Revised: April 1, 2024
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).
Eligible Providers
To be eligible to provide, bill and be paid by Minnesota Health Care Programs (MHCP) for Housing Consultation, Housing Transition, Moving Expenses and Housing Sustaining services under Housing Stabilization Services, providers must meet the requirements and submit the forms listed on the Housing Stabilization Services Enrollment Criteria and Forms provider enrollment webpage.
MN–ITS and Interactive Voice Response (IVR)
MHCP requires you to register for a MN−ITS account. You will receive a Welcome Letter with your MN−ITS registration information after you are approved as an MHCP-enrolled provider. Providers are responsible to verify MHCP member eligibility before providing a service (or at least once per month if billing monthly or for multiple services provided in one calendar month). You can choose to verify eligibility online through MN–ITS or the phone IVR.
Eligible Members
A member is eligible for housing stabilization services if they meet all of the following needs-based criteria:
Enrolling Eligible Members
People who need housing stabilization services can self refer or be supported by a provider or case manager. If a person has a targeted case manager or waiver case manager, that case manager may support them to access services, or the person can self refer and contact a housing stabilization services provider directly to help them receive housing stabilization services.
Housing Stabilization Services providers will submit eligibility documentation and assessment outcomes for the Housing Stabilization Services program through the Housing Stabilization Services Eligibility Request (DHS-7948) online form to determine medical need for services when providing housing consultation, housing transition, moving expenses or housing sustaining. This includes:
Minnesota Department of Human Services (DHS) staff will use the results of the independent assessment to determine whether the member meets the needs-based criteria to receive this service. After needs-based criteria is determined, DHS will notify the provider through the MN−ITS mailbox and the member via U.S. Postal Service that services may start. The notification will be a letter of approval or denial for Housing Stabilization Services.
This same process is used for initial evaluation and reevaluation. Providers will use the Housing Stabilization Services Eligibility Request (DHS-7948) online form to submit member information for review.
Covered Services
The following services are provided within Housing Stabilization Services. Refer to the Housing Stabilization Services policy manual webpage for information about each service that includes, service description, covered and noncovered services when applicable, limitations and provider standards and qualifications.
Impact to other services
Housing Stabilization Services might impact other services a person may be receiving. Refer to the Housing Stabilization Services policy manual webpage for more information on impact to other services.
Home and community-based service rule conflict of interest and exception
Housing stabilization services must adhere to the Home and Community-based services conflict of interest requirement. This requirement states that the agency that assesses a person or creates a person’s person-centered service plan cannot be the same agency that provides the housing transition or housing sustaining service unless there is a DHS approved agency exception. Refer to the Housing Stabilization Services policy manual webpage for more information about conflict of interest and the state exception rules.
Billing
Housing stabilization services agencies must follow general MHCP billing policies and guidelines in the MHCP Billing Policy Overview section when submitting claims to MHCP. Check for member eligibility in MN−ITS or the phone interactive voice response. If a member is assigned to a Managed Care Organization (MCO), refer to the Managed Care Members section to find links for MCO billing requirements.
Documentation requirements
Providers must follow home and community-based services documentation requirements (refer to Minnesota Statutes, 256B.4912, subdivision 12):
When submitting claims to DHS for housing stabilization services, do the following:
Housing Stabilization Services Codes, Rates and Descriptions
Service Description | Rate | Procedure Code | Unit |
Housing Consultation | $174.22 | T2024 U8* | Per session |
Housing Transition | $17.17 | H2015 U8* | Per 15-minute unit |
Housing Sustaining | $17.17 | H2015 U8/TS* | Per 15-minute unit |
Moving Expenses | Up to $3,000 | T2038 U8 | One unit per line |
* Include U4 modifier if billing for remote support
Remote Support
Add modifier U4 to any consultation or transition or sustaining claim submission in MN–ITS when billing direct/remote support units. Housing consultation is billed using only one unit. Use the U4 modifier on the claim submission if any portion of housing consultation has been done remotely.
Direct/Remote support is limited to no more than 50% of the annual Direct Support provision for transition and sustaining services. Any Direct/Remote support units billed should be on a separate line from other Direct/In Person or Indirect services provided. Refer to the Housing Stabilization Services: Direct, Indirect and Remote Services Chart (PDF) for information about service limits.
Moving Expenses
Housing Stabilization Services Moving Expenses are a component of Housing Stabilization-Transition Services. Moving Expenses are reimbursed to providers for certain expenses paid for people who are receiving Housing Stabilization-Transition services. Members must be transitioning out of a Medicaid-funded institution or leaving a provider-operated living arrangement and moving into their own home.
Moving expenses must be approved and clearly identified in the Housing Focused Person-Centered plan, Coordinated Support Services Plan or Coordinated Care Plan. Refer to Moving Expenses on the Housing Stabilization Services policy webpage for information about member qualifications, eligible living situations, what is covered and not covered, limitations, and provider responsibilities. Moving expenses are non-recurring and capped a maximum of $3,000 within an approved Housing Stabilization Services eligibility span.
To bill and be reimbursed for Housing Stabilization Services moving expenses, providers must include an electronic claim attachment with their MN–ITS claim. The Attachment Control Number entered on the MN–ITS claim must match the Attachment Control Number on the AUC cover sheet the provider will fax to DHS with supporting receipts. Review the Electronic claim attachments webpage for MHCP attachment criteria and refer to the video module Sending an Attachment for a MN–ITS Claim for a demonstration. Receipts must be for covered expenses only and must include the items, the name of the organization where the items were purchased, the date and the amount of the purchase. The amount of the receipt must equal the line-item amount entered on the claim. Do not include noncovered items on the receipts you are submitting.
Bill multiple purchases that occur on the same date using the total amount of the purchases for the line-item charge and bill only one unit.
Limits
Housing consultation services are available once annually. Additional sessions are allowed if a person wants to change housing transition or housing sustaining providers or experiences a significant change in circ*mstance that requires a new person-centered plan.
Housing Transition services are limited to 150 hours per transition. Moving Expenses are non-recurring and limited to a maximum of $3,000 within an approved Housing Stabilization Services eligibility span.
Housing Sustaining services are limited to 150 hours annually.
Providers may request an additional 150 hours beyond these limits and DHS will determine necessity.
Billing Procedure Codes
To bill 15-minute procedure codes for time spent providing Housing Transition or Housing Sustaining services, you must provide at least 8 minutes. For example: If you provide a service for at least 8 through 22 minutes, bill that service as one unit. If you provide the same service for at least 23 minutes, bill that service for at least two units, and so on.
Housing Consultation is a session code and must be billed as one unit.
Diagnosis Codes for Housing Stabilization Services
Disability | Diagnosis Code |
Developmental disability | F84.9 |
Learning disability | F81.89 |
Mental illness | F99 |
Physical illness, injury or impairment | R69 |
Chemical dependency | F19.20 |
Managed Care Members
Providers must first enroll with MHCP before they can enroll with Managed Care Organizations (MCOs). Contact the MCO for their billing guidelines. Refer to the Housing Stabilization Services policy page for MCO contacts and information specific for Housing Stabilization Services.
Legal References
Minnesota Statutes, 256B.051
Minnesota Statutes, 245.462
Minnesota Statutes, 245.461 to 245.468
Minnesota Statutes, 256B.0625, subdivision 20
Minnesota Statutes, 256B.4912, subdivision 12
Code of Federal Regulations, title 42, section 441.730
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