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Effective: December 1, 2006 |
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15.05.10ar1 - Documenting Insurance Coverage (Archive) |
Archived: September 1, 2009 |
Current health care coverage must be documented so that the DHS Benefit Recovery Section and the enrollee’s managed care plan can coordinate benefits with the other health insurance.
People eligible for MinnesotaCare who have either of the following must provide documentation of the coverage:
l Current health insurance.
l Current coverage which is not considered other health care coverage, including but not limited to:
n Dental, vision, or prescription-only coverage that is not part of a comprehensive package including basic hospital and medical-surgical coverage.
n Workers' Compensation.
Note: Identify for the Benefit Recovery Section which household member is covered.
n Indemnity policies which pay a fixed amount for each day of hospitalization or nursing home confinement.
n Long-term care/nursing home-only policies.
n Disability insurance.
n Cancer insurance.
n Access to facilities which provide free health care to people who qualify, such as Indian Health Centers and community clinics.
n Access to care through the Department of Veterans Affairs (VA), if the person wants to enroll in MinnesotaCare.
n TRICARE (CHAMPUS).
Note: Documentation is only required for household members for whom DHS receives federal financial participation (FFP). Do not report CHAMPUS/TRICARE coverage to BRS for household members whose MinnesotaCare coverage is entirely state-funded.
Documentation may be provided in two manners:
l A complete Health Insurance Information Form (HIIF) (DHS-1922b) for each policy.
A HIIF must be completed for the following type of other coverage:
n Indemnity policies which pay a fixed amount for each day of hospitalization or nursing home confinement.
n Long term care/nursing home-only policies.
n Cancer insurance.
n VA benefits.
l A notation of the coverage types on the completed insurance page of the HCAPP.
Documentation must be processed by either the Benefit Recovery Section or the county worker.
Exception: Do not submit a HIIF to Benefit Recovery for people who had health insurance in the past four months but no longer have it.
l MinnesotaCare Workers:
Forward the HIIF or copy of the HCAPP page to the Benefit Recovery Section.
l County Workers:
Enter the information on the MMIS TPL screens.