The primary regulations governing Nursing Facility Transition 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 Money Follows the Person (MFP) Demonstration and the Centers for Medicare and Medicaid Services (CMS) influence these services. 

3. Licensing or Certification 

To operate as a Nursing Facility Transition Service provider in Minnesota, you do not need a specific license for transition services themselves. However, providers must meet enrollment requirements with Minnesota Health Care Programs (MHCP) and may need to be certified under specific waiver programs. 

4. Responsible State Agency 

The Minnesota Department of Human Services (DHS) is primarily responsible for overseeing Nursing Facility Transition Services, while the Minnesota Department of Health (MDH) may also be involved in aspects related to health care services. 

5. Application Process 

Providers must enroll with MHCP to offer transition services. The enrollment process involves meeting specific qualifications and submitting required documentation. Referrals are typically made through a case manager or county social worker. 

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 relocation coordination. 

7. Timeline for Approval 

The enrollment process typically takes several weeks 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 waiver programs and transition services guidelines. 

10. Additional Notes 

• Services must be medically necessary and authorized by a qualified professional. 

• Providers must comply with specific waiver plans and service delivery standards. 

• Funding for transition services can come from various waiver programs, including the Brain Injury, Community Access for Disability Inclusion, Community Alternative Care, Developmental Disabilities, and Elderly Waivers.