Effective: June 1, 2011
Household composition is determined by the people living together and their relationships to one another. The composition of the household determines a person’s household size. One person may live in another’s household but not be part of his or her household composition or household size.
The household composition and household size affects:
l Whose income and assets to count. See Deeming of Assets and Income for more information.
l Income standards and eligibility. See Income for more information on this topic.
l MinnesotaCare and MA-EPD premium amounts. See Premiums for more information on premium calculations.
Household Composition Basics.
Top of Page
Household Composition Basics
Although household composition rules vary by program, when determining the household size, people who live together and have these relationships are generally considered in the household composition determination for all programs:
Note: Do not require verification of relationship between household members, or household composition.
l Parental relationships.
n A parental relationship exists between a parent A child's legal biological or adoptive mother or father whose parental rights have not been terminated. MinnesotaCare also includes a stepparent as a parent. and his or her biological or adoptive child A person under age 21..
n For MinnesotaCare, a step-child and stepparent is also considered a parental relationship. See Determining Household Size for MA for information about when a stepchild and stepparent have a parental relationship for MA.
n Children under age 18 who would otherwise be included in their parents' household may be excluded if they are emancipated minors A person under the age of 18 who is or was married, is on active duty in the uniformed services, or has been declared emancipated by a court..
n See program specific sections for the maximum ages at which children are included in their parents' household.
l Marital relationships.
n Cultural and religious unions performed in the United States that are not recognized as legal marriages under Minnesota statute are not considered marriages for health care purposes. Minnesota does not recognize marriages between persons of the same sex. Marriages between a man and a woman performed in other countries are considered marriages for health care purposes if they are recognized as legal marriages in the country of origin
n Minnesota law does not recognize common law unions transacted in Minnesota. However, Minnesota does legally recognize common law unions between a man and a woman who move to Minnesota from common law states and have a validly recognized common law union from one of those states.
Note: If there is any question about a specific couple's marital status, or how their marital status affects their health care program eligibility, follow your agency's procedures to submit a policy question to HealthQuest.
l Sibling relationships.
n Consider full or half-siblings to have a sibling relationship.
n For MinnesotaCare, also consider step-siblings to have a sibling relationship.
n MinnesotaCare is the only Minnesota Health Care Program that considers guardianship in determining household composition.
n Guardianship A person appointed by the court to provide for the care, comfort and maintenance needs of a minor or incapacitated person who is known as the ward. is not the same as a legal custodianship A person who is granted legal custody of a minor child by the court but who does not have legal guardianship..
n Request guardianship papers if you are uncertain of a non-parent caretaker's A person who provides care and support to a minor child. The person may or may not be covered and may or may not be considered part of the child's household. legal status.
In some cases, people do not have to have coverage to be included in the household size.
n Determine household composition on an individual basis.
n Allow people to request coverage for some household members and not others.
n Household composition is determined at a household level.
n Some people may be required to have coverage for others in the household to also have coverage. See the All or Nothing Rule.
n Some people may be excluded from coverage because specific eligibility criteria are not met.
Top of Page
For more program specific household composition policy information see the following sections:
Determining MinnesotaCare Household Size.
Determining MA Household Size.
All or Nothing Rule.
Adding a Person to the Household.
Removing a Person from the Household.
Top of Page