The current Medical Assistance rates for mental health services fee-for-service (FFS) rates for mental health services are included in the below table and are updated to reflect the most current maximum allowed, FFS rate for the code. The table also explains when services are reimbursed at an adjusted rate in certain circumstances.
The goal of Adult Day Treatment (ADT) is to reduce or relieve the effects of symptoms associated with a diagnosed mental illness and provide skills training that will result in the person to live in their community. ADT is a short-term, community-based mental health program services consisting of group psychotherapy, rehabilitative interventions, and other therapeutic group services provided by a multidisciplinary team.
Adult Mental Health Initiatives (AMHI) are regional collaborations charged with overseeing adult mental health services and funding to counties and tribal governments in their area.
Adult Rehabilitative Mental Health Services (ARMHS) are a set of services that were developed to bring restorative, recovery-oriented interventions directly to individuals who have the capacity to benefit from them, whether in their homes or elsewhere in the community. ARMHS includes four components: basic living and social skills, community intervention, medication education, and transitioning to community living.
Assertive Community Treatment (ACT) is an intensive, comprehensive, non-residential rehabilitative mental health service that uses a team approach. Services are consistent with Adult Rehabilitative Mental Health Services, except that ACT services are (a) provided by multidisciplinary, qualified staff who have the capacity to provide most mental health services necessary to meet the person’s needs, using a total team approach; (b) directed to persons with a serious mental illness who require intensive services; and (c) offered on a time-unlimited basis and available 24 hours per day, 7 days per week, 365 days per year.
Certified Community Behavioral Health Clinics (CCBHC) are community clinics that offer mental health and substance use disorder services as well as a range of other services. CCBHC will provide outreach, increase access, improve services, and serve as a “one-stop-shop” within a defined service area.
Community Mental Health Center (CMHC) services are covered by Medical Assistance if the CMHC services meet the requirements outlined in Minnesota Statutes, section 256B.0625, subdivision 5.
Crisis services are available 24/7 for adults having a psychiatric or mental health crisis. Information about county mobile crisis teams and Crisis Text Line resources
Certified peer specialists are individuals who have a lived experience of mental illness and are trained to be direct service mental health staff. Since 2007, Minnesota has been building capacity for this service.
Dialectical Behavior Therapy (DBT) is an evidence-based comprehensive treatment delivered via five modalities: individual therapy, skills training, telephone coaching, team consultation and ancillary treatments. Telephone coaching is provided by a team of DBT-trained providers. DBT uses cognitive behavioral strategies and dialectic principles and DBT trained providers use a combination of clinical and rehabilitative interventions to deliver treatment.
When a person experiences first episode psychosis, it is important someone receive the right care as soon as possible. Psychosis can be treated, and early treatment increases the chance of a successful recovery.
Illness Management and Recovery (IMR) is an evidence-based psychiatric rehabilitation practice. IMR is a step-by- step approach that assists people to set meaningful goals for themselves, make informed decisions about their treatment, acquire information and skills to develop greater mastery over the symptoms of their psychiatric illness, and make progress toward their own personal recovery.
Individual Placement & Support Services (IPS) Supported Employment (SE) is an evidence-based practice that promotes the recovery of people who have serious mental illness through work. This integrated service approach is well defined by eight practice principles and a 25-item fidelity scale. IPS SE is recognized by the Substance Abuse and Mental Health Services Administration (SAMHSA).
Integrated Treatment for Co-Occurring Disorders (IT-COD) is considered an evidence-based practice because research shows in contrast to the “system as usual” approach, individuals with co-occurring disorders experience improved treatment outcomes when they receive this holistic, specialized form of treatment. In this model, the contributions of professionals from both the mental health and substance use fields are merged into a single treatment regimen and setting.
Intensive Residential Treatment Services (IRTS) are time-limited mental health services provided in a residential setting. Recipients of IRTS are in need of more restrictive settings (versus community settings) and at risk of significant functional deterioration if they do not receive these services. IRTS are designed to develop and enhance: psychiatric stability, personal and emotional adjustment, self-sufficiency, and skills to live in a more independent setting.
Adult Mental Health Crisis Response Services assist a person who is experiencing a mental health crisis to cope with that crisis and stay in their own home and community. A mental health crisis responder assesses the crisis, assists the recipient in coping with the crisis, and follows up with the person to assure that he or she receives longer term support and services, if needed, in order to remain at home.
