1. Program Definition and Services Provided
Case Management Services in Minnesota involve coordinating activities to help individuals access necessary medical, social, educational, vocational, and other services. These services include comprehensive assessments, development of individual service plans, referrals to community resources, and ongoing monitoring to ensure that individuals receive the support they need to achieve their goals. Case management is critical in integrating services at the local level, particularly for individuals with mental health needs or disabilities.
2. Regulations
The primary regulations governing Case Management Services are found in Minnesota Statutes Chapter 256B, which addresses Medical Assistance programs, and Minnesota Rules related to waiver services. Additionally, federal regulations under the Centers for Medicare and Medicaid Services (CMS) influence these services.
3. Licensing or Certification
To operate as a Case Management Service provider in Minnesota, you do not need a specific license for case management services themselves. However, providers must be enrolled with Minnesota Health Care Programs (MHCP) and may need to meet specific standards for targeted case management services.
4. Responsible State Agency
The Minnesota Department of Human Services (DHS) oversees Case Management Services under Medical Assistance programs, while Minnesota counties play a crucial role in delivering and coordinating these services.
5. Application Process
Providers must enroll with MHCP to offer case management services. The enrollment process can be completed through the Minnesota Provider Screening and Enrollment (MPSE) portal or by faxing required documents to the Provider Eligibility and Compliance unit.
6. Required Documentation
The following documents are typically required for MHCP enrollment:
- Completed enrollment application
- Proof of business registration (e.g., articles of incorporation, EIN)
- Proof of liability insurance
- Background study for staff involved in direct-contact services
- Documentation of professional qualifications for case management services.
7. Timeline for Approval
The enrollment process typically takes about 30 days after the application is deemed complete by MHCP.
8. Pre-Application Process
There is no formal pre-application process, but applicants are encouraged to review MHCP requirements and ensure they meet all standards before submitting their application.
9. Pre-Application Training
While there is no mandatory pre-application training, providers may benefit from familiarizing themselves with case management guidelines and standards, particularly for targeted case management services.
10. Additional Notes
- Services must be medically necessary and authorized by a qualified professional.
- Providers must comply with specific standards for case management, including coordination with local social services agencies.
- Funding for case management services can come from various sources, including Medical Assistance and waiver programs.
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