*** The Health Care Programs Manual (HCPM) has been replaced by the Minnesota Health Care Programs Eligibility Policy Manual (EPM) as of June 1, 2016.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: November 1, 2012 |
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09.05 - Mandatory Verifications |
Archived: June 1, 2016 (Previous Versions) |
This section provides basic policy requirements for mandatory verification. Additional detail is provided in the topic-specific sections identified in the links.
Many verification requirements vary between programs and sometimes within programs. The items listed below apply to all programs, although not necessarily to every individual within each program. See the topic-specific links for a complete description of each requirement and to whom it applies.
l U.S. Citizenship and Identity.
l Income.
MinnesotaCare Verification Only.
Medical Assistance (MA) Verification Only.
MinnesotaCare Verification Only
Verify the following information for MCRE eligibility:
l Employer-Subsidized Insurance (ESI) when applicable.
l Pregnancy. See MCRE Pregnant Women for specific verification policy requirements.
Verify the following assets for MCRE eligibility. These are the only assets requiring verification for MinnesotaCare.
l A Continuing Care Retirement Community (CCRC) Entrance Fee, if applicable.
l Worker’s Compensation settlements, if the reported amount causes assets to exceed the asset limit.
See Verification of Assets for specific policy requirements.
Exception: Do not verify income, access to ESI or pregnancy for children applying for or enrolled in MinnesotaCare for Certain Children Exiting Foster Care or a Juvenile Residential Correctional Facility.
Verify the following information when needed for MA eligibility under a particular basis:
l Blindness and disability for people claiming a blind or disabled basis of MA eligibility. See Disability Determinations.
l Eligibility for state and Title IV-E adoption assistance. See Adoption Assistance.
l Enrollment in Medicare Part A when required for eligibility for QMB, SLMB, QWD, or QI. See Medicare Savings Programs.
l Assets. See Verification of Assets for specific program policy.
l Pregnancy. See MA Pregnant Women for specific verification policy requirements.
l Asset Reductions. See MA Excess Assets for more specific program policy.
l Medical expenses to meet a spenddown.