Group Residential Housing (GRH) (Archive)

Group Residential Housing (GRH) is a state-funded program for certain licensed or registered group living arrangements. Facilities with certified GRH beds have a negotiated rate contract with a county to provide, at a minimum, room and board for Minnesota Supplemental Aid (MSA) or General Assistance (GA) clients. The GRH program helps pay for the cost of care for residents of some board and care homes, adult foster care, and Institution for Mental Diseases (IMD).

People who qualify for a GRH cash grant are automatically eligible for:

l  Medical Assistance (MA) if they have an MA basis of eligibility (such as disabled).

l  General Assistance Medical Care (GAMC) if they do not have an MA basis of eligibility.

People who do not receive a GRH cash grant must have their MA or GAMC eligibility determined separately.

Note:  People who are not eligible for a GRH cash grant but are MA-eligible except for excess income may use the remedial care expense deduction to meet a spenddown.

The information below pertains to eligibility requirements for GRH residents with automatic MA or GAMC.

Eligibility factors and links to standard program guidelines are provided below.

Application Process.

Eligibility Begin Date.

Renewals.

Verifications.

Social Security Number.

Citizenship/Immigration Status.

Residency.

Insurance and Benefit Recovery.

Household Composition.

Eligibility Method.

Asset Guidelines.

Income Guidelines.

Deductions/Disregards.

Spenddowns.

Covered Services.

Service Delivery.

Other Requirements.

End of Eligibility Basis.

Relationship to Other Groups/Bases.

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Application Process  (standard guidelines)

No separate application is needed because MA or GAMC is automatic with GRH eligibility.

Eligibility Begin Date  (standard guidelines)

Automatic MA eligibility is available effective the first of the month in which GRH is approved.

Note:  Applicants can be eligible for up to three months of retroactive MA coverage without a separate application, but they must meet all MA eligibility requirements in the retroactive months.

Automatic GAMC eligibility is effective the date of application for GRH.

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Renewals  (standard guidelines)

Six-month renewals are not required for people who receive MA or GAMC automatically with GRH.

Verifications  (standard guidelines)

Follow GRH guidelines.

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Social Security Number  (standard guidelines)

Follow GRH guidelines.

Citizenship/Immigration Status  (standard guidelines)

Follow GRH guidelines.

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Residency  (standard guidelines)

Follow GRH guidelines.

Insurance and Benefit Recovery  (standard guidelines)

DHS pays Medicare Part B premiums through the buy-in for people who are enrolled in Medicare and receive MA automatically with GRH.

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Household Composition  (standard guidelines)

Follow GRH guidelines.

Eligibility Method  (standard guidelines)

Follow GRH guidelines.

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Asset Guidelines  (standard guidelines)

Follow GRH guidelines.

Income Guidelines  (standard guidelines)

Follow GRH guidelines.

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Deductions/Disregards  (standard guidelines)

Follow GRH guidelines.

Spenddowns  (standard guidelines)

Not applicable.

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Covered Services  (standard guidelines)

Follow standard MA/GAMC guidelines.

Service Delivery  (standard guidelines)

Follow standard MA/GAMC guidelines.

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Other Requirements

Not applicable.

End of Eligibility Basis

Follow standard MA/GAMC guidelines.

Relationship to Other Groups/Bases  (standard guidelines)

GRH recipients do not have to accept MA. They may decline health care coverage. They may not choose state-funded coverage through MinnesotaCare or GAMC.

GRH recipients who are enrolled in Medicare are automatically accreted to the buy-in, so have no need for Medicare Savings Programs eligibility.

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