Use the Customized Living Component Services Definitions Reference Guide PDF document DHS 6790H to learn more about what can be included in each component service or to find out if there are any special considerations.
Automatically populates based on the scores entered on the person and provider tab.
Why is a person’s screening document score and detail greyed out? Because the score does not meet the threshold.
Document how the assessed need will be met. You are required to complete this field for any component services that you plan time for. Service descriptions should be detailed and specific so that the provider will know the person’s needs and preferences.
Document the time that will be spent providing the service, which can be listed as daily or weekly minutes, or monthly hours depending on the frequency of the service.
Total monthly hours will be automatically calculated using the Daily Minutes, Weekly Minutes and Monthly Minutes fields.
Meals do not depend on a screening document score.
The average time for meals is 30.4 meals per month.
The service is provided in the person's apartment.
This includes, but is not limited to, preparing specialized diets, cutting up food and buttering bread. Tray delivery is also covered when required by the participant.
Do not plan for medical transportation in this section. It is covered under the person's state plan Medical Assistance benefit.
If this box is checked, the summoning device rate is automatically populated.
Do not plan time for services not related to an outcome, support need or goal.
Non-medical transportation is used to plan for the time the person is in the vehicle and mileage for the actual transportation provided.
A dependency must be at least a 3 to plan for time.
If you are doing a two-person transfer, double the time. For example, a 15-minute transfer with two people equals 30 minutes.
Other Health Services tasks can be performed by non-licensed staff when delegated by a licensed healthcare professional. If a nurse decides to perform these services, they will reimbursed at the rate designated for non-licensed staff.
Medication management tasks must be completed by a licensed nurse. Medication management includes medication set up for later administration by unlicensed staff or the person, communication with doctors and pharmacies and completing required documentation. Do not include supervision and training of unlicensed staff, actual medication administration, or providing medication reminders as this is included in the medication administration service component.
If a person has a separate cognitive or behavior support plan, it may be referenced here. If there is no separate plan, be very specific in the service description area. For instance, saying you will redirect is not specific enough.
The days absent field is used to plan for anticipated leave days for which the provider can’t bill for. The tool will adjust the rate up to take into account up to 12 days of leave to help the provider recoup fixed costs.
The symbol indicates something that may not work as you might expect. We'll explain the issue, as well as any special procedures or workarounds.
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Acronym and abbreviation list
A list of acronyms and abbreviations commonly used across the department is posted on InfoLink.
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The Community-Based Services Manual (CBSM) is a reference tool for lead agencies who administer home and community-based services that support older Minnesotans and people with disabilities.
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A list of steps to take if you cannot find an answer to your policy question in the CBSM.