Mental Health Information System (MHIS) is a system used to report the demographic, clinical, and outcomes of clients who received publicly funded ACT, ARMHS, CRISIS, DBT, HWS, ICRS, IRTS, and DCT mental health services. MHIS is a secure web-based reporting system that uses MN-ITS security system for web-access. All enrolled MHCP providers and billing agencies have secure access to MN-ITS. Get technical assistance.
The Mental Health Innovation Grant Program is a new grant program intended to improve access to and the quality of community-based, outpatient mental health services and reduce the number of people admitted to regional treatment centers and community behavioral health hospitals
Minnesota statute defines Adult Mental Health Targeted Case Management services (AMH-TCM) as activities that are designed to help adults with serious and persistent mental illness in gaining access to needed medical, social, educational, vocational, and other necessary services as they relate to the client’s mental health needs. Case management services include developing a functional assessment, and individual community support plan, referring and assisting the person to obtain needed mental health and other services, ensuring coordination of services, and monitoring the delivery of services.
Findings from a number of recent national studies indicate that adults with a serious and persistent mental illness are dying, on average, 25 years earlier than the general public. The leading causes of these premature deaths are heart disease, lung disease, diabetes and cancer. One of the basic reasons for premature death among persons with bipolar disorder or schizophrenia is that very few routinely see their primary care physicians for annual physical health screenings. Yet with regular screening, these diseases can often be prevented by lifestyle changes or can be detected early so treatment can control these health conditions. The goal of the initiative was to increase the average lifespan of Minnesotans with Bipolar Disorder or Schizophrenia by 10 years within 10 years. We refer to this initiative as the Minnesota 10 by 10.
The goal of the partial hospitalization program is to resolve or stabilize an acute episode of mental illness. Partial hospitalization is a time- limited, structured program of multiple and intensive psychotherapy and other therapeutic services provided by a multidisciplinary team.
Congress developed the Pre-admission Screening and Resident Review (PASRR) program to ensure that admission and retention of people with serious mental illness in nursing and boarding care facilities is appropriate, as part of the Omnibus Budget Reconciliation Act (OBRA) 1987 commonly referred to as OBRA regulations. Federal Medicaid law and regulations require states
to have a PASRR program to determine whether nursing facility applicants and residents meet nursing facility level of care and/or require specialized services for mental health care.
The Projects for Assistance in Transition from Homelessness (PATH) program supports the delivery of services and resources to individuals who have serious mental illness, may have a co-occurring substance use disorder, and are homeless or at imminent risk of homelessness.
The MHIS Reporting Manual is a reference guide for mental health providers who are required to report client-level outcome measures in Minnesota. It includes reporting requirements, client data elements and batch requirements. Each provider is responsible to reference and implement the manual information.
The Minnesota Comprehensive Adult Mental Health Act establishes basic standards for adult mental health services in Minnesota. It is primarily directed at counties, which are designated as local mental health authorities. Click here to see the mission statement.
Rule 29 establishes standards for community mental health centers and clinics in Minnesota. Compliance with this rule is required for certain categories of Medical Assistance payments and for certain types of private insurance reimbursement. Each section of the rule is listed below and can be accessed by clicking on the rule number.
Rule 36 establishes standards for adult mental health residential facilities in Minnesota. Compliance with this rule is required for facilities that provide residential mental health treatment for more than four adults. Each section of the rule is listed below and can be accessed by clicking on the rule number.
Intensive Residential Rehabilitative Mental Health Services (IRTS) (PDF) The primary purpose of this standard variance is to describe the licensing requirements that providers seeking Medical Assistance (MA) reimbursement must adhere to in the provision of Intensive Residential Rehabilitative Mental Health Services and Residential Crisis Stabilization Service. These requirements reflect the merging of current Rule 36 (Minnesota Rules 9520.0500 to 9520.0690) and the legislation which allowed for Intensive Residential Rehabilitative Mental Health Services and Residential Crisis Stabilization Services (M.S. 256B.0622 and 256B.0624 respectively). Please note that additional regulatory and procedural requirements may apply (e.g. provider enrollment, recipient eligibility, billing, etc.) and are contained in the Medical Assistance Provider Manual.
Rule 47 is the state rule that governs Minnesota health care programs reimbursement for outpatient mental health services. Each section of the rule is listed below and can be accessed by clicking on the rule number.
Rule 79 establishes standards for mental health case management in Minnesota. These standards apply to case managers who are employed by the county or under contract with a county. Each section of the rule is listed below and can be accessed by clicking on the rule number.
Minnesota Disability Law Center (MDLC) (Minnesota Legal Services Coalition) Federally funded protection and advocacy system available to assist people with disabilities in protecting their rights.
