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Minnesota Health Care Programs
1.2.6 Signature (Archive)
Application Signature
The application filer or their authorized representative must sign the application. An authorized representative is a person or organization designated by an applicant or enrollee to apply for Minnesota Health Care Programs (MHCP) and to perform the duties required to establish and maintain eligibility. See MHCP Authorized Representative for more information.
A person under 18 who does not live with a parent, relative caretaker, foster parent, or legal guardian may sign an application on their own behalf. This includes both minors with and without children.
Electronic Signature
The MNsure online application allows for an electronic signature. The electronic signature is a legally valid signature; having the same legal effect as a written signature.
Special Circumstances
A person who is mentally competent but unable to sign the application due to physical limitations may:
Sign electronically, or
Sign a paper application by making a distinct mark, such as an X. Two witnesses must sign and date the application to verify that the person making the mark is indeed the person who is applying.
If a person has a court or tribal court-appointed guardian, one of the following people must sign the application:
The guardian, or
An authorized representative designated by the guardian
If a person does not have a court-appointed guardian but does have a court-appointed conservator, any of the following people may sign the application:
The person
An authorized representative designated by the person or conservator
The conservator, if the court has not limited the conservator's powers in such a way that the conservator does not have the power to apply for health care assistance, services, or benefits available to the person
Renewal Signature
The application filer or authorized representative must sign the renewal when a renewal signature is required.
A signature is required on a pre-populated renewal form. Enrollees who receive a paper renewal are required to complete, sign and return the renewal.
No signature is required for enrollees automatically renewed using information in their case file and data provided by trusted electronic sources.
Legal Citations
Code of Federal Regulations, title 42, section 435.907
Code of Federal Regulations, title 42, section 435.916
Code of Federal Regulations, title 42, section 435.923
Code of Federal Regulations, title 45, section 155.230
Code of Federal Regulations, title 45, section 155.335
Minnesota Statutes, section 256L.05
Minnesota Statutes, section 524.5-313
Minnesota Statutes, section 524.5-417