*** The Health Care Programs Manual (HCPM) has been replaced by the Minnesota Health Care Programs Eligibility Policy Manual (EPM) as of June 1, 2016.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: September 1, 2009 |
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15.05.10 - Reporting Other Health Care Coverage for MinnesotaCare |
Archived: June 1, 2016 (Previous Versions) |
Clients must report information about current health care coverage so that the DHS Benefit Recovery Section (BRS) and the enrollee’s managed care plan can coordinate benefits with the other health care coverage provider. MinnesotaCare is usually the payer of last resort and most sources of other health care coverage are the primary payer.
Required Information on Other Health Care Coverage.
Processing Information on Other Health Care Coverage.
Required Information on Other Health Care Coverage
People eligible for MinnesotaCare must provide information about any current health care coverage.
See Other Health Care Coverage for MinnesotaCare for more information.
Enrollees may provide information by:
l Answering the health care coverage questions on a health care application or renewal. Clients may provide this information over the phone if they did not fully answer these questions at application or renewal.
l Submitting any documents that provide the coverage information requested on a health care application.
l Completing a Health Insurance Information Form (HIIF) (DHS-1922B) for each policy if the information on the application or renewal is incomplete.
l County Workers:
Enter coverage information on the MMIS TPL screens and complete a corresponding STAT INSA panel in MAXIS.
l MinnesotaCare Workers:
Forward the reported coverage information to the Benefit Recovery Section.
Exception: Do not submit a HIIF or other health care coverage information to Benefit Recovery for people who had health care coverage in the past four months, but no longer have this coverage.