*** The Health Care Programs Manual (HCPM) has been replaced by the Minnesota Health Care Programs Eligibility Policy Manual (EPM) as of June 1, 2016.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, 2012 |
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11.25 - Federally or State-Funded Health Care |
Archived: June 1, 2016 (Previous Versions) |
Noncitizens may qualify for federally funded health care (Medical Assistance with Federal Financial Participation (FFP) or MinnesotaCare major programs LL, BB or FF) depending on a variety of factors including their date of entry, length of residence in the United States, whether they are incarcerated, and whether they have served in the United States military.
Statuses That May Be Federally or State-Funded.
MA for People with a Parent, Disabled, Blind, or Age 65 or Older Basis of Eligibility.
MinnesotaCare or MA Pregnant Women and Children under age 21.
MinnesotaCare Parents and Relative Caretakers.
Federally Funded MinnesotaCare.
MinnesotaCare for Adults Without Children.
Federally Funded MinnesotaCare.
Exemption for Military Service.
Statuses That May be Federally or State-Funded
Immigration statuses that may have either state or federal funding are:
l Battered noncitizens and their children.
l Lawful permanent residents (LPRs).
l Immigrants granted parole for at least one year.
See the specific sections for definitions and a list of acceptable sources of verification for individual statuses.
MA for People with a Parent, Disabled, Blind, or Age 65 or Older Basis of Eligibility
The following people with a parent, disabled, blind or age 65 or older basis of eligibility for MA may qualify for federally funded MA if they meet all other eligibility criteria:
1. United States Citizens or Nationals.
2. LPRs, battered noncitizens and their children, and immigrants granted parole for at least one year who meet one or more of the following conditions:
n Entered the United States before August 22, 1996.
n Have resided in the United States for five years or more in qualified status.
n Meets the military service exemption.
3. Noncitizens with an immigration status listed in Federally Funded Health Care.
Note: Noncitizens who receive services from the Center for Victims of Torture (CVT) continue to qualify for state-funded MA if they do not qualify for federally funded MA. See MA for People Receiving Services from Center for Victims of Torture for more information about this basis.
MinnesotaCare or MA for Pregnant Women and Children under age 21
Pregnant women and children under age 21 who are citizens and lawfully present noncitizens may qualify for federally funded MA or MinnesotaCare (Major Program LL) if they meet all other eligibility criteria.
Exception: If a pregnant woman or child becomes incarcerated while enrolled in MinnesotaCare, change their major program to state-funded MinnesotaCare (Major Program JJ) until the next renewal. Close MinnesotaCare if they are still incarcerated at the next renewal. People who become incarcerated while enrolled in MA are not eligible.
Undocumented and nonimmigrant pregnant women with a temporary status (such as students and tourists) may be eligible for CHIP-funded MA or Emergency Medical Assistance. Refer to Medical Assistance for Pregnant Women for more information.
MinnesotaCare Parents and Relative Caretakers
Federally Funded MinnesotaCare
The following parents and relative caretakers may qualify for federally funded MinnesotaCare (Major Program FF) if they meet all other eligibility criteria:
1. United States Citizens or Nationals.
2. LPRs, battered noncitizens and their children, and immigrants granted parole for at least one year who meet one or more of the following conditions:
m Entered the United States before August 22, 1996.
m Have resided in the United States for five years or more in qualified status.
m Meets the military service exception.
3. Noncitizens with an immigration status listed in Federally Funded Health Care.
The following parents or relative caretakers may qualify for state-funded MinnesotaCare (Major Program JJ):
Note: State-funded Medical Assistance (NMED) ended March 1, 2012. Noncitizens previously eligible for NMED may qualify for state-funded MinnesotaCare for parents and relative caretakers or adults without children if they meet all eligibility criteria.
1. LPRs, battered noncitizens and their children, and immigrants granted parole for at least one year who meet one or more of the following conditions:
m Entered the United States after August 22, 1996.
m Have resided in the United States for less than five years.
m Does not meet the military service exemption.
