Minnesota Health Care Programs
1.5 Mandatory Verifications
Each Minnesota Health Care Program (MHCP) has specific verification requirements. Refer to the program sections for detailed information about mandatory verifications.
- Medical Assistance Mandatory Verifications
- MinnesotaCare Mandatory Verifications
- Medicare Savings Programs Mandatory Verifications
- Minnesota Family Planning Program Mandatory Verifications
The agency must first attempt to use electronic data sources to verify information provided by the applicant or enrollee. If electronic verification is unsuccessful or unavailable, paper proofs may be required. In some circumstances, self-attestation is acceptable without further verification. Refer to specific eligibility requirements for information on what types of proofs may verify information and when self-attestation is acceptable.
For certain eligibility factors, verification must occur pre-eligibility is approved. For other eligibility factors, verification can be completed post-eligibility, after eligibility is approved.
In addition to mandatory verifications, proofs may be required for other eligibility factors when the information provided by the applicant or enrollee is inconsistent with information the county, tribal or state servicing agency has from other sources. See 1.3.2.4 MHCP Inconsistent Information policy for more information about situations when proofs may be required.
Applicants and enrollees are primarily responsible for providing required paper proofs. However, agencies must assist applicants and enrollees in obtaining proof if the person is unable to provide it. Do not deny or close eligibility for people who are making a good faith effort to obtain the required proofs.
County, tribal and state servicing agencies must retain verification documentation in accordance with the County Human Service Records Retention Schedule (DHS-6928)
Legal Citations
Code of Federal Regulations, title 42, sections 435.940 to 435.956
Code of Federal Regulations, title 45, sections section 155.305 to 155.320
Minnesota Statutes, section 256B.056