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For Wavier Case Managers or MSHO/MSC+ Care Coordinators:

  • If the Client has a waiver, attach CSSP or CCP alongside the Referral Form

For Targeted Case Managers:

  • If the client is not on a waiver.

  • Obtain a Professional Statement of Need (DHS 7122) signed by a qualified professional.

  • Complete a Housing-Focused Person-Centered Plan (DHS 7307).

    (If an individual does not have a Case Manager or Care Coordinator and would like a Housing Consultant to assist them in enrolling into the Housing Stabilization Services Program. Please call 612-232-9089 or email: info@alihomehealth.com)

For further assistance, please email us at info@alihomehealth.com

GUide To completing Referral Form