Program IM

2.5.4.4.1 Medicare

Medicare Eligibility

People who are enrolled 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 enroll in Medicare, if eligible, to be eligible for Program IM.

If a person eligible for Medicare is not enrolled in the program at the time they are placed in an IMD, they must apply for Medicare during the next available general enrollment period (January through March of each year) to remain eligible in Program IM.

Medicare Reimbursement

People who would be eligible for a Medicare Savings Program (MSP) if they did not reside in an IMD may be eligible to have their Medicare premiums reimbursed.

  • People age 20 or younger and people age 65 or older may be eligible for an MSP while living in an IMD

  • People age 21 through 64 are not eligible for an MSP while living in an IMD

Legal Citations

Minnesota Rules, part 9505.0430

Minnesota Statutes, section 256B.0625, subdivision 15