---
id: "epm:E"
source: "Minnesota Health Care Programs Eligibility Policy Manual"
source_short: "EPM"
publisher: "Minnesota Department of Human Services"
section: "E"
title: "Appendix E Institutions for Mental Diseases"
breadcrumb: "E Appendix E Institutions for Mental Diseases"
effective_date: 2022-09-01
last_modified: 2026-10-03T04:10:19.068661+00:00
version: 1
url: "https://bot-corpus.mn-dhs.online/s/epm/E"
official_origin: "https://hcopub.dhs.state.mn.us/epm/appendix_e.htm"
legal_citations:
  - "Code of Federal Regulations, title 42, Section 435.1010"
  - "Minnesota Statutes, section 253B.045"
---
# EPM E Appendix E Institutions for Mental Diseases

An Institution for Mental Diseases (IMD) is a hospital, nursing facility, or other institution or residential program that has 17 or more beds and provides diagnosis, treatment, or care of people with mental diseases.

Types of IMD facilities include:
- In-state children's mental health residential facilities
- Some In-State and Out-of-State severe emotional disturbance (SED) residential treatment facilities for children Psychiatric Residential Treatment Facilities (PRTF) are excluded from IMD status.
- Regional Treatment Center (RTC) - mental illness (MI) psychiatric inpatient hospital
- Residential substance use disorder treatment programs
- Rule 36 MI treatment program
- Privately owned psychiatric inpatient hospital
- State sex offender program
- State forensic program
- Nursing homes – when 50% or more of beds are for treatment of mental illness

## Legal Citations

- Code of Federal Regulations, title 42, Section 435.1010
- Minnesota Statutes, section 253B.045