# Minnesota Health Care Programs Policy Library > Staff-maintained Medicaid policy corpus. Each section is available as a standalone markdown document with YAML metadata (section number, effective date, version, legal citations, official origin). Full corpus with pre-chunked sections (JSON): https://bot-corpus.mn-dhs.online/api/public/corpus.json ## Minnesota Health Care Programs Eligibility Policy Manual (EPM) Official DHS eligibility policies for Minnesota Health Care Programs, including Medical Assistance and MinnesotaCare. Policy only — no procedural or system instructions. - [1 Minnesota Health Care Programs](https://bot-corpus.mn-dhs.online/api/public/md/epm/1): The Minnesota Department of Human Services (DHS) administers a number of Minnesota Health Care Programs (MHCP). These programs include MinnesotaCare, Medicare S - [1.1 Programs Overview](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.1): Minnesota offers several public health care programs that help families and individuals access affordable health coverage. These programs provide health care se - [1.2 Applications](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.2): The sections in this subchapter provide policy about applications for Minnesota Health Care Programs (MHCP). Topics covered in this chapter are: - [1.2.1 Application Forms](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.2.1): Many people may apply for Minnesota’s Insurance Affordability Programs (IAP) using the MNsure online or a paper application. However, there are different applic - [1.2.2 Application Submission](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.2.2): An application filer may file an application for Minnesota Health Care Programs (MHCP). An application filer includes the following people: - [1.2.3 Date of Application](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.2.3): The date of application for health care coverage is the date a county, tribal or state servicing agency receives a request for coverage or an application for he - [1.2.4 Processing Period](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.2.4): Applications must be processed as soon as possible and within the following number of days from the date of application: - [1.2.5 Retroactive Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.2.5): People may request retroactive eligibility for Medical Assistance (MA), Minnesota Family Planning Program (MFPP),  and the Service Limited Medicare Beneficiary - [1.2.6 Signature](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.2.6): The application filer or their authorized representative must sign the application. See 1.2.2 MHCP Application Submission, for a description of an application f - [1.2.7 Applications for Incarcerated People Preparing for Release (Archive)](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.2.7): A person who is incarcerated and applying for Minnesota Health Care Programs (MHCP) before their release from a state prison, county detention facility, or city - [1.3 Client Rights and Responsibilities](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.3): All Minnesota Health Care Programs (MHCP) applicants and enrollees have rights and responsibilities under various laws. Application forms, notices, and brochure - [1.3.1 Rights](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.3.1): All Minnesota Health Care Programs (MHCP) applicants and enrollees have rights under various laws. Application forms, notices, and brochures include information - [1.3.1.1 Appeals](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.3.1.1): Minnesota Health Care Programs (MHCP) applicants and enrollees have the right to appeal different types of decisions. This policy is about appealing MHCP eligib - [1.3.1.2 Authorized Representative](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.3.1.2): Minnesota Health Care Programs (MHCP) applicants and enrollees may designate an authorized representative at the time of application or at any other time. An au - [1.3.1.3 Civil Rights](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.3.1.3): The Minnesota Department of Human Services (DHS), MNsure and county and tribal servicing agencies cannot treat people differently because of their race, color, - [1.3.1.4 Data Privacy](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.3.1.4): Applications and other forms collect sensitive information on an individual that is needed to determine eligibility. Individuals can be harmed by the reckless d - [1.3.1.5 Notices](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.3.1.5): Minnesota Health Care Programs (MHCP) applicants and enrollees must receive written notice of decisions affecting their case. The notice provides eligibility in - [1.3.2 Responsibilities](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.3.2): All Minnesota Health Care Programs (MHCP) applicants and enrollees have responsibilities under various laws. Application forms, notices and brochures include in - [1.3.2.1 Change in Circumstances](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.3.2.1): Minnesota Health Care Programs (MHCP) enrollees must report changes that may affect their eligibility. County, tribal and state servicing agencies must act on r - [1.3.2.1.1 Death of an Applicant or Enrollee](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.3.2.1.1): Minnesota Health Care Programs (MHCP) applicants and enrollees must report changes that may affect their eligibility. County, tribal and state servicing agencie - [1.3.2.2 Cooperation](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.3.2.2): Applicants and enrollees must comply with various requirements for Minnesota Health Care Program (MHCP) eligibility. This includes general requirements, such as - [1.3.2.3 Fraud](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.3.2.3): This policy covers the definition of fraud and referrals for investigation. The Minnesota Office of the Attorney General or the appropriate county attorney may - [1.3.2.4 Inconsistent Information](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.3.2.4): The county, tribal or state servicing agency must evaluate and pursue resolution of inconsistent information when the information provided by the applicant or e - [1.3.2.5 Overpayments](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.3.2.5): Overpayments occur when an enrollee receives more Minnesota Health Care Programs (MHCP) benefits than they were entitled to as a result of fraud, theft, abuse o - [1.4 State Residency](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.4): Minnesota Health Care Programs (MHCP) are only available to Minnesota residents. - [1.4.1 Interstate Residency Agreements](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.4.1): Minnesota has the following agreements with other states in regards to state residency. - [1.4.2 State Residency for Adoption Assistance, Kinship Assistance, and Foster Care](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.4.2): Children who receive adoption assistance or who are in foster care have special rules for determining their state of residency. - [1.4.3 State Residency for People in an Institution](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.4.3): There are specific rules that govern state residency for people who reside in an institution. An institution is an establishment that furnishes food, shelter an - [1.4.4 Temporary Absence](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.4.4): Temporary absence refers to circumstances where one or more household members are absent from a household they share with others, but the absent members remain - [1.5 Mandatory Verifications](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.5): Each Minnesota Health Care Program (MHCP) has specific verification requirements. Refer to the program sections for detailed information about mandatory verific - [1.6 Health Care Delivery](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.6): Minnesota Health Care Program (MHCP) enrollees must follow guidelines for receiving medically necessary services. - [1.7 Help Paying for Medicare Costs](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.7): Medicare is a federal health insurance program for most people age 65 or older, people who are certified disabled, and people with End-Stage Renal Disease (perm - [1.7.1 Medicare Buy-In](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.7.1): The Medicare Buy-In is an automated data exchange process with the Centers for Medicare & Medicaid Services (CMS) and MMIS, that identifies Medicare premiums th - [1.7.2 Direct Reimbursement of Medicare Premiums](https://bot-corpus.mn-dhs.online/api/public/md/epm/1.7.2): Certain Medical Assistance (MA) enrollees are eligible for direct reimbursement of their Medicare Part A and/or Part B premiums. The county or tribal agency rei - [2 Medical Assistance](https://bot-corpus.mn-dhs.online/api/public/md/epm/2): Medical Assistance (MA) is Minnesota's name for the federal Medicaid program, which began in the 1960s. County and tribal servicing agencies administer MA. MA p - [2.1 Overview](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1): Medical Assistance (MA) eligibility has a variety of non-financial, financial and post-eligibility requirements. Some MA policies apply to all MA applicants and - [2.1.1 General Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.1): This subchapter provides policy information that generally applies to all types of Medical Assistance (MA) and links to policies that apply to all Minnesota Hea - [2.1.1.1 Mandatory Verifications](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.1.1): Mandatory verifications must be verified through an available electronic data source or by paper proof, if electronic data sources are unsuccessful or unavailab - [2.1.1.2 Responsibilities](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.1.2): All applicants and enrollees have responsibilities under various laws. This subchapter provides policy that generally applies to all types of Medical Assistance - [2.1.1.2.1 Benefit Recovery](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.1.2.1): State and federal funds pay for Medical Assistance (MA). The State of Minnesota uses several ways to recover the cost of health care benefits provided to enroll - [2.1.1.2.1.1 Estate Recovery](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.1.2.1.1): Medical Assistance (MA) estate recovery is a program that the federal government requires the State of Minnesota to administer to receive MA funds. County agenc - [2.1.1.2.1.2 MA Liens](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.1.2.1.2): The Minnesota Department of Human Services (DHS) files liens against real property interests to recover the amount Medical Assistance (MA) paid for certain serv - [2.1.1.2.1.3 Third