The provider organization must submit by email a notice of intent to apply to become an ADT provider organization to dhs.mhadt@state.mn.us. The email subject line must include “Notice of Intent to Apply for ADT Service”.
An email reply will be sent to the provider organization containing a link to the ‘New or Expanding ADT Service Application’ and other resources to help complete the required application documents. Provider organization must complete and submit the application and attachments in PDF format to dhs.mhadt@state.mn.us. The email subject line must include “New/Expanding Adult Day Treatment Service Application”
The provider organization will be notified by e-receipt that the application and attachments were received. Allow up to 60 days for a qualitative review of your ADT application documentation.
DHS Behavioral Health Division (BHD) will examine the submitted application and attached documentation. Reviewers will recommend factors that may need to be addressed before a decisions is granted. BHD will make all recommendations available in writing to the provider. A phone conference will be available for the providers to clarify information, and raise or answer questions about the application submission process.
DHS will make a determination after all required documentation is reviewed and scheduled phone conference call has been completed.
A written notification of Approval as an ADT Provider Organization will be sent to the new or expanding ADT Provider Organization. The County Mental Health Authority Liaison and MHCP Provider Eligibility and Compliance will be copied in this notification letter. MHCP will require that all enrollment information is complete prior to starting services.
Contact Minnesota Health Care Programs (MHCP) Provider Call Center at 651-431-2700 or 1-800-366-5411, to enroll as a new MHCP provider or to add ADT services to your organization’s current provider record, if applicable.
The notification letter is proof of approval as an ADT Provider Organization. It should be made available to Minnesota Managed Care Organizations, if requested as part of their enrollment process. The notification letter will include:
Please use form Adult Day Treatment – Contract Cover Sheet DHS-3868 (PDF) to submit the annual county contract.
BHD will send a written notification to the Provider Organization Applicant with recommendations identifying the key factors to be addressed before they resubmit a new ADT Application.
New or expanding ADT Provider Organizations must schedule a Qualitative review with BHD within 6-12 months after being approved. Failure to schedule a Qualitative review will impact the approval of the ADT Provider organization and the ability to expand future ADT services or service locations.
An on-site review may be conducted at new or expanded service locations and includes the following components:
After the Qualitative review is complete, a follow-up phone conference will be scheduled to discuss the written summary of findings. This summary will identify strengths of the ADT provider organization, as well as recommendations for further implementation of ADT, if necessary.
If a potential ADT Provider Organization has questions, or is experiencing problems with the electronic submission of the ADT Approval Application, notify BHD through secured email at dhs.mhadt@state.mn.us; the subject line must include
“Assistance Requested for ADT Application.” In the email please identify your question or subject to be addressed and provide your contact name and phone number.
On-line training for documentation of Diagnostic Assessments, Functional Assessments, and overall MA Documentation is offered through DHS TrainLink - Adult & Children’s Mental Health Learning Center.
ADT provider organizations are encouraged to develop Quality Improvement Action Plans which informs the strategic plans of the organization and may be submitted to BHD as a part of the review process.
