*** The Health Care Programs Manual (HCPM) has been replaced by the Minnesota Health Care Programs Eligibility Policy Manual (EPM) as of June 1, 2016. Please refer to the EPM for current health care program policy information. ***
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Effective: June 1, 2011 |
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08.20 - MinnesotaCare Renewals |
Archived: June 1, 2016 (Previous Versions) |
A MinnesotaCare renewal is similar to an MA renewal in that it reviews the client’s eligibility factors to redetermine eligibility and uses some of the same renewal forms. However, MinnesotaCare has specific requirements for renewals.
MinnesotaCare Renewal Requirements.
Determining the MinnesotaCare Renewal Month.
Photocopied, Faxed and Scanned Renewals.
MinnesotaCare Renewal Requirements
MinnesotaCare enrollees are required to submit a renewal every 12 months unless they meet a renewal exemption.
l Renewals must be processed by the redetermination date for eligibility to continue.
l The new premium amount for the renewal month (the month following the redetermination date) must be paid by the redetermination date.
Determining the MinnesotaCare Renewal Month
The MinnesotaCare renewal month is established by the MMIS system. The renewal month remains unchanged from year to year as long as the case remains active without a break.
Exception: An incarcerated individual who is removed from an active MinnesotaCare household and chooses to be opened on a new case will have the same renewal date on the new case as the original household’s renewal date.
l Contact the MMIS User Services Help Desk to set the renewal date.
l Cancel coverage for the incarcerated individual if the person is still incarcerated at the time of renewal. See Temporary Absence and Removing a Household Member.
The renewal month is determined as follows:
l The first redetermination date after application is the last day of the 12th month after the month the case is set to "pending awaiting payment" status.
Example:
Rory applies for health care on May 12. She is approved for MinnesotaCare and set to pending awaiting payment status on June 6. She pays her initial premium on August 10.
Action:
Rory’s coverage begins in September. Her first redetermination date is the last day of June to determine renewed eligibility for July.
Example:
The Andrew family’s status is set to pending awaiting payment on February 12. MinnesotaCare receives the initial premium payment on February 20, and the case coverage begins in March.
Action:
The Andrew family’s renewal month is March, and the redetermination date is the last day of February.
l Subsequent renewals are due every 12 months.
Example:
Ruby's initial renewal month was December, with a redetermination date of November 30.
Action:
Ruby’s next redetermination date will be November 30 of the following year to renew eligibility for December. She must return the completed renewal by the last business day of November.
Example:
The Burns family's redetermination date was the last day of July. The worker redetermined their eligibility for August.
Action:
The Burns family’s next renewal month is August. MMIS shows a redetermination date of July 31.
The following table provides the months in which the case status is set to pending awaiting payment, and the corresponding renewal months.
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Approved As Pending Awaiting Payment In: |
Next Redetermination Date |
Next Renewal Month |
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January |
January 31 |
February |
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February |
February 28/29 |
March |
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March |
March 31 |
April |
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April |
April 30 |
May |
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May |
May 31 |
June |
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June |
June 30 |
July |
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July |
July 31 |
August |
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August |
August 31 |
September |
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September |
September 30 |
October |
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October |
October 31 |
November |
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November |
November 30 |
December |
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December |
December 31 |
January |
The renewal is systematically sent to the client 45 days before the redetermination date.
The renewal packet includes the following forms:
l Minnesota Health Care Programs Renewal form (DHS-3418).
l MinnesotaCare Notice of Renewal (system-generated).
This letter may be returned with the renewal in the return envelope included in the packet. The letter includes:
n Information indicating:
m It is time to renew their MinnesotaCare coverage.
m The premium amount may change due to income, household size and other reported changes.
n A checklist for the client to be sure that a completed renewal is returned for processing.
l Return envelope.
l Important Information Flyer for Non-English Speaking enrollees.
l Health Care Coverage Options in Minnesota (DHS-3416).
Photocopied, Faxed and Scanned Renewals
Accept and process photocopied, faxed and scanned renewals. Do not require the client to submit the original renewal form.
For more information on renewals, see:
Processing MinnesotaCare Renewals.