Party Liability](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.1.2.1.3): Third parties are people, entities, or programs that are, or may be, liable to pay all or part of the medical costs provided to Medical Assistance (MA) or Child - [2.1.1.2.1.3.1 Cost-Effective Health Insurance](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.1.2.1.3.1): Health insurance other than Medical Assistance (MA) that covers an enrollee is a liable third party. A subset of third party liability (TPL) includes group heal - [2.1.1.2.1.3.2 Medical Support](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.1.2.1.3.2): The Medical Assistance (MA) program requires parents or relative caretakers to help provide health care for their children. When both parents live with the chil - [2.1.1.2.1.3.3 Other Third Party Liability](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.1.2.1.3.3): In some situations, Medical Assistance (MA) enrollees may have access to third party liability other than health care coverage for all or part of their medical - [2.1.1.2.2 Cooperation](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.1.2.2): Medical Assistance (MA) enrollees must comply with various eligibility requirements. Enrollees who fail to cooperate with requirements may have their MA coverag - [2.1.1.2.3 Cost Sharing](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.1.2.3): Cost sharing includes those costs a Medical Assistance (MA) enrollee pays towards their health care. MA enrollees do not have deductibles, copays or co-insuranc - [2.1.1.2.4 Referral for Other Benefits](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.1.2.4): As of February 2025, Medical Assistance (MA) enrollees are no longer required to apply for, or attempt to obtain, income benefits as a condition of eligibility. - [2.1.1.2.5 Periodic Data Matching](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.1.2.5): Periodic Data Matching (PDM) is a process that uses electronic data sources to identify Medical Assistance for Families with Children and Adults (MA-FCA) enroll - [2.1.2 Non-Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.2): This subchapter provides non-financial eligibility policy that generally applies to all types of Medical Assistance (MA) and links to policies that apply to all - [2.1.2.1 Bases of Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.2.1): Minnesota provides Medical Assistance (MA) to certain groups of people as allowed under law. These groups are referred to as a basis of eligibility. A person’s - [2.1.2.2 Citizenship and Immigration Status](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.2.2): In order to receive Medical Assistance (MA), applicants must be U.S. citizens, U.S. nationals or certain lawfully present noncitizens. This section covers citiz - [2.1.2.2.1 Citizenship](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.2.2.1): To receive Medical Assistance (MA), applicants must be U.S. citizens, U.S. nationals or certain lawfully present noncitizens. See the MA Immigration Status poli - [2.1.2.2.2 Immigration Status](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.2.2.2): To receive Medical Assistance (MA), applicants must be U.S. citizens, U.S. nationals or certain lawfully present noncitizens. See the MA Citizenship policy for - [2.1.2.3 County Residency](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.2.3): Medical Assistance (MA) has rules about county residence. County residency policy determines the: - [2.1.2.4 Living Arrangement](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.2.4): Medical Assistance (MA) enrollees live in a variety of community and facility (or institutional) living arrangements. A person’s living arrangement may affect M - [2.1.2.5 Social Security Number](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.2.5): The Minnesota Department of Human Services (DHS) uses Social Security Numbers (SSNs) to identify applicants and enrollees and to administer Minnesota Health Car - [2.1.3 Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.3): This subchapter provides financial eligibility policy for Medical Assistance (MA). This covers eligibility requirements that involve a person’s income or assets - [2.1.3.1 Asset Limits](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.3.1): Assets are items of value that people own like bank accounts, stocks and bonds, cars and real estate. - [2.1.3.2 Income Limits](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.3.2): Minnesota’s Medical Assistance (MA) program considers income in determining eligibility, benefit set, spenddown and premium amounts. To be eligible for most pro - [2.1.4 Post-Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.4): These policies apply to MA enrollees. This subchapter includes policies that apply to all Medical Assistance (MA) programs and links to policies that apply to a - [2.1.4.1 Begin and End Dates](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.4.1): Medical Assistance (MA) eligibility and coverage are separate concepts: - [2.1.4.2 Qualifying Health Care Coverage](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.4.2): As of January 2014, people must have qualifying health care coverage, qualify for a coverage exemption, or make an individual shared responsibility payment upon - [2.1.4.3 Renewals](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.1.4.3): Renewing eligibility means redetermining eligibility. Most MA enrollees have an annual renewal. Some MA enrollees have a six-month renewal. Some MA enrollees ar - [2.2 Medical Assistance for Families with Children and Adults](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2): Medical Assistance (MA) eligibility is determined using a variety of non-financial, financial and post-eligibility requirements. - [2.2.1 General Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.1): This subchapter provides general policy information that applies to Medical Assistance for Families with Children and Adults (MA-FCA). - [2.2.1.1 Hospital Presumptive Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.1.1): The Hospital Presumptive Eligibility (HPE) program allows participating hospitals to determine temporary eligibility for Medical Assistance (MA) for people who - [2.2.1.2 Mandatory Verifications](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.1.2): Mandatory verifications must be verified through an available electronic data source or by paper proof, if electronic data sources are unsuccessful or unavailab - [2.2.2 Non-Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.2): This subchapter includes non-financial eligibility policies. This covers eligibility factors not related to a person’s income or assets. - [2.2.2.1 Bases of Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.2.1): Minnesota provides Medical Assistance (MA) to certain groups of people as allowed under law. These groups are referred to as a basis of eligibility. A person’s - [2.2.2.1.1 Auto Newborn Basis of Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.2.1.1): A child born to a mother who was eligible for Medical Assistance (MA) on the day the child was born, is automatically eligible for MA for one year. This basis i - [2.2.2.1.2 Pregnant Person Basis of Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.2.1.2): A person who is pregnant or within the postpartum period may be eligible for Medical Assistance under the pregnant person basis of eligibility. - [2.2.2.1.3 Former Foster Care Youth Basis of Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.2.1.3): A person who left foster care at 18 years of age or older, and who was enrolled in Medical Assistance or another state’s Medicaid program when they left foster - [2.2.3 Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.3): This subchapter provides policy about financial eligibility. This includes eligibility factors that involve a person’s income or assets. - [2.2.3.1 Asset Limits](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.3.1): Assets are items of value that people own like bank accounts, stocks and bonds, cars and real estate. - [2.2.3.2 Household Composition and Family Size](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.3.2): Household composition means the people included in an applicant's or enrollee’s household. Household composition determines the family size. Household compositi - [2.2.3.2.1 Sponsor Deeming](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.3.2.1): Certain noncitizens have a sponsor. For purposes of Medical Assistance for Families with Children and Adults (MA-FCA) eligibility, a sponsor is a U.S. citizen o - [2.2.3.3 Income Limit](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.3.3): To be eligible for Medical Assistance for Families with Children and Adults (MA-FCA) a person’s income must be less than or equal to the applicable income limit - [2.2.3.4 Income Methodology](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.3.4): Income eligibility for Medical Assistance for Families with Children and Adults (MA-FCA) is based on current monthly income and adjustments using the Modified A - [2.2.3.5 Income Verification](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.3.5): All countable income must be verified for Medical Assistance for Families with Children and Adults (MA-FCA). - [2.2.3.6 Medical Spenddown](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.3.6): A medical spenddown is a cost-sharing approach that allows Medical Assistance (MA) eligibility for people whose income is greater than the applicable limit. Fed - [2.2.4 Post-Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.4): These policies apply to MA enrollees. This subchapter includes policies that apply to Medical Assistance (MA) for Families with Children and Adults (FCA) and li - [2.2.4.1 Health Care Delivery](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.4.1): Health care services are provided by the Prepaid Medical Assistance Program (PMAP) for Medical Assistance for Families with Children and Adults (MA-FCA) enrolle - [2.2.4.2 Renewals](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.4.2): Most Medical Assistance for Families with Children and Adults (MA-FCA) enrollees must have their eligibility renewed annually. - [2.2.4.3 Transitional Medical Assistance and Transition Year Medical Assistance](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.2.4.3): Some Medical Assistance for Families with Children and Adults (MA-FCA) enrollees may extend their MA coverage under Transitional MA (TMA) or Transition Year MA - [2.3 Medical Assistance for People Who Are Age 65 or Older and People Who Are Blind or Have a Disability](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3): Medical Assistance (MA) eligibility is determined using a variety of non-financial, financial and post-eligibility factors. Some MA