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Effective: July 1, 2009 |
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07.20.40 - Shared or Transferred Applications |
Not all agencies determine eligibility for all Minnesota Health Care Programs. As a result, applications must be transferred or shared between county agencies and MinnesotaCare Operations (MCRE) to facilitate eligibility determinations. Transfer applications within five working days from the date the application was received. The receiving agency should request any required verifications from the client.
For more information on situations that may require application transfer, see Informed Choice, Processing MinnesotaCare Renewals, Processing MA/GAMC Renewals, and Where to Apply.
When Not to Share or Transfer Applications.
When to Share or Transfer Applications.
When Not to Share or Transfer Applications
Do not share or transfer an application in any of the following situations:
l People request MinnesotaCare only on the HCAPP and MinnesotaCare Operations determines them ineligible for MinnesotaCare. Do not transfer the application to a county agency for a determination of MA or GAMC eligibility.
l The client does not request MinnesotaCare only on an application and the reason for denying MA, GAMC or MinnesotaCare is the applicant’s failure to provide verification or requested information.
Exception: Transfer the application in the following circumstances:
n The applicant receives the denial notice and specifically asks to have the application transferred. Explain that the client will need to provide appropriate verifications or information to the other program before eligibility can be determined and may be required to complete a new application if the current application is too old.
n The other program does not need the missing information to determine eligibility and the application is not older than 45 days for MA or GAMC and less than 11 months for MinnesotaCare.
l Type 1 or Type 2 county MCRE enrollment sites do not transfer applications to MCRE Operations.
l MA is denied solely for failure to verify assets and the requirements in MA Asset Verification Denial/Closure are met. Do not transfer the application to or process the application for MinnesotaCare.
When to Share or Transfer Applications
Applications must be transferred or shared between county agencies and MCRE Operations in the following situations:
l The client applies on a HCAPP with the informed choice question and requests all health care programs (with or without a request for retroactive coverage). The county of residence must first determine MA and GAMC eligibility. If the applicant is not eligible for MA or GAMC, the county of residence (if a MinnesotaCare enrollment site) or MinnesotaCare Operations must determine MinnesotaCare eligibility.
Exception: Do not determine MinnesotaCare eligibility if MA or GAMC was denied for a reason discussed in When Not to Share or Transfer Applications.
l The applicant requests MinnesotaCare only without a request for retroactive coverage and MinnesotaCare Operations or the county of residence (if a MinnesotaCare enrollment site) must determine MinnesotaCare eligibility.
l The applicant requests MinnesotaCare only and retroactive coverage, MinnesotaCare Operations or the county of residence (if a MinnesotaCare enrollment site) must determine Retroactive MinnesotaCare eligibility first.
l The applicant requests MinnesotaCare only and retroactive coverage, but the client requests retroactive MA, ongoing MA, or both upon follow up and the county of residence must determine retroactive or ongoing MA. See MCRE With Retroactive MA/GAMC for more information.
l The application or renewal must be transferred according to the policies in Processing MinnesotaCare Renewals and Processing MA/GAMC Renewals.
l Disabled adults without children, who are required to apply for MA, submit an application to MCRE Operations and ask to have the application transferred.
Note: Send a notice informing applicants that they must apply for MA if they did not request to have the application transferred. They can choose to have the application on file transferred or they will have to complete a new application.
l Type 3 county MCRE enrollment sites transfer applications to MCRE Operations if a MinnesotaCare determination is required and the household does not meet the definition of current contact.
l Clients whose MinnesotaCare eligibility is closed for non-payment of premiums and who are eligible to apply for MA and GAMC without submitting a new application must have their case transferred according to the provisions in Applications After Nonpayment of MinnesotaCare Premiums.