Disease and Case Management Work Aid

Title:	Minnesota Health Risk Assessment
Program(s):	Disease and Case Management- MSHO/MSC+ Program	Effective Date:	8/1/2018
Frequency:	Daily	System(s):	MMIS
Process Owner:	Lisa Ellis	Back-up Owner:	All Supervisors
Revised by:	NA	Last Revision:	8/1/2018
Preparation/Materials:	Minnesota Health Risk Assessment Form(DHS- 3428H) Health Risk Assessment Screening Document-MSC+, MSHO and SNBC (DHS-3427H)

Purpose:

This Health Risk Assessment (HRA) was developed by DHS to allow for a more limited and concise assessment for members who do NOT need a comprehensive assessment using the LTCC or LTCC + PCA Legacy tool.

*If, while in the process of using this tool, the CC determines that the member needs a more comprehensive assessment or the member requests a more comprehensive assessment to determine eligibility for EW and/or PCA, then the CC will shift to use the LTCC/PCA Legacy Tool.

To align our HRA process with DHS in order to meet all initial and annual HRA documentation requirements that are entered into MMIS.

All HRAs dated on or after August 1st 2018, will need to be completed using this new form and its partner, the new Screening Document- type H . Changes to these forms as compared to the LTCC (DHS 3428A) include new response set options and additional questions/fields.

When to use:

The ‘H’ HRA and screening document is used for all Initial assessments and annual re-assessment for members who do NOT require a comprehensive assessment using the LTCC/PCA (3428A, 3427A, 3428D) assessment tools (3428A, 3427A, 3428D) or who decline or are unable to reached beginning August 1st, 2018.

Steps:

Detailed instructions can be found at the beginning of the Minnesota Health Risk Assessment Form that explains in detail accessing the form, completing the form and populating the screening document.

Find the Assessment form (DHS- 3428H) and the screening document (DHS-3427H), by going to our HealthPartners MSHO/MSC+ Care Coordination Portal.

Save the forms to your personal drive, (or desk top when completing at time of visit)

Complete the HRA

DHS-3428H (MN HRA) Section D, assessment result will always be 35- MSC+. MSHO or SNBC risk assessment

Enter the Health Risk Assessment into MMIS

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