Medical Assistance. A Minnesota Health Care Program administered by county agencies that provides health care for needy people. People may receive MA as a separate program or in conjunction with an MSA grant. Known federally as Medicaid.
MA-BC
Medical Assistance for Breast and Cervical Cancer. An MA basis of eligibility for women who have been screened through the Sage Screening Program and found to need treatment for breast or cervical cancer.
MA-EPD
Medical Assistance for Employed Persons with Disabilities. Program which provides MA coverage to certain employed disabled people who would not otherwise be eligible.
Maintenance Needs Allowance
The amount of monthly income protected for people eligible under the SIS-EW program. It is determined by adding the MSA equivalent rate and the clothing and personal needs allowance and changes annually.
Major Program Eligibility Type (MPET)
The MPET is the combination of the major program and the eligibility type. MMIS uses the MPET to assign the correct benefit set and Federal Financial Participation (FFP) amount to each enrollee.
Managed Care
A health care delivery system under which enrollees receive most medical services through a health plan or network of providers which coordinates the services provided. DHS pays a fixed rate in advance for each enrollee.
Managed Care Organization (MCO)
An organization certified by the Minnesota Department of Health which agrees to provide all defined health care benefits to individuals in return for a capitated payment. MCOs are also referred to as \"health plans.\"
Marriage
For health care program eligibility, marriage must be a union that is legally recognized in Minnesota (as defined in MN State Statute 517.01). See Chapter 17 of this manual (Household Composition) for further information.
Mass Change
A change brought about by a shift in federal or state policy which affects many or all clients.
Matching Grant Program
A program offered by some Voluntary Resettlement Agencies (VOLAGs). The program's goal is to help some refugees attain self-sufficiency without access to public cash assistance.
Maternity Home
A maternity home is a residential program for pregnant women that provides comprehensive services including health and wellness, safety, parenting and independent life skills.
MAXIS
Minnesota's statewide automated eligibility system for county-administered programs, including Food Support (FS), General Assistance (GA), Medical Assistance (MA), Minnesota Family Investment Program (MFIP), and Minnesota Supplemental Aid (MSA).
MCHA
Minnesota Comprehensive Health Association. A plan that provides health insurance to people who are otherwise uninsurable due to health conditions or other circumstances specified in statute.
MCO
Managed Care Organization. An organization certified by the Minnesota Department of Health which agrees to provide all defined health care benefits to individuals in return for a capitated payment. MCOs are also referred to as \"health plans.\"
Medicaid
The federal program known in Minnesota as Medical Assistance (MA) which provides health care to needy people.
Medicaid Eligibility Quality Control (MEQC)
A state effort, in compliance with federal law, to conduct reviews of Medicaid cases in order to improve service to recipients and access to eligibility for publicly funded health care programs, and to assure the integrity of the programs.
Medicaid Management Information System (MMIS)
Minnesota's statewide automated system for MinnesotaCare, and payment of medical claims and capitation payments for all Minnesota Health Care Programs.
Medical Assistance (MA)
A Minnesota Health Care Program administered by county agencies that provides health care for needy people. People may receive MA as a separate program or in conjunction with an MSA grant. Known federally as Medicaid.
Medical Assistance for Breast and Cervical Cancer (MA-BC)
An MA basis of eligibility for women who have been screened through the Sage Screening Program and found to need treatment for breast or cervical cancer.
Medical Assistance for Employed Persons with Disabilities (MA-EPD)
Program which provides MA coverage to certain employed disabled people who would not otherwise be eligible.
Medical Claim History
A listing of a client's medical expenses paid by the Minnesota Health Care Programs.
Medical Expense Account
An account that allows a person to set aside pre-tax dollars to be used for reimbursement of qualified medical expenses not covered by health insurance. Medical expense accounts are often set up by employers and include Medical Savings Accounts, Flexible Spending Arrangements, Health Reimbursement Arrangements and Health Savings Accounts.
Medical Institution
A nursing facility, intermediate care facility for persons with mental retardation, or an inpatient hospital stay of 30 days or more.
Medical Savings Account (MSA)
A tax-deferred savings account that can be offered by employers as part of a benefits package. Medical savings accounts are designed to help participants pay for medical and healthcare expenses by allowing them to save for those expenses in a tax-sheltered environment. See IRS Publication 969 for more information.
Medical Spenddown
The difference between a client’s net countable income and the appropriate FPG standard as calculated in a community income calculation. A client must have incurred medical expenses in an amount equal to or greater than the medical spenddown to become eligible for MA Medical expenses include reasonable and necessary medical expenses, services provided through a home and community-based waiver program, LTCF costs, and Medicare and other health insurance premiums.
Medical Support
Health insurance coverage or cash payments that a parent provides or is court-ordered to provide to meet the medical needs of the parent's child. Court orders generally require medical support payments until the child is 18 but may require payments beyond age 18 in some cases.
Medically Necessary
A health service rendered in response to a life-threatening condition or pain; to treat an injury, illness, or infection; to achieve a level of physical or mental function consistent with prevailing community standards for the diagnosis or condition; to care for a mother and child through the maternity period; is a preventative health service; or to treat a condition that could result in physical or mental disability. The provider's professional peer group must recognize the service as the prevailing standard or current practice and as consistent with the client's diagnosis or condition.
Medicare
A federal health insurance program for people who are age 65 or older, disabled, blind, or have permanent kidney failure.
Medicare Extension
A period of extended Medicare eligibility for some disabled people who lost their RSDI benefit because they earn more than the Substantial Gainful Activity (SGA) level.
