DHS-8168-ENG   9-25 (1.5.5)

DISABILITY SERVICES DIVISION (DSD)

DSD Contact Form

For questions about ABLE accounts, including opening an account or inquiries about an existing account, complete and submit the following:

Please use this form to contact the Disability Services Division for general questions and technical assistance related to home and community services and supports. For technical issues related to MMIS entry of service agreements, screening documents, or Home care PCA, HHA, SNV and HCN change, follow the steps in the “Contact the SASD Support Team” section on the CBSM – Service Agreement and Screening Document (SASD) Support Team page (formerly known as the Resource Center).

Role identification:

  • Public: People who access services, advocates, friends/family who are helping someone who needs services, etc.
  • Lead agency, county or tribal nation: County and tribal agency workers that administer public assistance benefits (i.e., case manager, contracted case manager, social workers, case aide, certified assessor, care coordinator, etc.)
  • Service provider/partner: Work for a disability agency or organization providing home and community based services (i.e., PCA, disability waiver services, autism/EIDBI, etc.)

For questions or more information about PCA and CFSS, go to DHS — Community First Services and Supports to learn about what it covers, eligibility, training and more.

For more information about the CFSS transition, visit DHS — CFSS frequently asked questions.

For general questions and information about eligibility, allowable expenses and more, visit MN DB101 – ABLE accounts or MN ABLE Plan. 

If you want to open an ABLE account or are unable to find the information you need, complete and submit the following:

If you want to become a service provider, go to the Minnesota Health Care Programs (MHCP) Provider Call Center page. It has information about how to enroll. You also can email questions to the MHCP Provider Call Center at dhs.healthcare-providers@state.mn.us.

If you have questions about 245D provider licenses, standards and policy, call the DHS Licensing Division at 651-431-6500.

To find a service provider in your area, search the Minnesota Health Care Programs (MHCP) Provider Directory. The MinnesotaHelp.info website also has information about services and waiver providers in your area. 

To view a particular service provider's record (citations, fines, correction orders, etc.), use the DHS Licensing Information Lookup site. Knowing a provider's history can help you make an informed decision. 

To speak to someone about your options for services, programs and/or benefits, contact the Disability Hub MN. The Hub is a free, statewide resource that helps people solve problems, navigate the system and plan. Call 866-333-2466 or connect via chat or email at www.disabilityhubmn.org.

You can reach out to these resources to file a report:

If you suspect fraud by a provider, call the Health Care Provider Fraud Hotline at 651-431-2650 or 800-657-3750.

If you suspect fraud by DHS employees, grantees or vendors/contractors, call the Fraud or Ethics Violations Hotline at 800-664-3590.

For suspected fraud by people who receive cash assistance, child care assistance, food support and health care, call the Fraud Hotline at 651-431-3968

If you believe that someone working for a human services agency discriminated against you, you may file a civil rights complaint to:
Minnesota Department of Human Services
Equal Opportunity and Access Division
P.O. Box 64997
St. Paul, MN 55164-0997
651-431-3040 (voice) or use your preferred relay service

If you suspect maltreatment, call the DHS Maltreatment Intake and Licensing Complaints division at  651-431-6600.

To report vulnerable adult abuse, neglect or financial exploitation, call Minnesota Adult Abuse Reporting Center (MAARC) at 844-880-1574.

If you are not able to pay your premium for Medical Assistance for Employed Persons with Disabilities (MA-EPD), you can fill out the MA-EPD Good Cause Request form, DHS-6939. It is the way you tell DHS why you do not have enough money to pay. If you have difficulty completing the form, review the instructions or call Disability Hub MN at 866-333-2466. The hub can help you submit the form.

Once you submit the form, it will come directly to DHS staff. We will review it and contact you with our decision.

If you would like to talk about your options for services and/or benefits, start with Disability Hub MN. The Hub is a free statewide resource that helps people understand their options for services and benefits, and help people understand the application and assessment process and what to have prepared. Call 866-333-2466 or connect via chat or email at www.disabilityhubmn.org.

