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Effective: November 1, 2008 |
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03.20.25ar6 - MinnesotaCare for Adults Without Children (Archive) |
Archived: July 1, 2009 |
MinnesotaCare (MCRE) adults without children include people age 21 or older who meet the following:
l Are not pregnant.
l Are not married to a pregnant woman.
Note: If a pregnant MinnesotaCare enrollee is married, her husband is also considered to be a parent of a child under 21. See Enrollee Becomes Pregnant for more information.
l Are not parents, stepparents, relative caretakers, legal guardians, or foster parents of children under 21 in the household.
l Are relative caretakers, legal guardians, or foster parents of children under 21 in the household, but are not including the children as family members on their MinnesotaCare application.
Some adults without children who apply for or are enrolled in General Assistance Medical Care (GAMC) may be eligible for Transitional MinnesotaCare if they are or become ineligible for GAMC.
Eligibility factors and links to standard program guidelines are provided below.
Citizenship/Immigration Status.
Insurance and Benefit Recovery.
MinnesotaCare Major Program and Eligibility Types (MPETs).
Relationship to Other Groups/Bases.
Application Process (standard guidelines)
Follow standard MinnesotaCare guidelines.
Follow standard MinnesotaCare guidelines.
Renewals (standard guidelines)
Follow standard MinnesotaCare guidelines.
Follow standard MinnesotaCare guidelines.
Social Security Number (standard guidelines)
Follow standard MinnesotaCare guidelines.
Adults without children who are U.S. citizens are not required to document their citizenship and identity.
Note: Applicants and enrollees who are otherwise eligible for MA or federally funded MinnesotaCare but fail to document their citizenship and identity are not eligible for state-funded MinnesotaCare as an adult without children.
Noncitizens with an undocumented or nonimmigrant status are not eligible for MinnesotaCare.
Do not use the Systematic Alien Verification for Entitlements (SAVE) system for MinnesotaCare noncitizen applicants and enrollees who are adults without children.
Residency (standard guidelines)
Follow policy in State Residence - MinnesotaCare Adults Without Children.
Follow standard MinnesotaCare guidelines.
Household Composition (standard guidelines)
Follow standard MinnesotaCare guidelines.
See MinnesotaCare Major Program Eligibility Type (MPET) for information on determining an adult's MPET.
Asset Guidelines (standard guidelines)
The asset limit for non-pregnant adults is:
l $10,000 for a household of one.
l $20,000 for a household of two or more.
The income limit is 200% FPG.
Deductions/Disregards (standard guidelines)
Follow standard MinnesotaCare guidelines.
Follow standard MinnesotaCare guidelines.
Covered Services (Prepaid MHCP Manual)
MinnesotaCare adults without children have the Basic Plus One benefit set.
Service Delivery (Prepaid MHCP Manual)
Follow standard MinnesotaCare guidelines.
Certain disabled adults without children must apply for MA. See that section for more information.
When adults gain parent or caretaker status, change eligibility effective the month after the change. See Change in MinnesotaCare Eligibility.
MinnesotaCare and General Assistance Medical Care (GAMC), or MinnesotaCare and GAMC Hospital Only (GHO) may not be open at the same time.
Exception: In some cases, both programs may have to be open for one month if changes occur after capitation or 10-day notice cutoff. See Programs Overlap for further information.
Some GAMC applicants and enrollees who are adults without children may become eligible for Transitional MinnesotaCare if they are or become ineligible for GAMC.
At initial application:
l If income <75% FPG, consider GAMC.
l If income > 75% FPG but <175% FPG, and client is hospitalized, consider GHO.