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EPM E

Appendix E Institutions for Mental Diseases

Effective:
September 1, 2022
Version:
1
Last edited:
October 3, 2026

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