This manual letter lists new and revised material for the Health Care Programs Manual. Unless otherwise noted, new and revised instructions are effective December 1, 2011.
This manual letter incorporates Bulletin #10-21-17, "DHS Clarifies Policy and Coding for Medical Assistance (MA) Payment of Long-Term Care (LTC) Services,” Bulletin #11-21-06, "Simplified MinnesotaCare Policy for Adding New Household Members,” and Bulletin #11-21-07, "MinnesotaCare for Volunteer Firefighters and Ambulance Attendants Begins December 1, 2011.”
Manual Letter #47 also includes revisions to MinnesotaCare policy relating to enrollees living in an institution for mental disease (IMD), the application process for the Minnesota Family Planning Program (MFPP), referrals for Medicare, data privacy, and client cooperation.
Chapter 3 - Eligibility Groups and Bases of Eligibility
Incorporates Bulletin #11-21-07, revises information relating to MinnesotaCare enrollees living in an IMD, updates the presumptive eligibility provider list, and clarifies a change in the application process for MFPP.
Chapter 4 - Social Security Administration (SSA) Benefits
Updates information regarding referrals for Medicare.
Provides guidance on information sharing.
Chapter 6 - Client Responsibilities
Revises information relating to a client’s responsibility in cooperating with the different types of DHS audits.
Incorporates Bulletin #11-21-07.
Incorporates Bulletin #11-21-07.
Chapter 11 - Citizenship and Immigration Status
Incorporates Bulletin #11-21-07.
Chapter 15 - Third Party Liability (TPL)
Incorporates Bulletin #11-21-07.
Chapter 17 - Household Composition
Incorporates Bulletin #11-21-06 and Bulletin #11-21-07.
Chapter 22 - Standards and Guidelines
Updates the SSA Period Life Table
Chapter 23 - MA Payment of Long-Term Care (LTC) Services
Incorporates Bulletin #10-21-17
Incorporates Bulletin #11-21-07.
Chapter 3 - Eligibility Groups and Bases of Eligibility
l Section 03.20 - MinnesotaCare.
Incorporates Bulletin #11-21-07 by adding MinnesotaCare for Volunteer Firefighters and Ambulance Attendants as an eligibility group for MinnesotaCare.
l Section 03.20.30 - MinnesotaCare for Volunteer Firefighters and Ambulance Attendants (new)
Provides eligibility requirements for MinnesotaCare for Volunteer Firefighters and Ambulance Attendants.
Chapter 4 - Social Security Administration (SSA) Benefits
l Section 04.45.10 - Referrals to Medicare.
Adds instructions for workers not to refer clients for Medicare Part B or add them to the Buy-in if they are enrolled only in Medicare Part A, but have primary coverage under an employer group health insurance plan through their own employer or a spouse’s employer.
l Section 05.10 - Data Privacy.
Specifies what client information can be shared with providers without a release from the client.
Chapter 6 - Client Responsibilities
l Section 06.05 - Cooperation.
Revises policy information regarding the level of cooperation a client must provide for Medicaid Eligibility Quality Control (MEQC), Payment Error Rate Measurement (PERM), and MinnesotaCare Eligibility Reviews for Adults without Children to align with federal and state law.
l Section 07.05.05 - Applications for Minnesota Health Care Programs.
Incorporates Bulletin #11-21-07 by clarifying that the HCAPP cannot be used to apply for MVFAA, and conversely that the MVFAA Application cannot be used to apply for any other health care program other than MVFAA.
l Section 07.05.15 - Application Not Required.
Incorporates Bulletin #11-21-07 by providing information that previous MVFAA enrollees who are re-applying for MVFAA and who are still volunteering for the same organization as when they were previously enrolled do not need to complete a new application.
l Section 08.05 - Annual Renewal Exemptions.
Incorporates Bulletin #11-21-07 by adding a provision that exempts MVFAA enrollees from having to renew program eligibility annually.
Chapter 11 - Citizenship and Immigration Status
l Section 11.05 - U.S. Citizenship and Identity Verification Requirements.
Incorporates Bulletin #11-21-07 by adding information that applicants of MVFAA are exempt from citizenship and identity verification requirements.
Chapter 15 - Third Party Liability (TPL)
l Section 15.05 - MinnesotaCare Other Health Care Coverage Barriers.
Incorporates Bulletin #11-21-07 by clarifying that other health insurance barriers do not apply to MVFAA applicants and enrollees.
Chapter 17 - Household Composition
l Section 17.10 - Determining Household Size for MinnesotaCare.
Incorporates Bulletin #11-21-07 by clarifying that the household for an MVFAA applicant or enrollee consists only of the applicant or enrollee.
l Section 17.20 - Adding a Household Member.
Incorporates Bulletin #11-21-06 by clarifying that a person who moves into a MinnesotaCare household must be added to the MinnesotaCare case when the change is reported.
Chapter 22 - Standards and Guidelines
l Section 22.60 - Social Security Administration (SSA) Period Life Table.
Updates figures in the SSA Period Life Table that are effective December 1, 2011.
Chapter 23 - MA Payment of Long-Term Care (LTC) Services
l Section 23 - MA Payment of Long-Term Care (LTC) Services.
Adds clarification that the eligibility requirements for MA payment of LTC services apply regardless of the length of stay in a long-term care facility.
l Section 25.05 - MinnesotaCare Premiums.
Incorporates Bulletin #11-21-07 by adding MinnesotaCare premiums for Volunteer Firefighters and Ambulance Attendants as an exception to the general MinnesotaCare premium policy.