Also, your local county or tribal nation can answer questions for you on eligibility and accessing disability services. They can tell you about the application process, assessment process and timelines.

If you seek Social Security disability benefits, contact your local Social Security Administration office.

ADDITIONAL INFORMATION

The Minnesota Department of Human Services (DHS) provides Minnesotans with a variety of services and resources. You can find more information about our programs/services at: 

For questions about your services or paperwork you received, contact your case manager or your local county or tribal nation.

If you use MA-EPD, call the MA-EPD Billing Department at 651-431-3205.

If you access Medical Assistance and MinnesotaCare, call the MHCP Member Help Desk at 651-431-2670.

To restart your services, contact your case manager or your local county or tribal nation.

You also have the right to appeal if your services have been terminated. If you want to file an appeal, please call the DHS Appeals Division at 651-431-3600.

To speak to someone about your options for services, programs and/or benefits, contact the Disability Hub MN. The Hub is a free, statewide resource that helps people solve problems, navigate the system and plan. Call 866-333-2466 or connect via chat or email at www.disabilityhubmn.org.

Tell us about yourself and we can help check on the status of your request.

Tell us about yourself and we will connect with you.

In Minnesota, people with autism and related conditions can receive services and supports. The program is called the Early Intensive Developmental and Behavioral Intervention (EIDBI) benefit. It is for people who:

  • Are younger than age 21.
  • Are on Medical Assistance (MA), MinnesotaCare, Minnesota Tax Equity and Fiscal Responsibility Act (TEFRA) or other qualifying health care programs.
  • Have autism spectrum disorder (ASD) or a related condition.

For more information about other autism-related resources and services available to families, go to MN Autism Resource Portal and DHS  ̶  ASD resources.

If you still are unable to find the form you are looking for, complete and submit the following:

For general questions or more information about EVV, visit DHS – EVV. The page includes information about services that require EVV, training and more.

For more information about using your EVV system, such as training, onboarding and visit entries, contact your provider agency for assistance.

If you are unable to find the information you need, complete and submit the following:

To speak to someone about your options for services, programs and/or benefits, contact the Disability Hub MN. The Hub is a free, statewide resource that helps people solve problems, navigate the system and plan. Call 866-333-2466 or connect via chat or email at www.disabilityhubmn.org. 

Tell us about yourself and we will do our best to help:

If you want to become a PCA, go to Personal Care Assistance (PCA) and Community First Services and Supports (CFSS) Training and Test. It includes instructions on how to register to become a PCA.

To get a copy of your PCA certificate, go to the Personal Care Assistance (PCA) and Community First Services and Supports (CFSS) Contact Us page . It has instructions to request a copy. 

Tell us about yourself so we can contact you: 

For general questions and information about eligibility, allowable expenses and more, visit MN DB101 – ABLE accounts or MN ABLE Plan.   

For questions about ABLE account policy or a specific account, complete and  submit the following:

For questions about opening an ABLE account, complete and submit the following:

Tell us about yourself so we can contact you. 

Note: Use this section for EVV policy and general questions. If you have specific questions about EVV system functionality, select the  "General HHAeXchange support" and/or "third party EVV" options in the EVV RELATED radio button list.

For general information, services that require EVV, training and more, visit DHS – EVV.

For information on how to enroll with HHAeXchange with your chosen system, visit DHS – Enroll with EVV. 

For EVV policies, visit CBSM – EVV.

For questions about the state EVV system, visit HHAX Minnesota Provider Information Center.

EVV does not change the current billing process with DHS. Providers will continue to use the billing processes they use now.

For assistance, contact the MHCP Provider Resource Center.

Providers using third-party EVV systems must review the following documents before beginning the integration process:

To begin the integration process and/or contact HHAeXchange directly, use the HHAX Client Support Portal.

For additional resources to help integrate third-party systems, visit HHAeXchange third-party EVV integration knowledge base. 

For EVV assistance with services authorized by MCOs, contact the MCO.

