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 applications. A client may submit a written request for coverage to set the date of application for MA/GAMC before submitting an application.

Note:  See Adding a Household Member for information on adding a person to a household already active on MHCP.

Requesting an Application.

How to Apply.

Help for Clients Applying.

Incarcerated Individuals.

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Requesting an Application

A client may request an application for MHCP:

l  By phone.

Mail an application no later than the next work day.

n  Send the application that is 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.

n  Explain that the client may send in a written request to set the date of application for MA/GAMC before submitting the application.

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 fax or 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, required information and verifications to an enrollment site to have their eligibility determined. Clients may submit the completed and signed application 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 and contacting third parties to get needed information 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 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.

Incarcerated Individuals

There are special procedures for incarcerated individuals applying for MHCP before discharge. See MHCP and Incarcerated Individuals for more information.

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