – PINQ screen in the Provider file.
    4. Press F8 to advance to next page of list. Press F7 to return to the previous page of the list.
    5. Locate the correct provider and copy the NPI or UMPI number.
    6. Press function key F6 once to return to the service agreement.
    7. Enter the provider number in the PROV NBR field.

    PROV NAME field

    Leave the PROV NAME field blank. MMIS auto-populates this field based on the provider number entered after F9 key is used.

    RSN CD field

    Enter up to 3 reason code(s) when appropriate.

    Enter the appropriate reason code to trigger MMIS to add legal notice language to the service agreement letters for notice of reduction, termination or denial of CSG.

    View reason code text in MMIS

    MMIS adds text associated with a reason code to the service agreement letters.

    1. Enter a reason code (three-digit number) in the RSN CD field.
    2. Move the cursr over the reason code.
    3. Left click to place cursor on the reason code.
    4. Press function key F4 to navigate to the MMIS PA/SA RSN TEXT – FPAD screen in the Reference File Application to view text.
    5. Press function key F6 one time to return to the ASA3 screen.

    Navigation

    Press function key F11 to display the next blank line when FSG line is the third line on the SA or press a transmit key to advance to the AHC1 screen.

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