2. Other lawfully present noncitizens.
3. Legal guardian and foster parents, regardless of their immigration status, or length of residence.
4. Adults with children who become incarcerated while enrolled in MinnesotaCare. Close MinnesotaCare if they remain incarcerated at next renewal.
MinnesotaCare Adults Without Children
Federally Funded MinnesotaCare
The following adults without children may be eligible for federally funded MinnesotaCare (BBM5) if they meet all other eligibility criteria.
1. U.S. citizens with household incomes over 75% FPG, but at or below 250%.
2. Noncitizens with income over 75% FPG, but at or below 250% who are LPRs, battered noncitizens and their children, or immigrants granted parole for at least one year who meet one or more of the following conditions:
m Entered the United States before August 22, 1996.
m Have resided in the United States for five years or more in qualified status.
m Meets the military service exemption.
3. Noncitizens with an immigration status listed in Federally Funded Health Care.
The following adults without children may be eligible for state-funded MinnesotaCare (BBM6) if they meet all other eligibility criteria:
1. LPRs, battered noncitizens and their children, and immigrants granted parole for at least one year who meet one or more of the following conditions:
m Entered the United States after August 22, 1996.
m Have resided in the United States for less than five years.
m Does not meet the military service exception.
Example:
Eva, a single adult without children, is a lawful permanent resident (LPR) who entered the United States on August 10, 2009. She applies for MinnesotaCare on May 5, 2012. She does not meet a military exemption. She does meet all MinnesotaCare eligibility criteria.
Action:
Approve state-funded MinnesotaCare for Eva because she is an LPR who has lived int he U.S. for less than five years and does not meet a military exemption.
2. Other lawfully present noncitizens.
3. U.S. citizens and noncitizens with an immigration status that would otherwise qualify for federal funding who do not qualify for Medical Assistance for adults without children (MA-AX), and who have income at or below 75% FPG.
Note: Due to difference in the income methodology for MA adults without children and MinnesotaCare, a U.S. citizen or noncitizen with an immigration status that qualifies for federal funding may be ineligibile for MA, due to income over 75% FPG using the MA income calculation, but qualify for MinnesotaCare due to their income being at or below 75% FPG using the MinnesotaCare income calculation.
Example:
Joseph, a single adult without children, applies for MinnesotaCare on May 15, 2012. He is 29 years old, is a U.S. citizen and is a farmer. He was denied MA-AX due to income above 75% FPG. His income includes depreciation from farm equipment, which is not counted as income for MinnesotaCare.
Action:
Determine MinnesotaCare eligibility, Approve state-funded MinnesotaCare if Joseph has income at or below 75% FPG and meets all other MinnesotaCare eligibility criteria.
4. MinnesotaCare enrollees who would otherwise qualify for federal funding, but who become incarcerated. If still incarcerated at next renewal, close MinnesotaCare.
Consider Emergency Medical Assistance (EMA) for noncitizens who have a medical emergency.
Exemption for Military Service
Non-pregnant adult noncitizens with an immigration status of LPR, battered noncitizen, or immigrants granted parole for at least one year may be eligible for federally funded health care (MA or MinnesotaCare) regardless of their date of entry or length of time in the United States if they meet an exemption due to military service.
They meet an exemption due to military service if they are one of the following:
l Honorably discharged non-U.S. citizen veterans of the U.S. armed forces.
l Noncitizens on active duty in the U.S. armed forces.
This exemption also includes spouses and unmarried dependent children of these honorably discharged veterans or active duty personnel. It does not include National Guard service.
Require one of the following forms of verification:
l Original or notarized copy of discharge papers.
l Original or notarized copy of current orders showing full-time duty in the U.S. Army, Navy, Air Force, Marine Corps, or Coast Guard.
l Military identification card.
Note: Self-declaration under penalty of perjury may be accepted pending receipt of acceptable documentation.