This manual letter incorporates Bulletin #09-21-09 ”DHS Announces the Minnesota COBRA Premium Subsidy,” Bulletin #09-21-14 ”MinnesotaCare Fourth-Month Rule Waived for Former Minnesota COBRA Premium Subsidy Enrollees,” Bulletin #10-21-05 ”Changes to the Minnesota COBRA Premium Subsidy, ”Bulletin #09-21-11 ”Changes to Medical Assistance (MA) Estate Recovery, Special Needs and Pooled Trusts, and 2008 Legislative Enactment of Transfer on Death Deeds” and lists new and revised material for the Health Care Programs Manual. Unless otherwise noted, new and revised instructions are effective August 1, 2010.
Chapter 03 - Eligibility Groups and Bases of Eligibility.
A new section incorporates Bulletin #09-21-09 ”DHS Announces the Minnesota COBRA Premium Subsidy,” Bulletin #09-21-14 ”MinnesotaCare Fourth-Month Rule Waived for Former Minnesota COBRA Premium Subsidy Enrollees” and Bulletin #10-21-05 ”Changes to the Minnesota COBRA Premium Subsidy.”
Chapter 10 - Social Security Number.
Revisions to this chapter clarify policy for foster children and children receiving adoption assistance.
Chapter 13 - State and County Residence.
Updates clarify temporary absence for those living outside the U.S.
Chapter 15 - Third Party Liability.
Incorporates Bulletin #09-21-14 ”MinnesotaCare Fourth-Month Rule Waived for Former Minnesota COBRA Premium Subsidy Enrollees.”
Incorporates Bulletin #09-21-11 ”Changes to Medical Assistance (MA) Estate Recovery, Special Needs and Pooled Trusts, and 2008 Legislative Enactment of Transfer on Death Deeds” and clarifications made to multiple sections. Additionally, a new section details methods of estate recovery.
Minor update clarifies allowable deductions for rental income.
Chapter 21 - Income Calculation.
Updates clarify the dependent care deduction.
Chapter 23 - MA Payment of Long-Term Care Services.
Updates add information on the processing period and notification.
Chapter 28 - Obtaining Health Care Services.
A note added to this section clarifies access to services for enrollees temporarily out of the country.
Chapter 03 - Eligibility Groups and Bases of Eligibility
l Section 03.45.40 - Minnesota COBRA Premium Subsidy (New).
This new section describes Minnesota COBRA Premium Subsidy policy.
Chapter 10 - Social Security Number
Updates to this chapter clarify when a social security number is required for foster children and children receiving adoption assistance.
Chapter 13 - State and County Residence
l Section 13.20 - Temporary Absence from Minnesota.
Information regarding MHCP services for enrollees living outside the U.S. moved to Chapter 28 - Obtaining Health Care Services.
Chapter 15 - Third Party Liability (TPL)
l Section 15.05 - MinnesotaCare Other Health Care Coverage Barriers.
Additions to this section incorporate Bulletin #09-21-14 ”MinnesotaCare Fourth-Month Rule Waived for Former Minnesota COBRA Premium Subsidy Enrollees”, explaining that the MinnesotaCare four-month rule does not apply to individuals and families who were enrolled in the Minnesota COBRA Premium Subsidy and whose COBRA coverage ended within the past four months.
l Section 19.35.10 - MA and GAMC Excess Assets.
Updates clarify distinction between eligibility begin dates for MA and GAMC following reduction of assets.
l Section 19.50 - Liens and Estate Recovery.
This section incorporates Bulletin #09-21-11 ”Changes to Medical Assistance (MA) Estate Recovery, Special Needs and Pooled Trusts, and 2008 Legislative Enactment of Transfer on Death Deeds” and has been reorganized for clarification.
l Section 19.50.05 - Methods of Estate Recovery (New).
This new section details the four methods of estate recovery for MA and GAMC.
l Section 20.25.20.25 - Rental Income.
Updates clarify allowable mortgage deductions from rental income for MA Method A.
Chapter 21 - Income Calculation
l Section 21.50.60 - Dependent Care Deduction.
Clarifications to this section explain that the dependent care deduction cannot be used for an enrollee who is looking for work and cannot be used by certain caregivers even when the caregiver is not part of the household.
Chapter 23 - MA Payment of Long-Term Care (LTC) Services
l Section 23 - MA Payment of Long-Term Care (LTC) Services.
Updates to this chapter clarify the processing period for requests for payment of long-term care services and add details on notifying applicants or enrollees of the result of the eligibility determination.
Chapter 28 - Obtaining Health Care Services
l Section 28.10 - Out-of-State Services.
Updates to this section clarify that enrollees living outside the U.S. may be unable to access services.