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Metropolitan Center for Independent Living

Removing Barriers, Promoting Choices

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  • About
    • About MCIL
    • Board of Directors
    • Leadership
    • Employment Opportunities
    • Independent Living Philosophy
    • Strategic Plan
    • Success Stories
    • Donors
  • Services
    • Services Overview
    • ADA Minnesota
    • Disability Hub MN
    • Case Management
    • Home Modification and Ramps
    • Independent Living and Vocational Rehabilitation Services (IL/VR)
    • Individual Advocacy
    • PCA College Service Corps
    • Transitional Services and Nursing Home Relocation (NHR)
    • Workforce Innovation and Opportunity Act (WIOA)
    • Youth Transition Services
  • News
  • Contact
  • Donate

Learn more about our services

You are here: Home / Transitional Services Referral

Transitional Services Referral

  1. Please complete all sections. Incomplete referrals may be delayed. The online form has some required fields, and all of the required fields need to be completed in order for the form to be submitted. If the required fields are not entered, the form will not be submitted.
  2. Case Manager signature on the last page is required for authorization.
  3. Eligibility Info
    1. Age 18 or older
    2. Moving from an eligible setting to their own home (a person’s own home is a setting they own, rent or lease that is not operated, owned or leased by a provider of services or supports)
    3. Moving to a setting where these items and expenses are not normally furnished
    4. Transitional services can be authorized for up to 45 days after an individual’s move
    5. Individual cannot receive transitional services if they have already had them in the last 3 years
  1. MCIL does not work directly with individuals receiving services. MCIL will communicate with the case manager making the referral. Case managers are expected to communicate any necessary information directly to the individual who is moving. Individuals contacting us will be referred back to their case managers.

Please allow 7-10 days for processing referrals

MCIL requires a service agreement prior to us providing services.

Household Items

  • Provider Name: MCIL
  • NPI Number: A994520200
  • Procedure Code: T2038-U2
  • Maximum Amount: $500.00

Furniture

  • Provider Name: MCIL
  • NPI Number: A994520200
  • Procedure Code: T2038-U1
  • Maximum Amount: $1,500.00

Moving Services, Delivery,
Damage Deposit, Application Fee, Mileage & Labor

  • Provider Name: MCIL
  • NPI Number: A994520200
  • Procedure Code: T2038
  • Maximum Amount: $3,000.00

MCIL adheres to the Minnesota Department of Human Services Community Based Services Manual on Market Rate for Transitional Services, basing our rates on wage and expertise of the person providing the service, the number of people sharing the service, administrative and indirect costs associated with providing the service, program or facility costs, local rates for comparable services not provided through Medical Assistance. Current rates for services range from $300-600 depending on the number and complexity of services authorized, except in the event that only a damage deposit is needed, which is $150. Please contact us with any questions.

If you have any questions, call Monica at 651-964-3143

MCIL Transitional Services Referral Form

Client's Name(Required)
Only clients 18 and older accepted.
This field is hidden when viewing the form
This field is hidden when viewing the form
Payment Source(Required)
Does this Consumer have a Spend Down?(Required)
Please list the last date this person received transitional services(Required)
MM slash DD slash YYYY
Are you aware of any infestations at the individual’s current residence?(Required)
Does the new home meet DHS’s definition of a person’s “own home”?(Required)
A person’s own home is a setting they own, rent or lease that is not operated, owned or leased by a provider of services or supports. The person has full control of their housing and choice of service provider. In some circumstances, settings that deliver customized living services might meet the transitional services definition of own home. If a person is moving to a home where customized living services are available, the person can only receive transitional services if they will reside in a self-contained living unit (e.g., apartment) with a bathroom, kitchen/kitchenette and sleeping area.
Does this person need moving services?(Required)
Client's Current Address(Required)
(Complete only if movers need to pick up belongings)
Storage Facility Name, Address & Unit Number
(Complete only if movers need to pick up items)
Client’s New Address(Required)

Contacts

Housing Stabilization Specialist's Name
Case Manager's Name(Required)

Damage Deposit/Application Fee-T2038

Damage Deposit/Application Fee-T2038
(Damage deposits will not be available until day of move. Letters guaranteeing payment can be sent out by request.)
Name Payable for Damage Deposit
Address (for mailing check)

Apartment Information

*Based on availability and not guaranteed*
Apartment Size(Required)

Check Items Needed

If all items are checked, some used furniture may be included. *Beds are Twin, unless size is an issue*
Does the individual wish to choose their own items or have MCIL purchase and deliver the requested items?(Required)
Please refer to MCIL’s Furniture and Household Guide for information on choosing your own items.
View Furniture and Household Guide
(T2038-U1)-Essential Furniture, not to exceed $1,500 of the allowable $5,000.(Required)
(note: hospital beds generally require Twin XL sheets)
Select Bed frame size(Required)
Select Mattress size(Required)
(T2038-U2)-Household Supplies, not to exceed $500 of the allowable $5,000.(Required)
Please type your name to acknowledge signature. By typing your name you’re approving/authorizing the services requested.
Does the Case Manager certify this input on behalf of the consumer?(Required)

Release of Information

Acknowledgement

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Contact Us

Metropolitan Center for Independent Living
530 Robert Street North
St Paul, MN 55101
Voice: 651-646-8342
Email: info@mcil-mn.org

Hours of Operation:
Monday – Friday 8 AM – 4:30 PM
(Services provided at the facility until 3:30 PM)

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