policies apply to all MA app - [2.3.1 General Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.1): This subchapter provides general policy information that applies to Medical Assistance for People Age 65 or Older and People Who Are Blind or Have a Disability - [2.3.1.1 Mandatory Verifications](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.1.1): Mandatory verifications must be verified through an available electronic data source or by paper proof, if electronic data sources are unsuccessful or unavailab - [2.3.1.2 Asset Verification Service (AVS)](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.1.2): The Asset Verification Service (AVS) must be used to electronically verify financial accounts that might be counted for applicants and enrollees whose MA basis - [2.3.1.3 Authorization to Obtain Information](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.1.3): A valid Authorization to Obtain Financial Information from the Asset Verification Service (AVS) (DHS-7823) is a condition of eligibility and must be on file for - [2.3.2 Non-Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.2): This subsection includes non-financial eligibility policies. This covers eligibility factors not related to a person’s income or assets. - [2.3.2.1 Bases of Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.2.1): Minnesota provides Medical Assistance (MA) to certain groups of people as allowed under law. These groups are referred to as a basis of eligibility. A person’s - [2.3.2.2 Certification of Disability](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.2.2): Disability or blindness must be certified by the Social Security Administration (SSA) or the State Medical Review Team (SMRT). The certification process is also - [2.3.3 Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3): This subchapter provides policy about financial eligibility. This includes eligibility factors that involve a person’s income or assets. - [2.3.3.1 Household Composition and Family Size](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.1): Household composition means the people included in an applicant's or enrollee’s household. Household composition determines the family size. Household compositi - [2.3.3.2 Assets](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2): Assets are items of value that people own like bank accounts, stocks and bonds, cars, and real estate. The asset provisions contained in this subchapter apply t - [2.3.3.2.1 Asset Limits](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.1): This section provides information about asset limits for the bases of eligibility for Medical Assistance for People Who Are Age 65 or Older or People Who Are Bl - [2.3.3.2.1.1 Reasonable Compatibility Check for Assets](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.1.1): At application or when a person returns a renewal form, the agency conducts a reasonable compatibility check to determine asset eligibility for an applicant or - [2.3.3.2.2 Asset Deeming](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.2): To deem assets is to count one person’s assets in the calculation of another person’s assets. This policy indicates whose assets must be deemed to a person for - [2.3.3.2.2.1 Sponsor Asset Deeming](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.2.1): Sponsor deeming rules apply to noncitizens who are sponsored by an individual or individuals and have a signed Affidavit of Support (USCIS I-864), unless an exc - [2.3.3.2.3 Excluded Assets](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.3): An excluded asset is not counted when calculating a person’s total countable assets. An asset can be excluded in whole or in part. Some excluded assets are excl - [2.3.3.2.4 Countable Assets](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.4): Assets not specifically excluded are considered countable assets. - [2.3.3.2.4.1.1 Shared Ownership (Archive)](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.4.1.1): A person may be the sole owner of real or personal property or may share ownership with one or more people. Ownership of an asset is determined in order to coun - [2.3.3.2.5 Unknown Assets](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.5): A person may be unaware of their ownership of an asset. If the person is unaware of their ownership interest in an asset, the value of the asset is not counted - [2.3.3.2.6 Excess Assets](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.6): A person with one of the bases of eligibility for Medical Assistance for People Who Are Age 65 or Older and People Who Are Blind or Have a Disability (MA-ABD) w - [2.3.3.2.7 Asset Evaluation](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7): Medical Assistance for People Who Are Age 65 or Older and People Who Are Blind or Have a Disability (MA-ABD) has specific rules about how the value of a person’ - [2.3.3.2.7.1 Liquid Assets](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.1): Liquid assets include cash or any other types of assets that can be converted to cash within 20 workdays. Workdays are any days other than Saturdays, Sundays, a - [2.3.3.2.7.2 Retirement Funds and Retirement Plans](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.2): Retirement funds are assets held by a person for use during retirement. A retirement plan is an arrangement to provide people with income during retirement. Emp - [2.3.3.2.7.3 Health Expense Accounts](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.3): Various programs give people tax advantages to offset health care costs: - [2.3.3.2.7.3.1 Health Flexible Spending Arrangements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.3.1): Health flexible spending arrangements (FSA), also known as flexible spending accounts, are an employer-established benefit plan used to reimburse employees for - [2.3.3.2.7.3.2 Health Savings Accounts](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.3.2): A Health Savings Account (HSA) is a tax-exempt trust or custodial account used to pay for the qualified medical expenses of the account beneficiary, spouse, or - [2.3.3.2.7.4 Real Property](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.4): Real property includes land and all buildings or immovable objects attached permanently to the land. Real property is an asset and is counted toward a person’s - [2.3.3.2.7.4.1 Homestead Real Property](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.4.1): A homestead is any property in which a person or a person’s spouse has an ownership interest and which serves as the person’s principal place of residence. It i - [2.3.3.2.7.4.2 Non-Homestead Real Property](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.4.2): Non-homestead real property is land with or without buildings or immovable objects attached permanently to the land that are not the person’s principal place of - [2.3.3.2.7.4.3 Life Estates and Remainder Interests](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.4.3): A life estate is an ownership interest in real property. The right of ownership exists for the lifetime of the person holding it, the lives of one or more other - [2.3.3.2.7.4.4 Other Real Property Interests](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.4.4): This section provides policies that apply to other real property interests. Unless otherwise specified, these interests generally are treated as real property, - [2.3.3.2.7.5 Contract for Deed and Other Property Agreements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.5): This section provides policy provisions for contracts for deed and other property agreements. The analysis for contracts for deed is used to evaluate all proper - [2.3.3.2.7.6 Promissory Notes](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.6): A promissory note is a written, unconditional agreement whereby one party promises to pay a specified sum of money at a specified time (or on demand) to another - [2.3.3.2.7.7 Automobiles and Other Vehicles Used for Transportation](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.7): An “automobile” means any registered or unregistered vehicle used for transportation. Vehicles used for transportation include but are not limited to cars, truc - [2.3.3.2.7.8 Annuities](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.8): An annuity is a purchase contract where the purchasing party generally pays a lump sum of money or periodic payments to an entity issuing the annuity (a bank or - [2.3.3.2.7.9 Trusts](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.9): A trust is any arrangement in which a grantor transfers property to a trustee or trustees with the intention that it be held, managed, or administered by the tr - [2.3.3.2.7.9.1 Identifying the Type of Trust](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.9.1): The type of trust involved is a critical factor in determining whether the trust assets are available, unavailable, or meet one of the exclusions. Always consid - [2.3.3.2.7.9.2 Client-Funded Trusts](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.9.2): Client-funded trusts are trusts funded with the income and assets of the person and/or the person’s spouse. A client-funded trust must be evaluated for people w - [2.3.3.2.7.9.3 Medical Assistance Qualifying Trust](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.9.3): Client-funded trusts established prior to August 11, 1993, the effective date in the Omnibus Reconciliation Act of 1993, continue to be analyzed by the law in p - [2.3.3.2.7.9.4 Special Needs Trusts](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.9.4): A special needs trust is a trust established for the sole benefit of a person under age 65 who is certified disabled. The principal or corpus of a trust that me - [2.3.3.2.7.9.5 Pooled Trusts](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.9.5): A pooled trust is a type of irrevocable trust established and managed by a non-profit association that “pools” the assets of multiple individuals from separate - [2.3.3.2.7.9.6 Third Party Established and Funded Trusts](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.9.6): A trust can be established and funded by a person (third party grantor) other than the person applying for Medical Assistance (MA) for the benefit of the person - [2.3.3.2.7.9.7 Supplemental Needs Trusts](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.9.7): A supplemental needs trust is a trust established and funded by a third party to provide for the supplemental needs of a person living with a disability while a - [2.3.3.2.7.10 Life Insurance](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.10): The cash surrender value (CSV) of life insurance policies owned by a person is an asset that counts towards the MA ABD asset limit when the total face value (FV - [2.3.3.2.7.10.1 Life Insurance Funded