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House Research Department Revised: June 2010 <br />Regulation of Health and Human Services Facilities Page 3 <br />MDH facility service license: Lists the type of facility or service license, and the statute and rule <br />citations for the licensing requirements. MDH is the agency generally responsible for ensuring <br />the quality of care provided to residents of facilities and to persons needing support services in <br />their homes. <br />DHS program license: Lists the DHS program licenses that may be required for a facility, and <br />the statute and rule citations for these requirements. A facility licensed by MDH may be <br />required to have a DHS license for the treatment and support programs it operates. For example, <br />a facility licensed as a "supervised living facility" by MDH may offer programs for persons with <br />mental illness that are licensed by DHS under Rule 36 (Minn. Rules, parts 9520.0500 to <br />9520.0670). Such facilities are commonly referred to as "Rule 36" facilities.2 Information on <br />the number of program licenses was provided by DHS staff. <br />MA certification: Indicates whether the facility type qualifies for Medical Assistance (MA) <br />reimbursement. Of the facility types listed, MA pays only nursing homes and ICFsMIR directly <br />for services. MA does, however, pay nonfacility providers for home health and home and <br />community -based waivered services provided to persons residing in certain types of facilities. <br />Reimbursement: Lists common sources of reimbursement for the facility or service (see <br />glossary for descriptions). <br />Provisions governing reimbursement: Provides statute and rule citations for state <br />reimbursement programs. <br />Special notes: Where applicable, provides further clarification on reimbursement and other <br />issues. <br />2 "Rule 36" refers to the numbering used in older compilations of DHS rules. For example, under the <br />Minnesota Code of Agency Rules (MCAR), rules governing programs for adults with mental illness began at section <br />2.036. In the rule compilation preceding MCAR, these rules were cited as DPW 36 (for Department of Public <br />Welfare). In September 1983, MCAR was replaced by the current Minnesota Rules. However, "Rule 36" and other <br />similar abbreviated rule references (e.g., Rule 50) are still commonly used when referring to facility types and <br />reimbursement sources. <br />50 <br />