An ARMHS clinic is a business that has been authorized by the State of Minnesota to provide ARMHS services, and to bill those services to the state Medical Assistance (MA) insurance or one of the privately run state Pre-Paid Medical Assistance Plans (PMAPs).

Yes, as long as your business is structured correctly, and your staff and services meet all statutory criteria so auditors can’t claim you failed to perform to those standards.

From applying to the state for your business to having an ARMHS clinic able to serve clients with all private insurers will take a minimum of 10-19 months.

No. You can have the business based out of your home, with all services provided to clients in their home, community, and by telemedicine.

Clinical nurse specialist (CNS)

Licensed independent clinical social worker (LICSW)

Licensed marriage and family therapist (LMFT)

Licensed professional clinical counselor (LPCC)

Licensed psychologist (LP)

Mental health rehabilitative professional

Psychiatric nurse practitioner (NP)

Psychiatry or an osteopathic physician

Tribal-certified professional

Informed Consent & Privacy
Diagnostic Assessment – (Including Cage-Aid)
Functional Assessment
Individual Treatment Plan
Progress Note
Discharge Summary
Crisis Recovery Plan
Release of Information
Clinical Supervision Note

Licensed Clinicians can create:

• Diagnostic Assessments
• Functional Assessments
• Individual Treatment Plans
• Basic Living and Social Skills
• Community Interventions
• Transition to Community Living

Mental Health Practitioners can create:

• Functional Assessments – (Requires Licensed Clinician’s Review and Signature)
• Individual Treatment Plans – (Requires Licensed Clinician’s Review and Signature)
• Basic Living and Social Skills
• Community Interventions
• Transition to Community Living

1. Have at least 2000 hours of experience providing services to those dealing with mental illness.

or

2. Currently in or graduated from a Master’s level internship relevant to mental health.

No, ARMHS CANNOT bill to provide transportation for clients.  All services billed must be documented as rehabilitation of the client’s functional impairments identified in the FA and detailed in the ITP, and any documentation of ARMHS providing transportation for clients will be at risk of not meeting criteria for payment.

Connecting with Case Managers such as:

• Avivo
• Catholic Charities
• Genevieve
• Hospitals (they have social workers who make referrals)
• Lutheran Social Services
• Vail Place

Advertising directly to anyone who qualifies for Medical Assistance, such as at:

• Assisted Living Homes
• Charities
• Food Shelves
• Group Homes
• Religious organizations
• Substance use treatment centers

Site Visits are conducted by OIG usually within 30 days of your business’ completed application for Minnesota Health Care Programs (MHCP) which is required to be authorized by the state to bill MA.  During the visit OIG will:

• Ask for official identification of all owners and staff with executive control (including the clinical supervisor).
• Take pictures of the office location.
• Request documentation for policies and procedures
• Request verbal confirmation from the relevant parties for legal responsibility for billing and clinical services.

ARMHS providers are required to submit to MHIS significant demographic information on all clients twice a year in January and July.  Please follow the link for more information https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=mhis_home

Records for clients either selected by the auditor or by your company to ensure they meet all criteria.
Records for all staff for verification of qualifications
Records of the companies Quality Assurance Plan

Not knowing how to bill correctly.
Not budgeting for the lag in billing services, paying staff, and getting reimbursed by insurers.
Not enforcing required staff hiring qualifications, ongoing training, and treatment supervision.
Not meeting standards for documentation of services or documentation being out of date.