Burial Contracts](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.10.1): A life insurance funded burial (LIFB) contract involves a person purchasing a life insurance policy on his or her own life and then assigning, revocably or irre - [2.3.3.2.7.11 Burial Contracts](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.11): This subchapter provides links to policy about a person's financial eligibility regarding evaluation of their burial assets. - [2.3.3.2.7.11.1 Burial Space Exclusion](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.11.1): A burial space or agreement which represents the purchase of a burial space held for the burial of the person, his or her spouse, or any other member of his or - [2.3.3.2.7.11.2 Burial Fund Exclusion](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.11.2): Up to $1,500 of liquid assets set aside for a person's burial expenses is excluded. The $1,500 burial fund exclusion is reduced when a person owns certain other - [2.3.3.2.7.11.3 Prepaid Burial Arrangements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.11.3): A prepaid (or pre-need) burial contract is an agreement, whereby the buyer pays in advance for burial services and/or burial spaces that the seller agrees to fu - [2.3.3.2.7.12 Continuing Care Retirement Community Entrance Fee](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.12): A continuing care retirement community (CCRC) entrance fee provides housing, services and nursing care, usually all in one location. This enables people to rema - [2.3.3.2.7.13 Tribal Payments and Interests](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.13): Many federal statutes provide an asset exclusion for certain interests held by and payments made to members of tribes and groups. Some statutes address interest - [2.3.3.2.7.14 Household Goods and Personal Effects, and Other Personal Property](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.14): This section discusses how personal property is evaluated. Household goods and personal effects are types of personal property. - [2.3.3.2.7.15 Achieving a Better Life Experience (ABLE) Accounts](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.7.15): Achieving a Better Life Experience (ABLE) Act allows people with disabilities to save and invest money into special ABLE accounts without affecting their progra - [2.3.3.2.8 Asset Verification](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.2.8): To qualify for certain Minnesota Health Care Programs (MHCP), applicants and enrollees must have countable assets not greater than the program asset limit. The - [2.3.3.3 Income](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.3): This subchapter provides policy about a person’s income for Medical Assistance for People Who Are Age 65 or Older and People Who Are Blind or have a Disability - [2.3.3.3.1 Income Limits](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.3.1): To be eligible for Medical Assistance (MA) for People Who Are Age 65 or Older and People Who Are Blind or Have a Disability (MA-ABD), a person’s income must be - [2.3.3.3.2 Income Methodology](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.3.2): An income methodology is the way a person’s income is evaluated to determine if they meet the income limit for a program. The methodology includes, but is not l - [2.3.3.3.2.1 Countable Income](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.3.2.1): This policy provides information on types of income that must be counted when calculating a person’s income for Medical Assistance (MA) for People Who Are Age 6 - [2.3.3.3.2.1.1 Income Deeming](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.3.2.1.1): Income deeming requirements are not the same as household composition rules. People may be counted in a person’s household size without having their income deem - [2.3.3.3.2.1.2 Sponsor Income Deeming](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.3.2.1.2): Sponsor deeming rules apply to noncitizens who are sponsored by an individual or individuals and have a signed Affidavit of Support (USCIS I-864), unless an exc - [2.3.3.3.2.2 Disregards and Deductions](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.3.2.2): This section provides information on disregards and deductions and the conditions that must be met to apply them. - [2.3.3.3.2.3 Excluded Income](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.3.2.3): Some types of income are excluded when calculating a person’s income for Medical Assistance for People Who Are Age 65 or Older and People Who Are Blind or Have - [2.3.3.3.2.4 Income Verification](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.3.2.4): Verification of current income is required at application, renewal and when an income change is reported and must occur before an income eligibility determinati - [2.3.3.4 Medical Spenddowns](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.4): A medical spenddown is a cost-sharing approach that allows Medical Assistance (MA) eligibility for people whose income is greater than the applicable income lim - [2.3.3.4.1 Medical Spenddown Types](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.4.1): A medical spenddown is a cost-sharing approach that allows Medical Assistance (MA) eligibility for people whose income is greater than the applicable income lim - [2.3.3.4.2 Health Care Expenses](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.3.4.2): To be eligible for Medical Assistance (MA) with a spenddown, people may reduce excess net income by deducting allowable health care expenses that are not subjec - [2.3.4 Post-Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.4): These policies apply to MA enrollees. This subchapter includes policies that apply to Medical Assistance for People Who Are Age 65 or Older and People Who Are B - [2.3.4.1 Health Care Delivery](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.4.1): Fee-for-service is a method of payment for health care services used for enrollees not in a managed care plan. See MHCP Health Care Delivery for more informatio - [2.3.4.2 Renewals](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.4.2): Medical Assistance for People Who Are Age 65 or Older and People Who Are Blind or Have a Disability (MA-ABD) enrollees must have their eligibility renewed annua - [2.3.4.2.1 Ex Parte Renewals](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.4.2.1): When it is time for an enrollee’s annual renewal, the agency must attempt to confirm eligibility using information in the case file and from trusted electronic - [2.3.5 ](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.5): Medical Assistance for Employed Persons with Disabilities (MA-EPD) is a work incentive health care program that provides MA coverage to employed people with cer - [2.3.5.1 General Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.5.1): This subchapter provides general policy information that applies to Medical Assistance for Employed Persons with Disabilities (MA-EPD). In general, MA-EPD follo - [2.3.5.1.1 Mandatory Verifications](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.5.1.1): Mandatory verifications must be verified through an available electronic data source or by paper proof, if electronic data sources are unsuccessful or unavailab - [2.3.5.1.2 Premiums](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.5.1.2): People enrolled in Medical Assistance for Employed Persons with Disabilities (MA-EPD) must pay monthly premiums to establish and maintain eligibility. - [2.3.5.1.2.1 Good Cause for Non-Payment of Ongoing Premiums](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.5.1.2.1): An enrollee who is unable to pay their ongoing MA-EPD premium due to circumstances beyond their control may request good cause for non-payment of a monthly prem - [2.3.5.1.3 Work Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.5.1.3): A person must be employed to be eligible for Medical Assistance for Employed Persons with Disabilities (MA-EPD). This policy describes specific employment requi - [2.3.5.2 Non-Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.5.2): This subchapter includes non-financial eligibility policies. This covers eligibility factors not related to a person’s income. In general, MA-EPD follows the MA - [2.3.5.2.1 Bases of Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.5.2.1): In general, MA for Employed Persons with Disabilities (MA-EPD) follows the MA for People Who Are Age 65 or Older and People Who Are Blind or Have a Disability ( - [2.3.5.2.2 Living Arrangement](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.5.2.2): Medical Assistance for Employed Persons with Disabilities (MA-EPD) enrollees may live in a variety of living arrangements. This policy discusses living arrangem - [2.3.5.3 Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.5.3): Financial eligibility requirements involve a person’s income. Medical Assistance for Employed Persons with Disabilities (MA-EPD) enrollees must have earned inco - [2.3.5.3.1 Assets](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.5.3.1): Assets are items of value that people own like bank accounts, stocks and bonds, cars, and real estate. - [2.3.5.3.2 Income](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.5.3.2): This subchapter provides policy about a person’s income for Medical Assistance for Employed Persons with Disabilities (MA-EPD). - [2.3.5.4 Post-Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.5.4): These policies apply to Medical Assistance for Employed Persons with Disabilities (MA-EPD) enrollees. In general, MA-EPD follows the MA for People Who Are Age 6 - [2.3.5.4.1 Medicare Part B for MA-EPD Enrollees](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.5.4.1): People enrolled in Medical Assistance for Employed Persons with Disabilities (MA-EPD) must enroll in Medicare if eligible. - [2.3.6 Medical Assistance under the TEFRA Option](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.6): Medical Assistance (MA) under the TEFRA option is for children with a disability who are otherwise ineligible for MA because household income is above the MA fo - [2.3.6.1 General Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.6.1): Medical Assistance (MA) under the TEFRA option is for children with a disability who are otherwise ineligible for MA because household income is above the MA fo - [2.3.6.1.1 Applications](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.6.1.1): Medical Assistance (MA) under the TEFRA option is for children with a disability who are otherwise ineligible for MA because household income is above the MA fo - [2.3.6.2 Non-Financial Eligibility Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.6.2): Medical Assistance (MA) under the TEFRA option is for children with a disability who are otherwise ineligible for MA because