If you received a compliance memo in your MN-ITS mailbox, complete these fields and submit a response to the EVV team:

If you have already submitted a ticket to HHAeXchange and need more help, complete these fields and submit.

Note: The HHAeXchange ticket/case number field is required when completing this option. If your request is specific to a provider agency, include the provider name and tax ID.

If you have already submitted a ticket to HHAeXchange and need more help, complete the following and submit.

Note: The HHAeXchange ticket/case number field is required when completing this option. 

For help using the HHAX system, visit the HHAX knowledge base. You can search for specific questions and view guides.

Missing members and authorizations, and missing HHAX offices
For HHAX system users, check your provider portal to verify all NPI/UMPIs are listed, and an office is set up for each.

Update or add an NPI/UMPI
To update or add NPI/UMPIs in the HHAX system, contact HHAX using the HHAX Client Support Portal.

If all NPI/UMPIs are listed, contact the MHCP Provider Resource Center for member information.

For questions about your background study, call the DHS Background Studies Unit at 651-431-6620.

For general questions regarding background study requirements and processes, use the Background studies contact form.

For information about 245D provider licenses, standards and policies, call the DHS Licensing Division at 651-431-6500.

For questions about completing the online 245D HCBS license application, call or the 245D Home and Community-Based Services (HCBS) License Application and Standards group at 651-431-6624. 

Please reach out to these resources to file a report:

If you believe you have been discriminated against, report the incident to the Minnesota Department of Human Rights by completing their Report discrimination form or calling them at 1-833-454-0148.

If you have concerns about your wage or employer issues, call the Minnesota Department of Labor and Industry at 651-284-5075 or email them at dli.laborstandards@state.mn.us.

If you suspect fraud by a provider or employer, call the Health Care Provider Fraud Hotline at 651-431-2650 or 800-657-3750.

If you suspect fraud by DHS employees, grantees, or vendors/contractors, call the Fraud or Ethics Violations Hotline at 800-664-3590.

For questions about billing or payment, call the Minnesota Health Care Programs (MHCP) Provider Resource Center at 651-431-2700 or 800-366-5411, option 4. 

For questions about a service rate/fee, contact the person’s case manager or the local lead agency’s long-term care department.

Tell us about yourself, and we will contact you:

If the issue is related to billing and services not paid, call the Minnesota Health Care Programs (MHCP) Provider Call Center at 651-431-2700 or 800-366-5411, option 4.

Otherwise, tell us about yourself and we will contact you:

For questions about forms that you submitted through the Minnesota Provider Screening and Enrollment (MPSE) portal, call the Minnesota Health Care Programs (MHCP) Provider Resource Center at 651-431-2700 or 800-366-5411, option 4.

Providers should reference the Service Agreement and Screening Document (SASD) Support Team (formerly Resource Center) webpage. Follow the steps in the "Home care PCA, HHA, SNV and HCN technical change requests" section.

Please review the Enrollment with Minnesota Health Care Programs (MHCP) page. You will find MHCP enrollment information, applications, agreements and requirements.

If you have any additional questions about enrollment, please contact the Minnesota Health Care Programs (MHCP) Provider Resource Center at 651-431-2700 or 800-366-5411, option 3.

Providers should reference these resources if you have general questions on Relocation Service Coordination (RSC) or the certification process: Provider Manual (RSC-TCM), Community-Based Services Manual (CBSM) – RSC-TCM, and Moving Home Minnesota.

For questions about the RSC Community of Practice and sign-up, please contact the team at MovingHomeMN.MFP@state.mn.us.

Providers should reference these resources if you have general questions on Moving Home MN (MHM): Moving Home Minnesota Program Manual and Moving Home Minnesota Program Manual – Comparison of MHM, RSC-TCM and HSS pages. 

If you are still unable to find the information you are looking for, please contact the team at MovingHomeMN.MFP@state.mn.us.

For general questions or more information about PCA and CFSS, go to the Community First Services and Supports webpage to learn about what it covers, eligibility, training, and more.

