Medicare Savings Programs
4.2.1.2 Cooperation
Medicare Savings Program (MSP) enrollees must comply with various Minnesota Health Care Programs (MHCP) eligibility requirements or they may have their MSP coverage ended. These requirements include:
Medicaid Eligibility Quality Control and Payment Error Rate Measurement
MSP Referral for Other Benefits
Medicaid Eligibility Quality Control and Payment Error Rate Measurement Cooperation
DHS conducts Medicaid Eligibility Quality Control (MEQC) and Payment Error Rate Measurement Cooperation (PERM) eligibility reviews for MSP. Enrollees are encouraged to cooperate with these eligibility reviews, however, enrollees are not required to cooperate as a condition of their eligibility. The county, tribal or state servicing agency must:
-
Request verification from the enrollee when MEQC or PERM eligibility reviews provide information that is inconsistent with information or documentation on file
-
Redetermine eligibility when an MEQC or PERM review results in new information that affects eligibility
Legal Citations
Minnesota Rules, part 9505.0080