mnhelpreferral.revation.comMinnesotaHelp Network™ Online Referral

Click for live help chat Questions? Welcome to the MinnesotaHelp Network™ online referral page. Through this portal you can securely make referrals to the Senior LinkAge Line® and Disability Linkage Line® for Pre-Admission Screening Level of Care 90-day redeterminations Moving Home Minnesota (Money Follows the Person) MDS Section Q A referral for a consumer who wants to leave their current setting and return to the community or A referral for a consumer who wants to remain in the community but needs follow-up We need to ask a few questions to help determine which type of referral you are trying to make. Any referrals that are made to the Senior LinkAge Line® should be printed and retained in the consumer’s medical chart. If the consumer would like a copy of the referral, please ensure a copy is provided. Please bookmark the following link or save as a favorite to be directly taken to the online referral site: https://mnhelpreferral.revation.com . What if I want to make a referral and I don’t fit into any of these categories? Use the chat feature above or call the Senior LinkAge Line® at 1-800-333-2433 and they will assist you. The site to make referrals to Senior LinkAge Line® has been updated based on stakeholder and user feedback. Step-by-steps are available by clicking on the question mark next to the type of referral you’d like to make. Thank you! An initial Pre-Admission Screening is required for anyone seeking admission to a Minnesota Medicaid certified nursing facility, swing bed or boarding care regardless of length of stay or payer source. Level of Care for purposes of Medicaid payment is determined upon nursing home admission. Click here for a step-by-step for completing this referral . Re-determining Level of Care for purposes of Medicaid payment after 90 days is only necessary for nursing home residents who are 21 and older and their first quarterly MDS assessment results in a RUG classification of PA1 or PA2 OR are applying for Medical Assistance and the most recent quarterly MDS assessment results in a RUG classification of PA1 or PA2. Click here for a step-by-step for completing this referral . If trying to make a referral for Moving Home Minnesota (Money Follows the Person) then ALL of the following criteria must be met: Resident has been in a qualified institution for 90 consecutive days (all non-Medicare) At least 1 day has been paid for by Medical Assistance (MA) Resident is going to a qualified residence, which includes: A home owned or leased by the individual or the individual’s family member; An apartment with an individual lease, with lockable access and egress, which includes living, sleeping, bathing and cooking areas over which the individual or individual’s family has domain and control; or A residence, in a community-based residential setting, in which no more than four unrelated individuals reside. Click here for a step-by-step for completing this referral . Referrals are made when residents respond that they would like to talk to someone about returning to a community setting and the nursing home has indicated that they are making a referral to the Local Contact Agency. In MN, the Local Contact Agency is Senior LinkAge Line®. All MDS Section Q referrals should be made using this form and Senior LinkAge Line® will triage appropriately. Click here for a step-by-step for completing this referral . Any consumer who wants to leave their current setting and return to a community setting may be referred to the Senior LinkAge Line® for assistance. Based on the reason for the referral, the consumer may be referred to another entity for assistance such as a county case worker or managed care coordinator. Click here for a step-by-step for completing this referral . This referral protocol pertains to Minnesota residents, age 60 or older, who are discharging to or are currently residing at home, regardless of insurance. Home can include a Registered Housing with Services setting, apartment or single dwelling. Click here for a step-by-step for completing this referral. Click here for a step-by-step for completing this referral . Provider Type (required) Select... Hospital Clinic/Certified Health Care Home County/Tribal Veteran Service Officer (CVSO/TVSO) Hospice ICF-DD Lead Agency Nursing Home/Certified Boarding Care/Swing Bed Regional Treatment Center/State Hospital/CBHH/Psych Hospital Home Health Care Housing with Services/Assisted Living What type of health care provider are you? This will assist with guiding you through the referral. Reason For Referral (required) Select... Is being admitted to a nursing facility and needs a Pre-Admission Screening Needs a Level of Care 90-day redetermination for Medicaid payment in the nursing facility Is being discharged from a hospital and/or needs help in the community Would benefit from help leaving nursing home/current setting and returning to the community Placeholder for a variant of 4 based on change request Placeholder for a variant of 4 based on change request Placeholder for a variant of 4 based on change request Placeholder for a variant of 4 based on change request Would benefit from help leaving home health care and returning to the community Placeholder for a variant of 4 based on change request Why is a referral needed for this consumer? Is the resident 21 or older? (required) Select... Yes No Re-determining level of care for purposes of Medicaid payment in the nursing facility is unnecessary for residents under the age of 21. Please print this screen for your records. Is the resident currently on Medical Assistance? (required) Select... Yes No To the best of your knowledge, has the resident submitted an application for Medical Assistance? (required) Select... Yes No If the resident is not currently enrolled in Medical Assistance and has not applied for Medical Assistance, there is no need to establish a qualifying 90 day stay and the online referral process is unnecessary. Please print this screen for your records. For residents admitted on or after October 1, 2014: Did the first quarterly MDS assessment result in a RUG classification of PA1 or PA2? (required) Select... Yes No If the 1st quarterly MDS for a resident admitted on or after October 1, 2014 resulted in RUG classification other than PA1 or PA2, the online referral process is unnecessary. Please print this screen for your records. For those applying for Medicaid, did the most recent quarterly MDS assessment result in PA1 or PA2? (required) Select... Yes No If a resident has applied for Medicaid and the most recent quarterly MDS resulted in a RUG classification other than PA1 or PA2, the online referral process is unnecessary. Please print this screen for your records. Why is the consumer being referred for community living assistance? (required) Facility cannot meet medical needs of consumer Facility is closing No longer meets nursing facility level of care Non-payment to facility Rehab is complete Relocate closer to family Unhappy in current setting Follow-up in community Needs assistance managing/paying for medications Questions about Medicare or other health insurance benefits No transportation or has difficulty getting places Difficulty managing finances or paying for services Memory concerns Concerns about safety or need for home modification Help with laundry Help with housekeeping Help with chores Help preparing meals Respite help Lack of caregiver Current caregiver is overwhelmed Hard of hearing Cognition issues Caregiver involvement Requests in-person assistance Complex needs Application assistance (e.g. Medicaid) How did the consumer hear about Moving Home Minnesota? (required) Select... Acute Hospital Conference/Presentation Disability Linkage Line® DHS Mailing DHS Website ICF-DD Nursing Home/Certified Boarding Care/Swing Bed Regional Treatment Center/State Hospital/CBHH/Psych Hospital Senior LinkAge Line® Other How else did the consumer hear about Moving Home Minnesota? (required) Does the consumer have...