NAMI-MN The National Alliance on Mental Illness (NAMI) of Minnesota is a non-profit organization dedicated to improving the lives of adults and children with mental illness and their families. NAMI Minnesota offers education, support and advocacy.
Office of the Ombudsman for Mental Health and Developmental Disabilities Independent state agency, consisting of an Ombudsman appointed by the governor and a 15-member Ombudsman Committee for Mental Health and Developmental Disabilities "to advise the Ombudsman on promoting the highest attainable standards of treatment, competence, efficiency and justice for persons receiving services for mental illness, developmental disabilities, chemical dependency and emotional disturbance in children."
Benefits.gov Features information about federal programs that lets citizens determine the benefit programs for which they may be eligible.
Centers for Medicare and Medicaid Services (CMS) Federal agency within the U.S. Department of Health and Human Services, previously known as the Health Care Financing Administration (HCFA), responsible to administer the Medicare and Medicaid program.
HealthCare.gov Federal Web site provides consumers with information about private and public health coverage options, including Minnesota Health Care Programs, in a single, easy-to-use tool.
National Institute of Mental Health (NIMH) NIMH envisions a world in which mental illnesses are prevented and cured. The mission of NIMH is to transform the understanding and treatment of mental illnesses through basic and clinical research, paving the way for prevention, recovery, and cure.
National Institutes of Health (NIH) Federal agency within the U.S. Department of Health and Human Services that supports some 35,000-research projects nationwide.
SAMHSA The Substance Abuse and Mental Health Services Administration's (SAMHSA) mission is to reduce the impact of substance abuse and mental illness on America's communities.
Department of Employment and Economic Development The Minnesota Department of Employment and Economic Development (DEED) is the state’s principal economic development agency. DEED programs promote business recruitment, expansion, and retention; international trade; workforce development; and community development.
Minnesota Board of Social Work The Minnesota Board of Social Work is an independent state agency. The Board of Social Work holds social workers accountable by ensuring that licensed social workers are qualified, professional, ethical, and accountable. It does this initially through the examination and licensure process and, on an ongoing basis, by license renewal: continuing education: supervision requirements to ensure continued competence: and through the complaint resolution process when professional standards are not met.
Minnesota Department of Health (MDH) State agency responsible to protect, maintain and improve the health of entire communities through a network of city and/or county health departments. Programs include clean water (environmental labs,) safe food (food safety center,) quality health care (HIV testing sites,) healthy choices (WIC agencies,) and state licensing/permits for food and health care providers. You can search by health topic, request forms and applications (birth, death and marriage certificates,) access programs by name and use the library services.
Minnesota State Advisory Council on Mental Health The Minnesota State Advisory Council on Mental Health is a 30 citizen group, appointed by the governor, representing consumers, family members, advocates, providers, elected officials, state department representatives and others from around the state.
Minnesota State Legislature Guide to the Minnesota legislature with access to the House of Representatives, Senate, legislation and bill status, Minnesota statutes/session laws/rules, legislative schedules and general information.
Minnesota State Register Official weekly publication for Minnesota Rules (proposed, adopted and exempt), Official Notices (including requests for outside opinions, revenue notices, executive orders, meetings and vacancies in agencies), Professional, Technical and Consulting Contracts and State Grants and Loans.
Depression and Bipolar Support Alliance Formerly known as the National Depressive and Manic-Depressive Association, organization aims to improve the lives of people living with mood disorders. The site includes a confidential screening for mood disorders.
NAMI (National Alliance on Mental Illness). NAMI is a nonprofit, grassroots, self-help, support and advocacy organization of consumers, families and friends of people with severe mental illnesses, such as schizophrenia, major depression, bipolar disorder, obsessive-compulsive disorder and anxiety disorders.
National Association for Social Workers Founded in 1955, the National Association of Social Workers (NASW) is the largest membership organization of professional social workers in the world, with more than 120,000 members. NASW works to enhance the professional growth and development of its members, to create and maintain professional standards, and to advance sound social policies.
National Empowerment Center The mission of the National Empowerment Center Inc. is to carry a message of recovery, empowerment, hope and healing to people who have been diagnosed with mental illness. The center is a consumer/survivor/ex-patient-run organization
American Psychiatric Association This site includes a public information page about mental illness, choosing a psychiatrist, health coverage, medications and families and children.
American Psychological Association Information is provided on how and when to access psychological services and how psychology can help with problems like stress and depression.
