How to Apply (Archive)

Clients must complete and submit an application form to apply for Minnesota Health Care Programs (MHCP). There are several ways to request application forms. A client may submit a written request for coverage to set the date of application for MA/GAMC only before submitting an application form.

Requesting an Application.

How to Apply.

Help for Clients Applying.

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Requesting an Application

A client may request an application for MHCP:

l  By phone.

Mail an application form no later than the next work day.

n  Send the application form appropriate for the client’s situation.

n  Encourage the client to return the application as soon as possible.

n  Explain that the client may choose to complete the application at the agency.

l  In person.

The client may request an application while in the office. Give the client an application on the same day.

n  Explain that the client may choose to complete the application at the agency or may set the date of application by completing a request for coverage for MA/GAMC while in the office and submitting the application later.

l  In writing or by e-mail.

Mail an application no later than the next work day.

Advise clients that the Minnesota Health Care Programs Application (HCAPP) is also available on the DHS web site at www.dhs.state.mn.us/healthcare.

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How to Apply

Clients must provide a completed application form, required information and verifications to an enrollment site to have their eligibility determined. Clients may submit the completed application form to the enrollment site in any of the following ways:

l  Mail.

l  Fax or scanned copy received via e-mail.

Use the fax or scanned application to determine eligibility. Do not require the client to submit the original application.

l  Hand-deliver to the enrollment site.

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Help for Clients Applying

Clients may request help with completing the application process, which includes help filling out the application form and contacting third parties to get needed information and/or verifications.

Application assistors may include organizations, providers, relatives, friends, school officials or other people the applicant chooses to help with the application process. Application assistors help clients complete the application form but cannot sign the application unless they have been designated as authorized representatives by the applicant. Agencies cannot share information with an application assistor without a signed general consent/release (DHS-3549) from the client.

Provide clients who appear to be having difficulty with the application process with information on where and how to receive help.

Clients may receive help from MinnesotaCare Operations or their local county agency.

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