Medical Assistance for Families with Children and Adults

2.2.1.2 Mandatory Verifications

Mandatory verifications must be verified through an available electronic data source or by paper proof, if electronic data sources are unsuccessful or unavailable. Self-attestation of certain eligibility factors may be accepted if electronic data sources are unsuccessful or unavailable and paper proof does not exist or is not available. See individual eligibility requirements for acceptable proof and timelines.

Pre Eligibility Verification

The following eligibility factors must be verified prior to the eligibility determination:

Exceptions to having a Social Security Number. See 2.1.2.5 MA Social Security Number
All sources of current income, adjustments and income exceptions, based on the modified adjusted gross income (MAGI) methodology. See 2.2.3.5 MA-FCA Income Verification.
Projected Annual Income (PAI), if the person is eligible for Medical Assistance through the safety net provision. See 2.2.3.3 MA-FCA Income Limit.

Post Eligibility Verification

The following factors can be verified after eligibility has been approved. If proof is not provided, eligibility may end.

Citizenship or Immigration status: See 2.1.2.2.1 MA Citizenship or 2.1.2.2.2 MA Immigration Status
Social Security number (SSN): See 2.1.2.5 MA Social Security Number

Spenddown

For MA for parents, relative caretakers, pregnant people and children with a spenddown, the following pre-eligibility verifications also apply:

Medical expenses to meet a spenddown
Assets - when an asset limit applies,
- Verification of assets is required at application, renewal, and when a new asset is reported
- - At renewal, an excluded asset that was verified does not need to be verified again unless the asset has changed and determination of whether or not the change affects the exclusion is necessary.
- Verification of the following assets is not required at application or renewal:
- - Homestead if it qualifies for the real property homestead exclusion. The only exception applies to people who are applying for or renewing Medical Assistance for Long term Care eligibility. See 2.4.1.2 MA-LTC Long-Term Care Home Equity Limit for more information about the exception.
  - Vehicles, up to the number of persons in the household of age 16 or older.
  - Household goods and personal effects

County, tribal and state servicing agencies must retain verification documentation in accordance with the County Human Service Records Retention Schedule (DHS-6928).

Self-Attestation

Self-attestation, either verbal or in writing, of the following eligibility factors may be accepted if electronic data sources are unsuccessful or unavailable and paper proof does not exist or is not available:

Income
Assets
Medical expenses to meet a spenddown
Exceptions to having a Social Security number

Paper proof is considered not available if neither the applicant or enrollee, nor the agency can obtain it. The county, tribal and state servicing agency must make efforts to assist the applicant or enrollee in obtaining the requested paper proof, if it exists. This includes obtaining authorization from the applicant or enrollee to contact a third party on their behalf, if appropriate. Decisions to accept an applicant’s or enrollee’s self-attestation must be based on the individual case circumstances.

Self-attestation cannot be accepted in lieu of electronic verification or paper documentation of an applicant or enrollee’s citizenship, immigration status, or Social Security number.

Legal Citations

Code of Federal Regulations, title 42, section 435.945

Code of Federal Regulations, title 42, section 435.952

Minnesota Rules, part 9505.0095