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Effective: December 1, 2006 |
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14.10.25ar1 - Other Facilities (Archive) |
Archived: April 1, 2009 |
Eligibility for Minnesota Health Care Programs (MHCP) may be affected by residence in certain facility living arrangements.
Exception: People who meet all other eligibility requirements for Refugee Medical Assistance (RMA) are eligible for RMA regardless of their living arrangement. The Refugee Medical Assistance program, which is 100% federally funded, is not subject to living arrangement requirements.
There are specific codes used to identify living arrangements on the system. For the system codes for residential treatment facilities, group residential housing, battered women’s shelters, and non-negotiated rate facilities, see below. For further information about Institutions for Mental Diseases, long-term care facilities, and correctional facilities, see those sections of this chapter. Also see Children in Facilities.
Residential Treatment Facilities.
Group Residential Housing (GRH).
Non-Negotiated Rate Facilities.
Residential Treatment Facilities
Residential treatment facilities are non-IMD facilities that provide treatment for chemical dependency (CD) or mental illness (MI). The system codes for residential treatment facilities are:
l 54 Rehab Option Facility for Children.
l 57 Rule 36 MI - Not IMD.
l 61 Rule 31 CD - Not IMD.
Rehab option facilities for children provide treatment of severe emotional disturbance (SED). Children who reside in these Minnesota facilities are potentially eligible for MHCP.
Group Residential Housing (GRH)
Group Residential Housing (GRH) is a state-funded program for certain licensed or registered group living arrangements. The program helps pay for the cost of care for residents of some board and care homes, adult foster care, intensive residential treatment services (IRTS) programs, and IMDs. For information about health care program eligibility for people in this living arrangement, see Group Residential Housing (GRH).
The system codes for GRH facilities are:
l 52 Rule 36 MI - IMD.
l 55 Rule 203 - Adult foster care.
l 56 GRH (not foster care or Rule 36).
l 57 Rule 36 MI - Not IMD (includes IRTS programs).
A battered women’s shelter is a public or private non-profit crisis shelter, housing network, or other shelter facility providing services to battered women and their children. The system code for this living arrangement is:
l 67 Battered Women's Shelter.
For information about clients who enter battered women’s shelters directly from another state, see GAMC and GHO State Residence.
Use system code 60 for the following non-negotiated rate facilities:
l Rule 18 - Semi-Independent Living Services.
l Rule 34 - Program for Developmentally Disabled.
l Rule 80 - Program for Physically Handicapped.