household income is above the MA fo - [2.3.6.2.1 Level of Care](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.6.2.1): Medical Assistance (MA) under the TEFRA option is for children with a disability who are otherwise ineligible for MA because household income is above the MA fo - [2.3.6.3 Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.6.3): Medical Assistance (MA) under the TEFRA option is for children with a disability who are otherwise ineligible for MA because household income is above the MA fo - [2.3.6.4 Post-Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.6.4): Medical Assistance (MA) under the TEFRA option is for children with a disability who are otherwise ineligible for MA because household income is above the MA fo - [2.3.7 Medical Assistance 1619(a) or 1619(b)](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.3.7): Supplemental Security Income (SSI) is a federal program administered by the Social Security Administration (SSA) that provides monthly cash payments to people a - [2.4 Medical Assistance for Long-Term Care Services](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4): Medical Assistance for Long-Term Care Services (MA-LTC) eligibility is available for people who are eligible for MA and meet specific eligibility requirements. - [2.4.1 Eligibility Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.1): This subchapter provides general policy information that applies to Medical Assistance for Long-Term Care Services (MA-LTC). - [2.4.1.1 Long-Term Care Consultation](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.1.1): People requesting Medical Assistance for Long-Term Care Services (MA-LTC) must meet the level of care requirements in order for MA to pay for LTC services. The - [2.4.1.2 Long-Term Care Home Equity Limit](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.1.2): People who request or renew Medical Assistance for Long-Term Care Services (MA-LTC) and own a home must have an equity interest in their home that is at or belo - [2.4.1.3 Uncompensated Transfers](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.1.3): The transfer of an asset or income without adequate compensation, known as an uncompensated transfer, may result in a period of ineligibility for Medical Assist - [2.4.1.3.1 Lookback Period and Transfer Date](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.1.3.1): The lookback period is a specific period of time before the date a person requests Medical Assistance for Long-Term Care Services (MA-LTC) and is either residin - [2.4.1.3.2 Transfer Penalty](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.1.3.2): The transfer penalty for uncompensated transfers is a period of ineligibility for Medical Assistance for Long-Term Care Services (MA-LTC). The transfer penalty - [2.4.1.3.3 Transfer Penalty Exceptions and Hardship Waiver](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.1.3.3): Not all uncompensated transfers result in a transfer penalty. Some uncompensated transfers meet an exception, which means a penalty is not imposed. - [2.4.1.3.4 Other Asset Transfer Considerations](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.1.3.4): This section describes if a person has received adequate compensation for transfers involving the following types of assets: - [2.4.1.4 Annuities](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.1.4): An annuity is a purchase contract where the purchasing party generally pays a lump sum of money or periodic payments to an entity issuing the annuity (a bank or - [2.4.1.4.1 Annuity Disclosures](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.1.4.1): People must disclose if they own an annuity or have the right to receive income from an annuity. A person who requests Medical Assistance for Long-Term Care (MA - [2.4.1.4.2 Naming DHS a Preferred Remainder Beneficiary](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.1.4.2): After a person is determined eligible for MA for Long-Term Care Services (MA-LTC), the person and his or her spouse must name Minnesota Department of Human Serv - [2.4.2 Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.2): This subchapter describes financial eligibility policies that apply to Medical Assistance for Long-Term Care Services (MA-LTC). - [2.4.2.1 Asset Evaluation for Married Couples](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.2.1): An asset evaluation is required for married couples when one spouse is requesting Medical Assistance (MA) for Long-Term Care (LTC) and the other spouse is consi - [2.4.2.1.1 Asset Assessment for Planning Purposes](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.2.1.1): An asset assessment is an evaluation of assets owned individually or jointly by a married couple as of a specific date. The Asset Verification Service (AVS) can - [2.4.2.1.2 Community Spouse Asset Allowance](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.2.1.2): The Community Spouse Asset Allowance (CSAA) is the amount of assets the community spouse can retain. A couple must consider many factors when deciding which ass - [2.4.2.1.2.1 Asset Eligibility for a Long-Term Care Spouse](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.2.1.2.1): The couple’s remaining assets that are not designated toward the CSAA are evaluated in an asset eligibility determination for the LTC spouse, to determine wheth - [2.4.2.2 Long-Term Care Partnership Insurance](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.2.2): Long-Term Care (LTC) insurance provides coverage for services such as custodial care, nursing care, personal care, and assistance with activities of daily livin - [2.4.2.3 Home and Community-Based Service Waivers](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.2.3): Some people who have disabilities, who are age 65 or older, or who have chronic medical needs may receive services in addition to those already covered by Medic - [2.4.2.3.1 Home and Community-Based Services Waivers for People with Disabilities](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.2.3.1): Home and Community-Based Services (HCBS) waivers for people with disabilities include the following HCBS waivers: - [2.4.2.3.2 Home and Community-Based Services Waiver for People Age 65 or Older](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.2.3.2): Home and Community-Based Services (HCBS) waiver for people age 65 or older is the Elderly Waiver (EW). - [2.4.2.4 Long-Term Care Facility Services](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.2.4): A long-term care facility (LTCF) is a place such as a skilled nursing facility, Intermediate Care Facility for the Developmentally Disabled (ICF/DD) or medical - [2.4.2.5 Income Calculations for Long-Term Care Services](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.2.5): The community income calculation or the LTC income calculation is used to determine what amount, if any, a person must contribute from their income toward the c - [2.4.2.5.1 LTC Income Calculation Deductions](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.4.2.5.1): Certain deductions from countable gross income are allowed in the long-term care (LTC) income calculation to determine the amount a person is required to contri - [2.5 Medical Assistance for Certain Populations](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5): Medical Assistance (MA) eligibility is determined using a variety of non-financial, financial and post-eligibility requirements. Different types of MA have diff - [2.5.1 Medical Assistance for a Person with Breast or Cervical Cancer](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.1): Medical Assistance for a person with Breast or Cervical Cancer (MA-BC) is a basis of eligibility for people who need treatment for breast or cervical cancer, in - [2.5.1.1 General Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.1.1): This subchapter provides general policy information that applies to Medical Assistance for people with Breast or Cervical Cancer (MA-BC) and links to related Me - [2.5.1.1.1 Applications](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.1.1.1): People, who are screened through the Minnesota Department of Health (MDH) Sage Screening Program or the American Indian Cancer Foundation (AICAF) Screen Our Cir - [2.5.1.1.2 Mandatory Verifications](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.1.1.2): Mandatory verifications must be verified through an available electronic data source or by paper proof, if electronic data sources are unsuccessful or unavailab - [2.5.1.2 Non-Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.1.2): This subchapter includes non-financial eligibility policies. This covers eligibility factors not related to a person’s income or assets. - [2.5.1.2.1 Basis of Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.1.2.1): The basis of eligibility for Medical Assistance for people with Breast or Cervical Cancer (MA-BC) requires the person must be: - [2.5.1.3 Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.1.3): Financial eligibility requirements involve a person’s income or assets. Medical Assistance for People with Breast or Cervical Cancer (MA-BC) has no income or as - [2.5.1.4 Post-Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.1.4): These policies apply to Medical Assistance for People with Breast or Cervical Cancer (MA-BC) enrollees. This subchapter includes policies that apply to MA-BC an - [2.5.1.4.1 Health Care Delivery](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.1.4.1): Medical Assistance Breast or Cervical Cancer (MA-BC) enrollees must follow guidelines for receiving medically necessary services. MA-BC medical services are pro - [2.5.1.4.2 Renewals](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.1.4.2): Enrollees in Medical Assistance for people with Breast or Cervical Cancer (MA-BC) must have eligibility renewed every 12 months. Renewing eligibility means rede - [2.5.2 Medical Assistance for People Receiving Services at the Center for Victims of Torture](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.2): Medical Assistance (MA) eligibility is determined using a variety of non-financial, financial and post-eligibility requirements. MA for people receiving service - [2.5.2.1 General Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.2.1): This subchapter provides general policy information that applies to Medical Assistance for people receiving services at the Center for Victims of Torture (MA-CV - [2.5.2.1.1 Mandatory Verifications](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.2.1.1): Mandatory verifications must be verified through an available electronic data source or by paper verification, if electronic data sources are unsuccessful or un - [2.5.2.2 Non-Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.2.2): This subchapter provides non-financial policy information that applies