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Title: Housing Stabilization Services Enrollment
Alternate Title:
Description:

Minnesota Health Care Programs (MHCP) requires providers to enroll for the services they provide to MHCP members to receive reimbursement. Minnesota Department of Human Services (DHS)

Subject: Disabilities
Residential Services
Creation Date: 2/8/2024 12:58:07 PM
Modification Date: 8/22/2024 4:33:32 PM
Audience: Hold Application URL:
Renewal URL:
Versa URL:
Requirements:

Review Housing Stabilization Services Enrollment Criteria and Forms

Overview
Housing Stabilization Services is a Medical Assistance benefit to help people with disabilities and seniors find and keep housing. Housing Stabilization Services are state plan (not waiver) Home and Community-Based Services (HCBS).

Minnesota Health Care Programs (MHCP) requires providers to enroll for the services they provide to MHCP members to receive reimbursement.
Follow the instructions under Enrollment Criteria to enroll as a Housing Stabilization Services provider. You must also: 

• Complete the annual MN DHS Vulnerable Adults Mandated Training, which includes training on vulnerable adult law.
  
  
• Be knowledgeable of local housing resources.
  
  

• Housing Consultation services providers must complete mandated Housing Consultation training on TrainLink. You will need a unique key to take this training.

• Housing Transition and Housing Sustaining services providers must complete mandated Housing Transition and Housing Sustaining training on TrainLink.
  You will need a unique key to take this training.

• All staff working directly with Housing Stabilization Services recipients must complete Housing Consultation, Housing Transition and Housing Sustaining training
  within 30 days of employment start date.

• Housing stabilization providers need to follow Home and community-based services requirements. Review the Home and community-based services providers webpage for additional information.
  
  
  

How to Enroll
Pay the application fee if you use a Federal Employer Identification Number (FEIN) or attach proof that you paid the fee to either Medicare or another state. The payment must be for the same location and to provide the same services. Providers can submit their fees online through the MHCP Provider Screening Fee Collections System. You must pay the fee before applying to MHCP. Note: Housing Stabilization Services providers who own or manage multiple locations where services will be provided must enroll each location separately and pay an application fee for each location. Refer to the MHCP Provider Screening Requirements for information on application fees.
 
Providers who wish to enroll with MHCP can do so in one of the following two ways. 

Online MPSE Portal
Register to access the Minnesota Provider Screening and Enrollment (MPSE) portal and complete your enrollment online using the MPSE portal. If enrolling through the MPSE portal, you will be required to upload the following:

• Home and Community-Based Settings Applicant Assurance Statement (DHS-7618) (PDF)
• Completed, signed and initialed copy of the Fee-for-Service (FFS) only or FFS and Managed Care Organization In-Network Provider Agreement (DHS-4138) (PDF) or MCO In-Network Provider Agreement (DHS-8355) (PDF)
• Request for Licensing Agency ID Number (DHS-3891) (PDF), use this form to submit background studies on all owners and managers. This form must be uploaded separately into the “Notes” area of the MPSE portal if enrolling through the portal.
• Applicable assurance statements to the services you plan to provide:
• Housing Consultation Provider Assurance Statement (DHS-7968) (PDF)
• Housing Transition and Housing Sustaining Provider Assurance Statement (DHS-7967) (PDF)

or

Submit Forms via Fax
Complete the following documents and fax your materials to MHCP Provider Eligibility and Compliance at 651-431-7493.

• Housing Stabilization Services Provider Enrollment Application (DHS-8018) (PDF)
• Fee-for-Service (FFS) only or FFS and Managed Care Organization In-Network Provider Agreement (DHS-4138) (PDF) or MCO In-Network Provider Agreement (DHS-8355) (PDF)
• Disclosure of Ownership and Control Interest of an Entity (DHS-5259) (PDF)
• Home and Community-Based Settings Applicant Assurance Statement (DHS-7618) (PDF)
• Request for Licensing Agency ID Number (DHS-3891) (PDF), use this form to submit background studies on all owners and managers.
• EFT Vendor Number Notification (DHS-3725) (PDF), to be paid through electronic funds transfer (EFT) (optional), refer to Electronic funds transfer (EFT) or direct deposit
• In Enrollment with Minnesota Health Care Programs (MHCP) in the MHCP Provider Manual.
• Applicable assurance statements to the services you plan to provide:
• Housing Consultation Provider Assurance Statement (DHS-7968) (PDF)
• Housing Transition and Housing Sustaining Provider Assurance Statement (DHS-7967) (PDF)

•  
  Review and retain a copy of the MHCP Data Privacy Notice (DHS-6287) (PDF) for your records.

  DHS processes forms in order of date received. Whether enrolling using the MPSE portal or by fax, allow 30 days for processing. If DHS needs more information to complete your enrollment, they will send a request for more information letter via U.S. Postal Service (or your MN–ITS mailbox, if you have an account) explaining what you need to do to complete your enrollment.

Revalidation

MHCP is required to follow the Centers for Medicare & Medicaid Services (CMS) final federal provider screening regulations.

MHCP will notify you when you are due for revalidation. When you are notified, you must submit a revalidation request through the MPSE portal or fax all required forms and documents listed in the How to Enroll section to DHS.

We recommend using the MPSE portal and following the Revalidation Instructions in the MPSE user manual to revalidate your record. Log in to your MN–ITS account on the MN–ITS: Home webpage and choose the Minnesota Provider Screening and Enrollment (MPSE) portal link. If you have not registered your MN–ITS account, your login information is on your original Welcome Letter. Call the MHCP Provider Resource Center at 651-431-2700 or 800-366-5411 if you do not have your Welcome Letter.

 Refer to Revalidation in Provider Screening Requirements under Provider Basics in the MHCP Provider Manual for important information, including timelines, about the revalidation process and impacts to your enrollment. Providers who do not meet the revalidation timelines will have their enrollment terminated.

Refer to Revalidation in the Provider Screening Requirements section of the MHCP Provider Manual for more information about how to complete your revalidation.

Adding Services to existing Housing Access Coordination (HAC) Enrollment Record

If you currently provide HAC services and have an existing HAC enrollment record, you can add Housing Stabilization Services to your current HAC enrollment record by completing and submitting the following forms via the MPSE portal or fax to MHCP Provider Eligibility and Compliance at 651-431-7493:

1. Home and Community-Based Settings Applicant Assurance Statement (DHS-7618) (PDF) 

2. Applicable assurance statements to the services(s) you plan to provide:
          - Housing Consultation Providers Applicant Assurance Statement (DHS-7968) (PDF)
          - Housing Transition and Housing Sustaining Applicant Assurance Statement (DHS-7967) (PDF)


Rules:
Statutes: 256B.051
256B.04 subd. 21

Forms:
Fees:
Period of Issuance:
Length of Determination:
Other Info:
Activity: MR/RC Waiver Services
Residential-Based Habilitation Services
License Detail URL:

Housing Stabilization Services Enrollment Criteria and Forms

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