For information on how to enroll as an agency to provide CFSS services, please visit the Community First Services and Supports (CFSS) Provider Agency Enrollment Criteria & Forms (state.mn.us).

For more information about the CFSS transition, visit the CFSS frequently asked questions webpage.

Complete and submit the MnCHOICES Help Desk Contact Form, DHS-6979.

Note: This form must be completed by a MnCHOICES mentor. If you are not a MnCHOICES mentor, contact your mentor and ask them to submit on your behalf.

For a list of mentors, Use the same form to ask for a complete list of your agency’s mentors. 

Complete and submit the MnCHOICES Help Desk Contact Form, DHS-6979. (Select "disability rates" under "question type" option).

This form must be completed by a rates mentor. If you are not a rates mentor, contact your mentor and ask them to submit on your behalf. For a list of mentors, go to the DWRS rate mentor contact list.

Complete and submit the DWRS Exception Request Application, DHS-5820. 

Complete and submit the CDCS Budget Exception Request Form, DHS-6633.

Complete and submit the Determination of need application to expand day services application, DHS-4960A.

Complete and submit the Determination of need application for proprietary changes, reductions and closures, DHS-4960B (PDF).

Complete and submit the Request to Close or Develop New Corporate Foster Care (and Community Residential Settings) form, DHS-6021 (PDF).

Complete and submit the Corporate Adult Foster Care/Community Residential Setting (CRS) Closure Proposal form, DHS-6021B (PDF).

Complete and submit the Monitoring Technology Approval Request form (DHS-6789A).

Complete and submit the Exception Request for Environmental Accessibility Adaptations that Exceed $40,000 (CAC, CADI, BI and DD waivers), DHS-5504B.

You can find a comprehensive list of DSD forms on the CBSM – Forms page. It includes lists/links to LTSS forms, aging forms, PCA forms and EIDBI (autism and related conditions) forms.

Tell us about yourself and we can help connect you to the right place.

Complete the following and a DHS staff member will contact you:

Lead agencies should contact the Service Agreement and Screening Document (SASD) Support Team (formerly Resource Center). Follow the steps in the "Contact the SASD Support Team" section on CBSM – Service Agreement and Screening Document (SASD) Support Team.

If you are a MnCHOICES Mentor and have a question about MnCHOICES, complete and submit the MnCHOICES Help Desk Contact Form, DHS-6979.

Use the same form to ask for a complete list of your agency’s mentors.

If you are a rates mentor, complete the MnCHOICES Help Desk Contact Form, DHS-6979. Under “QUESTION TYPE,” select “Disability Rates.”

If you are not a rates mentor, contact your agency’s rates mentor first. For a list of mentors, go to DWRS rates mentor contact list.

Exceptions are available to meet extraordinary costs incurred by providers when the RMS rate does not meet the extraordinary needs of some people who receive services. Lead agencies use the DWRS exception request application, DHS-5820 (PDF) to submit requests to DHS. For more information, please see the Frequently asked questions about DWRS exceptions page. 

If you are still unable to find the information you are looking for, complete and submit the following:

Use this option when you are asking about an individual CDCS budget. Or, if you have questions about the exception process or need help.

Lead agencies should use the online CDCS Budget Exception Request Application, DHS-6633 to submit a request to DHS when an eligible person's consumer directed community supports (CDCS) state-set budget does not meet his/her needs.

For questions about ABLE accounts, including opening an account or inquiries about an existing account, complete and submit the following:

    Privacy Notice: This notice describes how private information about you may be used and disclosed. You have privacy rights under the Minnesota Data Practices Act and the federal Health Insurance Portability and Accountability Act (HIPAA). These laws protect your privacy, but also let us give information about you to others if a law required it. We may tell you before we give the information to another organization.

    Why do we ask for this information? The information you provide is used to report aggregate (combined group) data, so we can monitor trends in questions we receive.

    Do you have to answer the questions we ask? You do not have to give us the information we request, but without it we may not be able to reach you, or to help you with your question.