to Medical Assistance for people receiving services at the Center for Victims of Torture - [2.5.2.2.1 Bases of Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.2.2.1): Minnesota provides Medical Assistance (MA) to certain groups of people as allowed under law. These groups are referred to as a basis of eligibility. A person’s - [2.5.2.3 Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.2.3): This page provides financial eligibility policy for Medical Assistance for people receiving services at the Center for Victims of Torture (MA-CVT). This include - [2.5.2.4 Post-Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.2.4): These policies apply to MA-CVT enrollees. This subchapter includes policies that apply to Medical Assistance for people receiving services at the Center for Vic - [2.5.2.4.1 Health Care Delivery](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.2.4.1): Medical Assistance for people who receive services at the Center for Victims of Torture (MA-CVT) enrollees must follow guidelines for receiving medically necess - [2.5.2.4.2 Renewals](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.2.4.2): Enrollees in Medical Assistance for people receiving services from the Center for Victims of Torture (MA-CVT) must have eligibility redetermined every 12 months - [2.5.3 Emergency Medical Assistance](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.3): Emergency Medical Assistance (EMA) covers emergency services for certain people who meet the financial and non-financial eligibility requirements for Medical As - [2.5.3.1 General Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.3.1): This subchapter provides general policy information that applies to Emergency Medical Assistance (EMA). - [2.5.3.1.1 Mandatory Verifications](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.3.1.1): Mandatory verifications must be verified through electronic data sources or by paper proof, if electronic data sources are unsuccessful or unavailable. Self-att - [2.5.3.2 Non-Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.3.2): This subchapter provides non-financial policy information that applies to Emergency Medical Assistance (EMA). Non-financial eligibility requirements are not rel - [2.5.3.3 Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.3.3): This subchapter provides financial policy information that applies to Emergency Medical Assistance (EMA). This includes eligibility factors that involve a perso - [2.5.3.4 Post-Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.3.4): These policies apply to Emergency Medical Assistance (EMA) enrollees. - [2.5.3.4.1 Health Care Delivery](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.3.4.1): Emergency Medical Assistance (EMA) enrollees must follow guidelines for receiving medically necessary services. People who receive EMA are excluded from managed - [2.5.4 Program for People Living in Institutions for Mental Diseases](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.4): Minnesota provides health care for people who meet Medical Assistance (MA) eligibility criteria while living in an Institution for Mental Diseases (IMD). This h - [2.5.4.1 General Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.4.1): This subchapter provides general policy information that applies to Program IM. The relevant general requirements depends on the person’s MA basis of eligibilit - [2.5.4.2 Non-Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.4.2): This subchapter provides non-financial policy information that applies to Program IM. Non-financial eligibility requirements are not related to a person’s incom - [2.5.4.3 Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.4.3): This subchapter provides financial policy information that applies to Program IM. This includes eligibility factors that involve a person’s income or assets. - [2.5.4.4 Post-Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.4.4): These policies apply to Program IM enrollees. - [2.5.4.4.1 Medicare](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.4.4.1): People who reside in an Institution for Mental Diseases (IMD) and who would otherwise qualify for Medical Assistance (MA) if they did not reside in an IMD must - [2.5.4.4.2 Health Care Delivery](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.4.4.2): Program IM enrollees must follow guidelines for receiving medically necessary services. - [2.5.4.4.3 Leave Days](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.4.4.3): People on Program IM who are on a conditional release or convalescent leave from an Institution for Mental Diseases (IMD) are no longer considered living in an - [2.5.5 Medical Assistance for People Who Are Incarcerated](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.5): A person who applies for or is enrolled in MA, and who is or becomes incarcerated in a state prison, county detention facility, or city jail is eligible for Med - [2.5.5.1 General Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.5.1): This subchapter provides general policy information that applies to Medical Assistance for people who are incarcerated. - [2.5.5.1.1 Applications](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.5.1.1): People who are incarcerated may apply for Medical Assistance (MA) at any time. Agencies must determine eligibility according to regular MA application processin - [2.5.5.2 Non-Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.5.2): This subchapter provides non-financial policy information that applies to Medical Assistance (MA) for incarcerated people who are hospitalized. Non-financial el - [2.5.5.3 Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.5.3): This subchapter provides financial policy information that applies to Medical Assistance (MA) for hospitalized people who are incarcerated. This includes eligib - [2.5.5.4 Post-Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.5.4): These policies apply to people who are incarcerated and enrolled in Medical Assistance (MA). - [2.5.5.4.1 Health Care Delivery](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.5.4.1): Medical Assistance (MA) enrollees who are incarcerated are generally excluded from managed care enrollment. Medical services are provided via fee-for-service. - [2.5.6 Medical Assistance for Children Receiving Northstar Adoption Assistance (NAA), Northstar Kinship Assistance (NKA), and Children in Foster Care (FC)](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6): All children who receive Northstar Adoption Assistance (NAA), Northstar Kinship Assistance (NKA) and children in foster care (FC) are eligible for Medical Assis - [2.5.6.1 Medical Assistance Northstar Adoption Assistance](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.1): Children who receive Northstar Adoption Assistance are automatically eligible for Medical Assistance (MA) without a health care application. This includes child - [2.5.6.1.1 General Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.1.1): This subchapter provides general policy information that applies to Medical Assistance Northstar Adoption Assistance (MA-NAA). - [2.5.6.1.1.1 Mandatory Verifications](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.1.1.1): Mandatory verifications must be verified through an available electronic data source or by paper proof, if electronic data sources are unsuccessful or unavailab - [2.5.6.1.2 Non-Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.1.2): This subchapter provides non-financial policy information that applies to Medical Assistance Northstar Adoption Assistance (MA-NAA). Non-financial eligibility r - [2.5.6.1.2.1 Basis of Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.1.2.1): Minnesota provides Medical Assistance (MA) to certain groups of people as allowed under law. These groups are referred to as a basis of eligibility. A person’s - [2.5.6.1.3 Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.1.3): Financial eligibility requirements involve a person’s income or assets. Medical Assistance (MA) Northstar Adoption Assistance has no income or asset eligibility - [2.5.6.1.4 Post-Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.1.4): These policies apply to Medical Assistance Northstar Adoption Assistance (MA-NAA) enrollees. This subchapter includes policies that apply to MA-NAA and links to - [2.5.6.1.4.1 Health Care Delivery](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.1.4.1): Medical Assistance Northstar Adoption Assistance enrollees must follow guidelines for receiving medically necessary services. There are guidelines for benefit s - [2.5.6.1.4.2 Title IV-E and Medicare](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.1.4.2): The Minnesota Department of Human Services (DHS) pays the monthly Medicare Part B premiums for Medicare eligible children with Title IV-E Adoption Assistance, T - [2.5.6.1.4.3 Renewals](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.1.4.3): Medical Assistance for children who receive Northstar Adoption Assistance (MA-NAA) must be renewed every 12 months. - [2.5.6.2 Medical Assistance for Children Receiving Northstar Kinship Assistance (MA-NKA)](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.2): Children who receive Minnesota Northstar Kinship Assistance are eligible for Medical Assistance (MA-NKA) without a health care application or financial eligibil - [2.5.6.2.1 General Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.2.1): This subchapter provides general policy information for MA for children who receive Northstar Kinship Assistance (MA-NKA), and where applicable, links to polici - [2.5.6.2.1.1 Mandatory Verifications](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.2.1.1): Mandatory verifications must be verified through an available electronic data source or by paper proof, if electronic data sources are unsuccessful or unavailab - [2.5.6.2.2 Non-Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.2.2): This subchapter provides non-financial policy information that applies to Medical Assistance for children receicing Northstar Kinship Assistance (NKA). Non-fina - [2.5.6.2.2.1 Basis of Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.2.2.1): Minnesota provides Medical Assistance (MA) to certain groups of people as allowed under law. These groups are referred to as a basis of eligibility. A person’s - [2.5.6.2.3 Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.2.3): This subchapter provides policy about financial eligibility. This includes eligibility factors that involve a person’s income or assets. - [2.5.6.2.4 Post-Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.2.4): This subchapter includes policies that apply to Medical Assistance (MA) for children receiving Northstar Kinship Assistance (NKA) and links to policies that app - [2.5.6.2.4.1 Health Care Delivery](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.2.4.1): All