Case Manager Resources

 

Service Agreements

To activate or continue services, we require an approved service agreement or CSP.

These documents must be received from MN-ITS, an insurance payor, or be part of an active CSSP.

 

Spenddown

A copy of the invoice sent to your client will also be sent to you.

Clients can pay through our website’s payment portal, by mailing a check, or by calling our office to pay with a credit card.

For payment inquiries, contact Finance@ConnectAbilityMN.org.

Referral Form

This Referral Form is for all Coordinated Services

Take Backs

For take-back requests, please use the Take Back Request Form. Do not send requests via email directly.

Support Plans

Use this form to submit all support plans and signature pages.

Assessment

Assessments

T1028

Home Modifications

S5165

Chore Services

S5120, S5121,T2038

Transportation

T2003

Specialized Equipment Purchasing/Family Training

T2029, S5110, S5165, S5162, S5160, S5161