Current through Register Vol. 49, No. 13, September 23, 2024
Subpart
1.
Application sources.
Applicants may apply directly to the commissioner or through
appropriate referral sources.
A.
Appropriate referral sources include but are not limited to: eligible provider
offices; local social service agencies; school district offices; public and
private elementary schools in which 25 percent or more of the students receive
free or reduced price lunches; community health offices defined in Minnesota
Statutes, section
145A.02; WIC program
sites under United States Code, title 42, section 1786.
B. Referral sources that accept applications
from applicants must send applications to the department within five working
days after receipt.
Subp.
2.
Necessary information for eligibility
determination.
A. Applicants must
provide all information necessary to determine eligibility for MinnesotaCare
and potential eligibility for medical assistance, including:
(1) Social Security number;
(2) proof of permanent residency; the
signature of an applicant on the application attesting to permanent residency
meets the affidavit requirement under Minnesota Statutes, section
256L.09, subdivision 4,
paragraph (b), clause (3);
(3)
household composition;
(4)
availability of other health coverage, including access to employer-subsidized
health coverage;
(5) gross annual
family income; and
(6) any
additional information needed by the commissioner to determine or verify
eligibility.
B. If the
commissioner determines an applicant may be ineligible for MinnesotaCare
because employer-subsidized coverage was lost for reasons that would disqualify
the applicant from receiving reemployment benefits under Minnesota Statutes,
section
268.095,
the commissioner shall refer the applicant to the Department of Employment and
Economic Development for a determination whether the applicant would have been
disqualified.
Subp. 3.
Eligibility determination deadline.
Except during the four months after the dates on which adult
individuals and families without children become eligible for MinnesotaCare,
the commissioner shall determine an applicant's eligibility within 30 days
after a complete application is received by the department.
Subp. 4.
Enrollment and beginning of
coverage.
The date of enrollment and the date coverage begins are
determined as follows:
A. An applicant
is enrolled in MinnesotaCare on the date the following are completed:
(1) a complete application is received by the
department and the applicant is determined eligible under part
9506.0020; and
(2) the initial premium payment under part
9506.0040 is received by the
department.
B. Coverage
begins the first day of the calendar month following the date of enrollment,
except:
(1) if the initial premium payment is
received after noon of the last business day of the month of enrollment,
coverage begins the first day of the second following calendar month;
(2) coverage for eligible newborns in an
enrolled family begins immediately from the moment of birth;
(3) coverage for eligible adoptive children
of a family enrolled in MinnesotaCare begins on the date of placement for the
purpose of adoption;
(4) coverage
for other new members of an enrolled family begins the first day of the month
following the month in which the new member's eligibility is determined and the
first premium payment is received; and
(5) coverage of enrollees who are
hospitalized on the first day of the month following enrollment begins the day
following the date of discharge from the hospital.
Statutory Authority: MS s
256.9352;
256L.02
