Update on Federal and State Peacetime Emergencies
Beginning September 1, 2021, Professional Statement of Needs, Coordinated Service and Support Plans (CSSP) and Coordinated Care Plans must be signed by all relevant parties for the documents to be accepted. These documents follow the rules of the State Peacetime Emergency which ended on July 1, 2021. The State allows 60 days for providers to come back into compliance with state regulation.
All other Housing Stabilization Services waivers related to the Federal Peacetime Emergency remain in effect. The Federal Peacetime Emergency is expected, but not guaranteed, to last through 2021. The federal government said they will give states 60 days’ notice that the Federal Peacetime Emergency will end. The Department will notify providers through a GovDelivery announcement that the federal peacetime emergency waivers will end within 60 days. Enrolled Housing Stabilization Services providers must come into compliance with federal regulation, including the following, from the date the Federal Peacetime Emergency ends:
Minnesota supports people with disabilities to live, work, and play in communities of their choice. Various challenges and barriers can make it hard to find housing, budget, interact with landlords and neighbors, and understand the rules of a lease. Finding and keeping stable affordable housing is important to the health of Minnesotans. Housing Stabilization Services is a new Medical Assistance benefit designed to help people with disabilities and seniors find and keep housing. Housing Stabilization Services is a home and community-based service.
The purpose of these services is to:
For people looking for more information about the services, please visit Housing Benefits 101 and search “Housing Stabilization Services.”
Information on eligible recipients and enrolling eligible recipients can be found in the Minnesota Health Care Programs Housing Stabilization Services Provider Manual.
Supporting a person onto Housing Stabilization Services starts with the submission of a Housing Stabilization Services Eligibility Request Form (DHS-7948). Only enrolled Housing Stabilization Services providers may submit this form to DHS. All submitted forms are reviewed as soon as possible, in the order received. DHS will notify the provider submitting eligibility documentation of the person's eligibility determination through the MN-ITS mailbox.
To learn more about how a person goes through the process of getting Housing Stabilization Services, review the Person-Served Workflow (DHS-7347).
There are two ways to find providers:
All information regarding provider enrollment, including provider requirements, is located in the Minnesota Health Care Programs Housing Stabilization Services Provider Manual, under Housing Stabilization Services Enrollment Criteria and Forms.
Questions may be directed to the Minnesota Health Care Programs Provider Call Center between the hours of 8:00 a.m. and 4:15 p.m. at 651-431-2700 or 800-366-5411 (Press 3 for Provider Enrollment).
People who do not have waiver or targeted case management or a MSHO/MSC+ care coordinator, but need Housing Stabilization Services, can complete the person-centered planning needed through an enrolled housing consultant. Enrolled housing consultants help a person develop a Housing Focused Person-Centered Plan (DHS-7307) and support the person to select their housing transition or sustaining provider. This service must be distinct from all other services and not duplicate other services or assistance available to the person.
*“Community residential settings” is defined in Minnesota Statutes, §§ 245D.02, subd. 4a, and 245D.23 to 245D.26, and includes foster care.
Services that assist a person to plan for, find, and move to a home in the community.
Activities with an asterisk (*) can be provided directly (in person or remotely working directly with the person) or indirectly on behalf of the person. The expectation is that services are primarily provided as a direct service. Documentation must indicate whether the service was provided as a direct (in person or remotely working directly with the person) or an indirect service.
Housing transition services cannot duplicate other services or assistance available to the person.
Services that supports a person to maintain living in their home in the community.
Activities with an asterisk (*) can be provided directly (in-person or remotely working directly with the person) or indirectly on behalf of the person. The expectation is that services are primarily provided as a direct service. Documentation must indicate whether the service was provided directly (in person or remotely working directly with the person) or as an indirect service.
Housing sustaining services cannot duplicate other services or assistance available to the person.
Remote support is real-time, two-way communication between the provider and the person. The support meets intermittent or unscheduled needs for a person to live and work in the most integrated setting. Remote support supplements in person service delivery.
Remote support is limited to check-ins (e.g. reminders, verbal cues, prompts) and consultations (e.g. counseling, problem solving) within the scope of Housing Stabilization Services. Remote support may be used when it is chosen by the person as a method of service delivery. To meet the real-time, two-way communication definition, remote support includes the following methods: telephone, secure video conferencing, and secure written electronic messaging (text messages), excluding e-mail and facsimile. All transmitted electronic written messages must be retrievable for review. Providers must document the staff who delivered services, the date of service, the start and end time of service delivery, length of time of service delivery, method of contact, and place of service (i.e. office or community) when remote support service delivery occurs.
In order for providers to provide more than half of the direct service hours annually remotely, DHS must provide authorization. Providers request authorization through an Additional Remote Support Exception Request form (available soon). Reasons an exception may be granted include:
To qualify for an additional 150 hours of housing transition (per transition) or housing sustaining (annually), a person must have two of the following barriers listed below. An Additional Transition or Sustaining Unit Request Form must be submitted via the secure, online Housing Stabilization Services Eligibility Request Form (DHS-7948). Documentation for each select barrier must be provided at the time of request.
If documentation submitted does not appear sufficient to warrant an extension, the request for additional units will be denied.
Housing Stabilization Services are state plan Medical Assistance services and impact other services that may be available to a person. This includes:
The state must assure the independence of people performing evaluations, assessments, and plans of care from the people delivering services to support the safety of people receiving home and community-based services. People performing evaluations, assessments, and plans of care cannot:
There are exceptions to the conflict of interest requirements for geographic and cultural provider shortage areas. A Housing Stabilization provider agency who has the required firewalls and protections in place and an approved exception and can perform assessments, develop care plans, and provide housing transition or sustaining services for the same person.
Provider shortages are defined by the following situations:
In order to ensure federal conflict of interest exception standards are met, providers must demonstrate how they accomplish the following:
DHS will evaluate gaps in capacity and provider shortages annually. Once a provider shortage no longer exists in a given area, DHS will notify providers who can no longer assess or develop the person care plan and also provide housing transition or sustaining services for the same person.
Providers complete the appropriate form when they feel they meet geographic or cultural/common language shortage area criteria in order to waive the conflict of interest standards required for Housing Stabilization Services. Providers seeking an exception must not only satisfy the shortage area criteria, but also demonstrate that safeguards are in place to protect against conflicts of interest.
Conflict of interest request forms are now available:
Once the form is complete, e-mail it to the Housing Stabilization Services Exception Request Review Team at: email@example.com
The subject line of the e-mail should read: [Provider name – Conflict of Interest Exception Request]
DHS will process the e-mail and review exception requests as soon as possible, in the order received. Once a decision has been made, you will receive a copy of the form with the DHS section completed for your records.
Providers must contact each managed care organization in its area to inquire about the MCO's specific provider enrollment and/or contracting process and billing details and information. To find out more information about managed care organizations, please review the MCO Contacts for MHCP Providers website. Any additional information DHS receives about managed care organizations and Housing Stabilization Services will be posted to DHS' Housing Stabilization Services Policy website.