children who receive Northstar Kinship Assistance (NKA) receive Medical Assistance (MA) health care services through managed care plans unless they meet a r - [2.5.6.2.4.2 Renewals](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.2.4.2): Medical Assistance for children who receive Northstar Kinship Assistance (MA-NKA) must be renewed every 12 months. - [2.5.6.3 Medical Assistance for Children in Foster Care (MA-FC)](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.3): Children in foster care are eligible for Medical Assistance (MA-FC) the month the child enters foster care, without a health care application or financial eligi - [2.5.6.3.1 General Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.3.1): This subchapter provides general policy information that applies to Medical Assistance for children in foster care (MA-FC), and where applicable, links to polic - [2.5.6.3.1.1 Mandatory Verifications](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.3.1.1): Mandatory verifications must be verified through an available electronic data source or by paper proof, if electronic data sources are unsuccessful or unavailab - [2.5.6.3.2 Non-Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.3.2): This subchapter provides non-financial eligibility policy that applies to Medical Assistance for children in foster care (MA-FC). Non-financial eligibility requ - [2.5.6.3.2.1 Basis of Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.3.2.1): Minnesota provides Medical Assistance (MA) to certain groups of people as allowed under law. These groups are referred to as a basis of eligibility. A person’s - [2.5.6.3.3 Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.3.3): This subchapter provides policy about financial eligibility. Financial eligibility requirements involve a person’s income or assets. - [2.5.6.3.4 Post-Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.3.4): This subchapter includes policies that apply to Medical Assistance for children in foster care (MA-FC) and when applicable, links to policies that apply to all - [2.5.6.3.4.1 Health Care Delivery](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.3.4.1): Children in foster care receive Medical Assistance (MA) health care services through managed care plans unless they meet a reason for exclusion. See Prepaid Min - [2.5.6.3.4.2 Renewals](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.6.3.4.2): Medical Assistance for children in foster care (MA-FC) must be renewed every 12 months. - [2.5.7 Refugee Medical Assistance](https://bot-corpus.mn-dhs.online/api/public/md/epm/2.5.7): Refugee Medical Assistance (RMA) is a federally funded Office of Refugee Resettlement (ORR) program that provides health care coverage for the first eight month - [3 MinnesotaCare](https://bot-corpus.mn-dhs.online/api/public/md/epm/3): MinnesotaCare is a publicly funded state health care program established in 1992. In 2015, MinnesotaCare became a Basic Health Plan authorized under the Afforda - [3.1 General Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.1): This subchapter includes general policies that apply to MinnesotaCare and links to policies that apply to all Minnesota Health Care Programs (MHCP). - [3.1.1 Mandatory Verifications](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.1.1): Mandatory verifications must be verified through an available electronic data source or by paper proof, if electronic data sources are unsuccessful or unavailab - [3.1.2 Responsibilities](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.1.2): MinnesotaCare applicants and enrollees have rights and responsibilities under various laws. These policies apply to MinnesotaCare applicants and enrollees. - [3.1.2.1 Cooperation](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.1.2.1): MinnesotaCare enrollees must comply with various eligibility requirements. Enrollees who fail to cooperate with requirements may have their health care coverage - [3.1.2.2 Premiums and Cost Sharing](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.1.2.2): Many MinnesotaCare enrollees must pay a monthly premium to establish and maintain coverage. The premium amount is based on household income and household size. - [3.1.2.3 Periodic Data Matching](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.1.2.3): Periodic Data Matching (PDM) is a process that uses electronic data sources to identify MinnesotaCare enrollees who may no longer meet eligibility criteria for - [3.2 Non-Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.2): This subsection includes MinnesotaCare non-financial eligibility policies and links to policies that apply to all Minnesota Health Care Programs (MHCP). This co - [3.2.1 Citizenship and Lawful Presence](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.2.1): To be eligible for MinnesotaCare, a person must be one of the following and meet all other eligibility factors: - [3.2.1.1 Citizenship](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.2.1.1): A person who is a U.S. citizen or a U.S. national is eligible for MinnesotaCare if they meet all other eligibility requirements. - [3.2.1.2 Lawful Presence and DACA](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.2.1.2): To be eligible for MinnesotaCare, a person who is not a U.S. citizen or a U.S. national must be one of the following and meet all other eligibility factors: - [3.2.2 Incarceration Status](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.2.2): Applicants and enrollees residing in the community or most types of facilities are eligible for MinnesotaCare. - [3.2.3 Insurance Barriers](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.2.3): Certain types of health care coverage may be a barrier to MinnesotaCare eligibility. - [3.2.3.1 Health Care Coverage Barriers](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.2.3.1): This section provides policy on whether government-sponsored health care coverage and other types of health care coverage are barriers to MinnesotaCare eligibil - [3.2.3.2 Employer-Sponsored Coverage](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.2.3.2): Employer-sponsored coverage is a barrier to MinnesotaCare eligibility for an employee in the following circumstances: - [3.2.4 Social Security Number](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.2.4): The Department of Human Services (DHS) uses Social Security numbers (SSNs) to identify applicants and enrollees and to administer MinnesotaCare. DHS matches SSN - [3.2.5 Age](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.2.5): MinnesotaCare covers people of any age who meet the nonfinancial and financial eligibility requirements of the program. Most enrollees are people between the ag - [3.3 Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.3): This subchapter provides policy about financial eligibility. This includes eligibility factors that involve a person’s income. There are no asset requirements f - [3.3.1 Household Composition and Family Size](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.3.1): Household composition means the people included in an applicant's or enrollee’s household. Household composition determines the family size. Household compositi - [3.3.2 Income Limit](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.3.2): Minnesota Health Care Programs (MHCP) considers income in determining eligibility. Income limits and calculations vary by program. Income limits are based on fe - [3.3.3 Income Methodology](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.3.3): Income eligibility for MinnesotaCare is based on projected annual income (PAI). PAI is the Modified Adjusted Gross Income (MAGI) that a person expects to have f - [3.3.4 Income Verification](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.3.4): MinnesotaCare requires verification of a person’s attested Projected Annual Income (PAI). PAI must be verified through an available electronic data source or by - [3.4 Post-Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.4): These policies apply to MinnesotaCare enrollees. This subchapter includes policies that apply to MinnesotaCare and links to policies that apply to all Minnesota - [3.4.1 Begin and End Dates](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.4.1): Eligibility and coverage are separate concepts for MinnesotaCare: - [3.4.2 Qualifying Health Care Coverage](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.4.2): As of January 2014, people must have qualifying health care coverage, qualify for a coverage exemption, or make an individual shared responsibility payment upon - [3.4.3 Renewals](https://bot-corpus.mn-dhs.online/api/public/md/epm/3.4.3): MinnesotaCare enrollees must have their eligibility renewed annually. - [4 Other Health Care Programs](https://bot-corpus.mn-dhs.online/api/public/md/epm/4): In addition to Medical Assistance (MA) and MinnesotaCare, Minnesota Health Care Programs (MHCP) include two limited benefit programs. Since state and federal Me - [4.1 Minnesota Family Planning Program](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1): The Minnesota Family Planning Program (MFPP) is a health care program that covers family planning services and related health care services for people not enrol - [4.1.1 General Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.1): This subchapter provides general policy information that applies to Minnesota Family Planning Program (MFPP). - [4.1.1.1 Application](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.1.1): People may apply for Minnesota Family Planning Program ( MFPP) in the following ways. - [4.1.1.2 Mandatory Verifications](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.1.2): Mandatory verifications must be verified through an available electronic data source or by paper proof, if electronic data sources are unsuccessful or unavailab - [4.1.1.3 Presumptive Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.1.3): Presumptive eligibility (PE) is a temporary period of eligibility that is determined by a Certified MFPP Provider using preliminary information. A person is onl - [4.1.1.4 Responsibilities](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.1.4): All Minnesota Family Planning Program (MFPP) applicants and enrollees have rights and responsibilities under various laws. Application forms, notices, and broch - [4.1.1.4.1 Change in Circumstances](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.1.4.1): Minnesota Family Planning Program (MFPP) enrollees must report changes that affect eligibility. Changes that people are required to report include, but are not - [4.1.1.4.2 Cooperation](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.1.4.2): Minnesota Family Planning Program (MFPP) enrollees must comply with various eligibility requirements. Enrollees who fail to cooperate with requirements