Income Verification for Medical Assistance for Families With Children and Adults

The income for all household members whose income counts must be verified for Medical Assistance (MA) for Families with Children and Adults. For applicants who currently report monthly income that is within the MA income limits, the individual's attested income is compared to available electronic income sources. For individual applicants who attest to income above the MA income limits see MinnesotaCare and APTC/CSR manual sections.

The new eligibility system verifies income for the household as follows:

1. The applicant must attest to current monthly household income at application, renewal or when reporting a change.

2. The applicant’s attested income is verified using available electronic sources.

3. Income is considered verified and financial eligibility is determined or redetermined if:

   • the applicant's attested income and the electronic data both indicate income is below the applicable MA income standard;

   • the applicant's attested income is at or below the MA income limit and the electronic data indicates income above the MA limit, but they are reasonably compatible.

4. If information provided by an applicant is not reasonably compatible with electronic data sources the applicant must be given a reasonable opportunity to provide:

   • a reasonable explanation of the discrepancy, or

   • paper documentation to the lead agency within 10 days.

   A case-by-case exception to the income verification requirement may be granted by the lead agency when both the agency and applicant are unable to obtain paper documentation.

Related Links

Income Standards for Medical Assistance for Families With Children and Adults

Whose Income Counts for Medical Assistance for Families With Children and Adults

Legal Citations

Minnesota Rules, part 9505.0095

Code of Federal Regulations, title 42, section 435.945

Code of Federal Regulations, title 42, section 435.952

Code of Federal Regulations, title 45, section 155.320