MnCHOICES Matters – September 2017

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MnCHOICES Matters

September 2017

In this issue:

MnCHOICES Matters archive 


MnCHOICES Assessment application release 17.2.1

The previous MnCHOICES Assessment application release, 17.2.1, included several updates and enhancements to improve data reliability. DHS also made updates to align MnCHOICES with developmental disabilities (DD) guidelines. The changes improve how the MnCHOICES Assessment calculates certain field values for children on the DD Screening Document.

Please see the MnCHOICES 17.2.1 Assessment application release notes and release notes companion documents. You can find release notes and companion documents on the MnCHOICES CountyLink site on the Mentors section of the home page.

After the MnCHOICES Assessment application 17.2.1 release, you will notice that when you complete a Provider PCA Summary report, the certified assessor will need to indicate whether or not instrumental activities of daily living (IADLs) may be included in the plan. When the “Can the provider build IADL’s into the care plan?” prompt appears, the certified assessor may select “Yes” if he or she is authorizing the PCA agency to complete appropriate IADLs in addition to the activities of daily living (ADLs) for which the assessor is authorizing assistance. It is important that an assessor select “Yes,” if he or she is authorizing IADLs. This selection is what allows the IADL need to show on the Provider PCA Summary report and is what authorizes the PCA agency to complete IADL tasks when working with the person. If there are not appropriate IADLs for which to authorize assistance, the assessor will select “No.” Specific IADLs are not required in the Provider PCA Summary report.


MnCHOICES Assessment release 17.2.3

The Sept. 8, 2017, MnCHOICES Assessment release included improvements such as:

  • The software now requires fewer questions to run eligibility. DHS has removed the asterisks (*) or changed the symbol for questions that are not required for running eligibility.
  • DHS has changed the symbol marking some questions from an asterisk (*) to a double exclamation mark (!!). These questions have important quality measures, both to better understand the person’s preferences and needs and for federal reporting. While they will no longer be required questions to run eligibility, they remain important and are noted for the assessor with the “!!” symbol.
  • DHS moved screening tools (such as assessment of pain, depression screening, etc.) to a separate domain called “Screening Tools.”
  • The “All Activity” assessment queue has added search and filter options. This new feature is especially helpful to those counties that have several potential results when they attempt to view this queue.

DHS has removed the asterisk or changed the symbol for about 100 questions. The exact number of questions affected depends on the age of the person and other selections within the application.

The changes allow certified assessors, using the MnCHOICES Assessment application, to adjust their work styles to the needs of the person they are interviewing.

More information about these changes and other features of the September 2017 MnCHOICES Assessment 17.2.3 release are available in the release notes attached to the all-clear message sent to lead agencies on Sept. 11, 2017. DHS shared information with mentors about the release at the MnCHOICES Mentor’s Alliance meeting on Sept. 6, 2017.


Change in reassessment responsibility

As of Jan. 1, 2018, the county or tribal nation of residence (COR) is responsible for completing all reassessments for people receiving long-term services and supports. Notifications to the COR will begin as of Jan. 1, 2018, for reassessments that are due in the month of April 2018. This means the county of financial responsibility (CFR) will complete annual reassessments for people living outside of their county during the months of January, February and March 2018.

Example: A person has a reassessment due in April 2018 (service agreement ends May 31, 2018). The CFR would notify the COR between Jan. 1 and Feb. 20, 2018, of the needed reassessment. The COR would begin to process the assignment of the reassessment during this time. The COR certified assessor works on scheduling and preparing for the visit during the month of March 2018. The assessor completes the reassessment and the CSP and sends necessary information back to the case manager during April 2018. The case manager completes the CSSP and the service agreement in May 2018.

The COR continues to be responsible for all new assessments for long-term services and supports requests. For PCA and aging programs, the county of residence or service completes all assessments (reassessments and new assessments).

DHS has published the MnCHOICES Reassessment Communication Form (DHS-6791E) and Instructions to complete the MnCHOICES Reassessment Communication Form (DHS-6791F) to help agencies to communicate the work being done between agencies when the COR and the CFR are separate agencies.

DHS sent an eList announcement on Aug. 30 to announce the addition of instructions and more information,  Activity timelines for reassessments when the COR and CFR are different and Reassessments when the COR and CFR are different, to the Community Based Services Manual.

    Reassessment timeline

    Inserting a person record

    Before inserting new people into the MnCHOICES Assessment application, remember to search by name, date of birth, gender, PMI and Social Security number first. If you are not certain of the spelling of the name or gender of the person, use the “Starts With” or “Soundex” options to search.  

    Name spelling options

    This step is important because DHS is finding multiple records for the same person more frequently as more people have assessments. If the user adds a new record for the person rather than finding last year’s information, the assessment data does not copy into the new assessment.

    Many records did not have a PMI at the time of the initial assessment. Once the person was opened to services, however, a PMI was assigned to him or her. If an assessor notices that a person has a PMI that is not in the MnCHOICES record, the mentor may contact the Help Desk using the DHS-6979 Help Desk Contact form and ask to have the PMI merged into the current record.


    Long-Term Services and Supports Improvement Tool

    DHS is planning to launch the LTSS Improvement Tool on Oct. 30, 2017. The LTSS Improvement Tool will be located in the MnCHOICES Support Plan application. The person and his or her case manager will use the improvement tool during a person’s mid-year visit (i.e. a semi-annual visit). If the person does not have case management, the person and the certified assessor will use the improvement tool during the person’s annual reassessment visit.

    The goal of the tool is to better understand people’s experiences with their services and determine if they have suggestions to improve service responsiveness. DHS wants to standardize data sources to meet federal reporting requirements and to help with other evaluation efforts. DHS will host a training webinar before the launch of the new tool.

    The webinar about the LTSS Improvement Tool will focus on Phase I of the implementation: the person’s experiences with his or her service provider and support plan. The webinar will also provide tips on how to incorporate the questions into the person’s mid-year visit (or annual visit if no there are no case management services) and how you can use the questions to guide the conversation with the person. We will send you registration information by eList announcement soon. You may send questions about the LTSS Improvement Tool by email to the DSD Response Center.


      Editing goals in MnCHOICES Support Plan application

      You can edit the goals area in the MnCHOICES Support Plan after you have added the goal. Rather than having to delete a goal and retype it to make changes, we invite you to try the application’s new feature. To edit a goal:

      1. Highlight the goal you would like to edit
      2. Copy the contents into a new goal
      3. Make edits to the goal
      4. Save the new goal
      5. Delete the old goal, if applicable


      Adding users to the MnCHOICES Support Plan application with SSAM

      Lead agencies begin the process of granting access to the MnCHOICES Support Plan application. Mentors or other designated lead agency staff will follow this process to give access to the MnCHOICES Support Plan to new staff or to make changes (such as a name change, email change or deleting a user) to existing staff records:

      1. Identify the Systems, Security and Access Management (SSAM) security liaison for your agency.
      2. Submit a request for the addition or change needed, following your agency’s protocols, to your SSAM security liaison.
      3. The SSAM security liaison will submit the “MnCHOICES Support Plan Request and Authorization Form” to SSAM.

      You will know when the user has access to the MnCHOICES Support Plan when he or she receives two emails with the subject line: “Official MnCHOICES Support Plan User Notification.” The first email will include the user name. The second email will contain the password.

      If the user does not receive the two emails in the time indicated by SSAM, please have your lead agency’s SSAM security liaison check back in with SSAM on the status.

      Users may reset their passwords by submitting the MnCHOICES Help Desk Contact Form (DHS-6979).


      What is the difference?

      Recently, DHS published bulletin 17-21-08 to announce the availability of the Minnesota Health Care Programs (MHCP) Application for Medical Assistance for Long-Term-Care Services (MA-LTC) form (DHS-3531) (PDF). To clarify, this form is the revised MA application for payment of long-term-care services that the person submits when applying for Medical Assistance.

      People who are already on Medical Assistance should continue to use Minnesota Health Care Programs Request for Payment of Long-Term Care Services (DHS-3543) (PDF) and Minnesota Health Care Programs Payment of Long-Term Care Services (Families with Children and Adults) (DHS-3543A) (PDF) to request payment for long-term care services. These forms ask specific questions concerning payment for long-term-care services that are not asked when applying for MA only.


      Publications

      The following MnCHOICES publications/forms are new or have been updated and are now available in eDocs:

      • DHS-3427-ENG: LTC Screening Document-AC, BI, CAC, CADI, ECS, EW, MHM, MSC+, MSHO, SNBC
      • DHS-3428-ENG: Minnesota Long Term Care Consultation Services Assessment Form
      • DHS-3428A-ENG: Minnesota Long-Term Care Consultation Services Assessment Form: SW Section
      • DHS-6791E: MnCHOICES Reassessment Communication Form
      • DHS-6791F: Instructions to complete the MnCHOICES Reassessment Communication Form


        Other resources

        For previous issues of MnCHOICES Matters, or other MnCHOICES assessment and support planning resources, please visit our CountyLink page.

        For more information on assessment and support planning, please visit the Community-Based Services Manual (CBSM).

        MnCHOICES brochures available:

        • DHS-7283A: MnCHOICES: Take the first step to get services to stay home. Counties, tribes and health care providers can order this document in large quantities by visiting the order fulfillment website. We encourage lead agencies to distribute the brochure locally (such as with hospitals and clinics).
        • DHS-7283B: What you can expect with a MnCHOICES assessment


          For more information about MnCHOICES, visit us on the DHS website. For technical assistance about MnCHOICES, visit us on CountyLink.