may have - [4.1.1.4.3 Medical Support](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.1.4.3): Medical Support referrals are not required for parents or relative caretakers who are enrolled in Minnesota Family Planning Program ( MFPP), even if the parent - [4.1.1.4.4 Other Health Insurance](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.1.4.4): Minnesota Family Planning Program (MFPP) applicants and enrollees may opt out of providing information on other health insurance if they fear physical or emotio - [4.1.1.5 Rights](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.1.5): All Minnesota Family Planning Program (MFPP) applicants and enrollees have rights under various laws. Application forms, notices, and brochures include informat - [4.1.1.5.1 Eligibility Appeals](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.1.5.1): Minnesota Health Care Programs (MHCP) applicants and enrollees have the right to appeal different types of decisions. This policy is about appealing Minnesota F - [4.1.2 Non-Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.2): This subsection includes non-financial eligibility policies. This covers eligibility factors not related to a person’s income or assets. - [4.1.2.1 Barriers](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.2.1): A barrier is an eligibility requirement that prevents a person’s eligibility for the Minnesota Family Planning Program (MFPP), even when the person meets all ot - [4.1.3 Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.3): This subchapter provides policy about financial eligibility for the Minnesota Family Planning Program (MFPP). This includes eligibility factors that involve a p - [4.1.3.1 Household Composition](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.3.1): Household composition means the people included in an applicant's or enrollee’s household. Household composition is used to determine household size, income and - [4.1.3.2 Income Limit](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.3.2): To be eligible for the Minnesota Family Planning Program (MFPP) a person’s household income must be less than or equal to 200% of federal poverty guidelines (FP - [4.1.3.3 Income Methodology](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.3.3): For Minnesota Family Planning (MFPP) presumptive eligibility (PE), certified providers determine income eligibility based on the person's reported family size a - [4.1.4 Post-Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.4): These policies apply to Minnesota Family Planning Program (MFPP) enrollees. This subchapter includes policies that apply to MFPP and links to Minnesota Health C - [4.1.4.1 Health Care Delivery](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.4.1): All Minnesota Family Planning Program (MFPP) services are provided through a fee-for-service delivery system. - [4.1.4.2 Renewals](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.1.4.2): The eligibility period for the Minnesota Family Planning Program (MFPP) is 12 months. If the applicant is not receiving presumptive eligibility, this period beg - [4.2 Medicare Savings Programs](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.2): Medicare Savings Programs (MSP) are federal and state-funded programs that assist people on Medicare who have limited income and assets by paying some Medicare - [4.2.1 General Requirements](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.2.1): This subchapter provides general policy information that applies to Medicare Savings Programs (MSP). It includes policies that apply to MSPs and links to releva - [4.2.1.1 Applications](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.2.1.1): The federal government administers the Medicare program and the Minnesota Department of Human Services (DHS) administers the Medicare Savings Programs (MSP). Th - [4.2.1.2 Cooperation](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.2.1.2): Medicare Savings Program (MSP) enrollees must comply with various Minnesota Health Care Programs (MHCP) eligibility requirements or they may have their MSP cove - [4.2.1.3 Mandatory Verifications](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.2.1.3): Mandatory verifications must be verified through an available electronic data source or by paper proof, if electronic data sources are unsuccessful or unavailab - [4.2.1.4 Medicare Overview](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.2.1.4): Medicare is a federal health insurance program for most people age 65 or older, people who are certified disabled, and people with End-Stage Renal Disease (perm - [4.2.1.5 Referral for Other Benefits](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.2.1.5): Medicare Savings Programs (MSP) enrollees who appear to have eligibility for other programs are required to apply for those programs to continue MSP eligibility - [4.2.1.6 Retroactive Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.2.1.6): Service Limited Medicare Beneficiary (SLMB), Qualified Individuals (QI) and Qualified Working Disabled (QWD) Medicare Savings Programs (MSP) are available for t - [4.2.1.7 Types of Medicare Savings Programs](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.2.1.7): Medicare Savings Programs (MSP) are for people entitled to or enrolled in Medicare and who are within certain income and asset limits. Medicare recipients can c - [4.2.2 Non-Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.2.2): This subchapter includes non-financial eligibility policies. This covers eligibility factors not related to a person’s income or assets. Medicare Savings Progra - [4.2.3 Financial Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.2.3): This subchapter provides policy about financial eligibility for the Medicare Savings Programs (MSP). This includes eligibility factors that involve a person’s i - [4.2.3.1 Assets](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.2.3.1): Assets are items of value that people own like bank accounts, stocks and bonds, cars, and real estate. Medicare Savings Programs (MSP) follow many of the same a - [4.2.3.2 Household Composition and Family Size](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.2.3.2): Household composition means the people included in a person’s household. Household composition determines the family size. Household composition and family size - [4.2.3.3 Income](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.2.3.3): Medicare Savings Programs (MSP) follow many of the same income eligibility policies as Medical Assistance for People Who Are Age 65 or Older and People Who Are - [4.2.4 Post-Eligibility](https://bot-corpus.mn-dhs.online/api/public/md/epm/4.2.4): These policies apply to Medicare Savings Programs (MSP). In general, MSPs follow the same post-eligibility policies as Medical Assistance (MA). This subchapter - [appendices Appendices](https://bot-corpus.mn-dhs.online/api/public/md/epm/appendices): The Minnesota Health Care Programs (MHCP) Eligibility Policy Manual (EPM) includes the appendices listed on this page. These appendices provide helpful contextu - [A Appendix A Types of Assets](https://bot-corpus.mn-dhs.online/api/public/md/epm/A): A retirement savings plan in which people contribute a portion of their earnings to a 401(k) account. Sometimes the person’s employer may match these contributi - [B Appendix B Types of Income](https://bot-corpus.mn-dhs.online/api/public/md/epm/B): A student financial aid program created by Title IV of the Higher Education Act of 1965. - [C Appendix C Medicare Cost Sharing Amounts](https://bot-corpus.mn-dhs.online/api/public/md/epm/C): This appendix provides cost sharing amounts for Medicare. - [D Appendix D Community Living Arrangements](https://bot-corpus.mn-dhs.online/api/public/md/epm/D): The following are some examples of community living arrangements: - [E Appendix E Institutions for Mental Diseases](https://bot-corpus.mn-dhs.online/api/public/md/epm/E): 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 diag - [F Appendix F Standards and Guidelines](https://bot-corpus.mn-dhs.online/api/public/md/epm/F): This appendix provides figures used to determine eligibility for a person, or in a specific calculation completed to determine eligibility. - [G Appendix G Life Estates Mortality Table](https://bot-corpus.mn-dhs.online/api/public/md/epm/G): This table must be used to determine the expected duration of a life estate interest or the remainder interest: - [H Appendix H Lawfully Present Noncitizens](https://bot-corpus.mn-dhs.online/api/public/md/epm/H): Lawfully present is a term used in Minnesota Health Care Programs (MHCP) eligibility determinations for noncitizens. See EPM 2.1.2.2.2 MA Immigration Status and - [I Appendix I Life Insurance Concepts](https://bot-corpus.mn-dhs.online/api/public/md/epm/I): The following are some key concepts that are important to understand in order to assess life insurance as part of MA financial eligibility. ## OneSource METS Procedures (OneSource) Step-by-step METS system procedures for Minnesota eligibility workers, organized by procedure manual category. - [1 Applications and Intake](https://bot-corpus.mn-dhs.online/api/public/md/onesource/1): Entering applications and renewals into METS. - [ONESOURCE-1113 Instructions for Entering DHS-6696 into METS, 11/26 Version](https://bot-corpus.mn-dhs.online/api/public/md/onesource/ONESOURCE-1113): This procedure provides instructions and examples for entering the June 2026 version of DHS-6696 into METS. - [2 Evidence Maintenance](https://bot-corpus.mn-dhs.online/api/public/md/onesource/2): Adding, editing and ending evidence on METS cases. - [ONESOURCE-17021402 Add or Edit Addresses Evidence](https://bot-corpus.mn-dhs.online/api/public/md/onesource/ONESOURCE-17021402): Use this procedure to manually add or edit addresses evidence when the Address Change Wizard cannot be used in the following situations: - [ONESOURCE-17021470 Edit State Residency Evidence](https://bot-corpus.mn-dhs.online/api/public/md/onesource/ONESOURCE-17021470): Use this procedure to edit State Residency evidence on an Integrated Case (IC) in METS, to make a correction, or when instructed by a parent procedure. - [3 System Wizards](https://bot-corpus.mn-dhs.online/api/public/md/onesource/3): Procedures that use METS wizards to automate updates. - [ONESOURCE-08011 Address Change Wizard](https://bot-corpus.mn-dhs.online/api/public/md/onesource/ONESOURCE-08011): Use the Address Change Wizard to complete an address change when: - [4 Corrections and Exceptions](https://bot-corpus.mn-dhs.online/api/public/md/onesource/4): Correcting data and handling special situations. - [ONESOURCE-17021483 Correct a Mailing or Residential Address](https://bot-corpus.mn-dhs.online/api/public/md/onesource/ONESOURCE-17021483): Use this procedure to Correct Address Evidence in the following situations: