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Effective: October 1, 2007 |
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09.05ar3 - Mandatory Verifications (Archive) |
Archived: March 1, 2008 |
This section provides policy requirements for mandatory verification.
Note: Clients who fail to provide asset verification for MA eligibility may not be eligible for MinnesotaCare or GAMC. See MA Asset Verification Denial/Closure for more information.
Verify the following information for eligibility for all health care programs:
l People who indicate they are U.S. citizens must document their citizenship and identity as a condition of eligibility for the following programs:
n MinnesotaCare for families with children.
n Medical Assistance (MA), including long-term care, waiver programs, and program IM.
n The Minnesota Family Planning Program (MFPP).
Note: For further information about this requirement, including a list of exemptions, see Verification of U.S. Citizenship.
l Immigration status for people who are requesting coverage who indicate they are noncitizens. See Verification of Immigration Status for specific verification policy requirements.
l Social Security Number (SSN).
n Do not require social security cards or other documents showing the number. An interface will determine if the client has provided the appropriate number.
n Require proof of application for an SSN for people who do not have one.
n For MCRE only: Require a number for each adult and child who is requesting coverage or who is required to be included in the household under the All or Nothing Rule.
l Income. See Verification of Income for specific verification policy requirements.
n Require verification of earned and unearned income in the 30 days before application.
Verify the following information for MCRE eligibility, in addition to the requirements given in Verification – All Programs:
l Employer-Subsidized Insurance (ESI).
Verify access to ESI for all employed applicants and enrollees at the time of application and renewal, and whenever a job change is reported. See Employer-Subsidized Insurance for more information on when and how to verify ESI access.
l Pregnancy. See MCRE Pregnant Women for specific verification policy requirements.
Note: If an enrollee reports she is pregnant, change her status to pregnant woman pending verification.
l A Continuing Care Retirement Community (CCRC) Entrance Fee, if applicable.
Do not require verification of active military duty for families leaving or returning to MCRE for that reason.
Verify the following information for MA eligibility, in addition to the requirements given in Verification – All Programs:
l Blindness and disability for people claiming a blind or disabled basis of MA eligibility. See Disability Determinations.
l Eligibility for state and Title IV-E adoption assistance. See Adoption Assistance.
l Enrollment in Medicare Part A when required for eligibility for QMB, SLMB, QWD, or QI. See Medicare Savings Programs.
l Assets. See Verification of Assets for specific program policy.
l Pregnancy. See MA Pregnant Women for specific verification policy requirements.
l Asset Reductions. See MA and GAMC Excess Assets for more specific program policy.
l Medical expenses to meet a spenddown.
l Long-Term Care Consultation (LTCC).
Verify the following information for GAMC eligibility, in addition to the requirements given in Verification – All Programs:
l State residence. See State Residence - GAMC and GHO for specific policy requirements.
l GAMC qualifiers that cannot be verified internally through county systems or processes. See Verification of GAMC Qualifiers for more information.
l Liquid assets if total reported assets are within $300 of the asset limit. See Verification of Assets for specific policy requirements.