Medicare Medical Savings Plan
A two-part plan that includes a high-deductible health plan and a bank account. Medicare pays the plan to provide Medicare coverage. The plan deposits a portion of the money into a beneficiary's account, to be used to pay for Medicare-covered Part A and B services. The beneficiary is responsible for services provided in excess of account funds, up to the health plan deductible. Money left in the account rolls over to be used in subsequent years.
Medicare Part D Benchmark Plan
A prescription drug coverage plan that has been designated by Medicare to meet certain coverage requirements and which has a monthly premium that is fully subsidized by Extra Help.
Medicare Savings Programs (MSP)
A collective term for the following MA programs: QMB, SLMB, QI and QWD. The MSPs provide payment for some Medicare premiums and other costs. Formerly known as the Medicare Supplement Programs.
Mental Retardation and Related Conditions (MR/RC)
The former name of the Developmental Disabilities (DD) waiver program.
MEQC
Medicaid Eligibility Quality Control. A state effort, in compliance with federal law, to conduct reviews of Medicaid cases in order to improve service to recipients and access to eligibility for publicly funded health care programs, and to assure the integrity of the programs.
METO
Minnesota Extended Treatment Option. A specialized short-term service designed to meet the needs of individuals with mental retardation or a related condition whose behavior or actions present a risk to public safety.
MFIP
Minnesota Family Investment Program. A program authorized under the federal Temporary Assistance to Needy Families (TANF) block grant and Minnesota Statutes 256J to provide cash assistance and employment support to needy families. MFIP replaced the Aid to Families with Dependent Children (AFDC) program.
MFPP
Minnesota Family Planning Program. A DHS-administered health care program that covers family planning services and related supplies for people who are not enrolled in Minnesota Health Care Programs.
MHCP
Minnesota Health Care Programs. A group of health coverage programs available through the State of Minnesota to people who qualify including: MinnesotaCare, Medical Assistance (MA) which includes QMB, QWD, SLMB, QI, MA-EPD, and federally funded waiver programs.
Minnesota COBRA Premium Subsidy
The Minnesota COBRA Premium Subsidy provided partial payment of COBRA insurance premiums to workers who became unemployed between September 2008 and May 2010. The Minnesota COBRA Premium Subsidy expired August 31, 2011.
Minnesota Community Application Agent (MNCAA) Program
A DHS program that helps people enroll in Minnesota Health Care Programs (MHCP) by providing outreach and application assistance via participating community organizations.
Minnesota Comprehensive Health Association (MCHA)
A plan that provides health insurance to people who are otherwise uninsurable due to health conditions or other circumstances specified in statute.
Minnesota Extended Treatment Option (METO)
A specialized short-term service designed to meet the needs of individuals with mental retardation or a related condition whose behavior or actions present a risk to public safety.
Minnesota Family Investment Program (MFIP)
A program authorized under the federal Temporary Assistance to Needy Families (TANF) block grant and Minnesota Statutes 256J to provide cash assistance and employment support to needy families. MFIP replaced the Aid to Families with Dependent Children (AFDC) program.
Minnesota Family Planning Program (MFPP)
A DHS-administered health care program that covers family planning services and related supplies for people who are not enrolled in Minnesota Health Care Programs.
Minnesota Health Care Programs (MHCP)
A group of health coverage programs available through the State of Minnesota to people who qualify including: MinnesotaCare, Medical Assistance (MA) which includes QMB, QWD, SLMB, QI, MA-EPD, and federally funded waiver programs.
Minnesota Supplemental Aid (MSA)
A state-funded program that provides cash assistance to SSI recipients, blind people, people age 65 or older, and disabled people who are age 18 and older.
MinnesotaCare
A subsidized premium-based Minnesota Health Care Program for some families with children and some adults without children. It is administered by DHS and county agencies that elect to be MinnesotaCare enrollment sites. However, all county agencies, even non-enrollment sites, must administer the program for Transitional MinnesotaCare enrollees who transition to MinnesotaCare.
MinnesotaCare Operations
The organizational unit at DHS responsible for determining MinnesotaCare eligibility and providing case maintenance to clients.
MinnesotaCare Quality Assurance
A performance evaluation system established by the Minnesota Legislature to review the accuracy of MinnesotaCare determinations.
Minor Caretaker
A non-emancipated child who is the parent of a child living in his/her household. For MHCP purposes a minor caretaker is under age 21. For medical support and social services referrals a minor caretaker is under age 18.
Minor Child
A child under age 18.
MMIS
Medicaid Management Information System. Minnesota's statewide automated system for MinnesotaCare, and payment of medical claims and capitation payments for all Minnesota Health Care Programs.
MNCAA Program
Minnesota Community Application Agent Program. A DHS program that helps people enroll in Minnesota Health Care Programs (MHCP) by providing outreach and application assistance via participating community organizations.
Month of Application
The month in which a client's application for coverage under the Minnesota Health Care Programs is received by MinnesotaCare or a county agency.
Monthly Reporting
The requirement to complete a Household Report Form (HRF) every month.
Mortality Tables
See Life Estate Mortality Table and/or Life Expectancy Table.
MPET
Major Program Eligibility Type. The MPET is the combination of the major program and the eligibility type. MMIS uses the MPET to assign the correct benefit set and Federal Financial Participation (FFP) amount to each enrollee.
MSA
Minnesota Supplemental Aid. A state-funded program that provides cash assistance to SSI recipients, blind people, people age 65 or older, and disabled people who are age 18 and older.
MSP
Medicare Savings Programs. A collective term for the following MA programs: QMB, SLMB, QI and QWD. The MSPs provide payment for some Medicare premiums and other costs. Formerly known as the Medicare Supplement Programs.