Minnesota Children and Youth with Special Health Needs (MCYSHN)

Who Pays? Taking the Maze Out of Funding Manual

MCYSHN staff developed a manual designed to inform both families and professionals about a wide range of potential funding sources. The goal is to help persons know what programs and resources exist in order to improve access to health care and more effectively advocate for children, youth, young adults and their families. The content in the manual is geared towards all children and youth, including but not limited to those with special health needs. It includes major funding programs, other possible funding options, and "tools" to help in identifying funding resources. The manual is updated annually.

5/20/2011 - Updates to the September 2010 Who Pays? Taking the MAZE Out of Funding Document, includes all updates to date (PDF: 1 page / 109KB)

SEPTEMBER 2010 Full Document:

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Front cover of MAZE packet

Document Separated by Topics:

  • Tools (PDF: 87 pages 728Kb) – Contains numerous “tools” to help in finding resources for families, including: How to Apply; a Funding Flow Chart; Spenddown information; Income/asset guidelines for Minnesota Health Care Programs (MHCP); Medical Funding Summaries comparing MHCP; Information on noncitizens and MHCP; Covered and non-covered services, supplies and equipment through MHCP; a Social Security Administration (SSA) overview; SSI (Supplemental Security Income) income guidelines and disability guidelines for children under age 18; and a wide variety of “Additional Resources”.
  • Department of Human Services (DHS) (PDF 36 pages / 1.31Mb) – Includes two general DHS brochures regarding some of their programs, as well as information on: MA for Employed Persons with Disabilities; Authorization; Home care services (including PCAs); TEFRA (and the required documentation to prove disability); Home and Community Based Services (‘waivers”); Parental Fees; Family Support Grant; and Consumer Support Grant.
  • Cultural Resources (PDF: 17 pages / 419Kb) – Includes information regarding: “Public Benefits for Non-Citizens”; Immigrant and Refugee mental health; and a description of numerous other Multicultural Resources.
  • Insurance and Appeals (PDF: 27 pages / 665Kb) – Includes information regarding: Federal Health Care Reform and it’s affects on Families; Minnesota Comprehensive Health Association (MCHA); Sample letters of Appeal; Appeals DHS programs; Frequently Asked Questions about PCA Changes and PCA Appeals; Appeal options for persons covered by health plans; Self Insured/Self Funded health plan complaints; Resources for letters of medical necessity and appeals; SSI appeals; and SSI overpayments.
  • Mental Health (PDF: 32 pages / 435Kb) – Includes information on: Mental health services for children/youth; Who pays for mental health services for children/youth; Choosing a mental health professional; Role of teachers in children’s mental health; A listing of Minnesota mental health resources; Chemical health; and Dual Diagnosis for adolescents (co-occurring brain disorders and substance abuse disorders).
  • School (PDF: 15 pages / 427Kb) – Information regarding: IEP (Individual Education Program) services through DHS; Third party billing; 504 plans; and a listing of other School resources.
  • Transition (PDF: 21 pages / 297Kb) – Includes information on: Ready to Manage Your Own Health Care; “Things You Need To Know About Transition”; Suggested skills for transition, the SILS (Semi-Independent Living Services) program through DHS; and a wide variety of other Transition resources website listings.
Updated Monday, 12-Sep-2011 16:57:42 CDT