*** The Health Care Programs Manual (HCPM) has been replaced by the Minnesota Health Care Programs Eligibility Policy Manual (EPM) as of June 1, 2016.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: January 1, 2013 |
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07.20.40 - Shared or Transferred Applications |
Archived: June 1, 2016 (Previous Versions) |
Not all agencies determine eligibility for all Minnesota Health Care Programs. As a result, applications may need to be transferred or shared between county agencies and MinnesotaCare Operations. Transfer an application within five working days from the date the application is received. The processing agency should request any required verifications from the client.
For more information on situations that may require application transfer, see Informed Choice, Processing MinnesotaCare Renewals, Processing MA Renewals, and Where to Apply.
When to Not Share or Transfer Applications.
When to Share or Transfer Applications.
When to Not Share or Transfer Applications
Do not share or transfer an application in any of the following situations:
l People request MinnesotaCare only on the Minnesota Health Care Programs Application (HCAPP) (DHS-3417) or with ApplyMN and MinnesotaCare Operations determines them ineligible for MinnesotaCare. Do not transfer the application to a county agency for a determination of MA eligibility.
l The client requests all health care programs on an application and the reason for denying MA is the applicant’s failure to provide verification or requested information.
Exception: Transfer the application in the following circumstances:
n The applicant receives the denial notice and specifically asks to have the application transferred. Explain to the client that appropriate verifications or information will need to be provided to the other program before eligibility can be determined and he or she may be required to complete a new application if the current application is too old.
n The other program does not need the missing information to determine eligibility and the application is not older than 45 days for MA and less than 11 months for MinnesotaCare.
l MA is denied solely for failure to verify assets and the requirements in MA Asset Verification Denial/Closure are met. Do not transfer the application to or process the application for MinnesotaCare.
l The county agency receives SSA Data as a Request for MHCP. Do not transfer the application to MinnesotaCare if MA is denied, unless the applicant is under age 21. Children under age 21 who meet an exception to the MinnesotaCare other health care coverage barriers may be eligible for MinnesotaCare while on Medicare.
When to Share or Transfer Applications
Applications must be transferred or shared between county agencies and MCRE Operations in the following situations:
l The client applies on a HCAPP or with ApplyMN and either requests all health care programs or does not specify a health care program (with or without a request for retroactive coverage). The county of residence must first determine MA eligibility. If the applicant is not eligible for MA, the county of residence (if a MinnesotaCare enrollment site) or MinnesotaCare Operations must determine MinnesotaCare eligibility.
Exception: Do not determine MinnesotaCare eligibility if MA was denied for a reason discussed in When Not to Share or Transfer Applications.
l The applicant requests MinnesotaCare only without a request for retroactive coverage and MinnesotaCare Operations or the county of residence (if a MinnesotaCare enrollment site) must determine MinnesotaCare eligibility.
l The applicant requests MinnesotaCare only and retroactive MA coverage, ongoing MA or both. The county of residence must determine retroactive or ongoing MA. See MCRE With Retroactive MA for more information.
l The application or renewal must be transferred according to the policies in Processing MinnesotaCare Renewals and Processing MA Renewals.
l Disabled adults without children, who are required to apply for MA, submit an application to MCRE Operations.
l Clients whose MinnesotaCare eligibility is closed for non-payment of premiums and who are eligible to apply for MA without submitting a new application must have their case transferred according to the provisions in Applications After Nonpayment of MinnesotaCare Premiums.