*** The Health Care Programs Manual (HCPM) has been replaced by the Minnesota Health Care Programs Eligibility Policy Manual (EPM) as of June 1, 2016. Please refer to the EPM for current health care program policy information. ***
Effective: July 1, 2008 |
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03.30.05 - Medical Assistance (MA) for People Age 65 or Older |
Archived: June 1, 2016 (Previous Versions) |
People who are age 65 or older have a basis of eligibility for MA.
Eligibility factors and links to standard program guidelines are provided below.
Citizenship/Immigration Status.
Insurance and Benefit Recovery.
Relationship to Other Groups/Bases.
Application Process (standard guidelines)
Follow standard MA guidelines.
Follow standard MA guidelines.
Renewals (standard guidelines)
Follow standard MA guidelines.
Do not require verification of age.
Social Security Number (standard guidelines)
Follow standard MA guidelines.
Follow standard MA guidelines.
See the Medical Assistance Immigration Status and Eligibility Table for a summary of MA system coding for noncitizen people age 65 and older.
Residency (standard guidelines)
Follow standard MA guidelines.
Follow standard MA guidelines.
Household Composition (standard guidelines)
Follow standard MA guidelines.
Use Method B for income and assets.
Asset Guidelines (standard guidelines)
The asset limit is:
l $3,000 for a household of one.
l $6,000 for a household of two.
l $200 for each additional household member.
The income limit is 100% FPG.
Deductions/Disregards (standard guidelines)
Use the following Method B deductions in the order given:
1. Disabled widow and widower’s disregard.
2. Widow and widower's disregard.
3. Pickle disregard.
4. Disabled adult children disregard.
5. The first $65 of earned income disregard.
6. One-half the remaining earned income.
See Elderly, Disabled and Blind Income Computation Worksheet (Method B) (DHS-0029C).
People with income over 100% FPG may be eligible by spending down to 75% FPG.
Covered Services (Prepaid MHCP Manual)
People who reside (or expect to reside) in a long-term care facility (LTCF) for at least 30 days are not subject to co-payments.
People age 65 or older who are not enrolled in a managed care plan receive services through fee-for-service (FFS).
People age 65 or older, including people who receive services through the Elderly Waiver (EW), who are not subject to a managed care exclusion will be enrolled in Minnesota Senior Care or Minnesota Senior Care Plus, depending on their county of residence. Most seniors may voluntarily enroll in Minnesota Senior Health Options (MSHO) if they so choose.
Not applicable.
Follow standard MA guidelines. See Change in Basis of Eligibility and Changes in Circumstances.
See Multiple Bases of Eligibility.
People who are age 65 or older may also be eligible for:
l The Medicare Savings Programs if they are Medicare-eligible.
l A waiver of deeming requirements and/or expanded MA services.