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Effective: December 1, 2006 |
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07.10ar1 - Where to Apply (Archive) |
Archived: July 1, 2009 |
Clients have a choice of enrollment sites at which to apply for health care. These sites are based on what program the client is applying for, and his or her county of residence.
County Enrollment Site Processing.
Other MA/GAMC Sites for Application.
MinnesotaCare (MCRE) Enrollment Site Processing.
Clients have the option of applying at two different types of enrollment sites.
l Clients applying for MA or GAMC only may apply at the county agency where they live, which is their county of residence. The county agency is their enrollment site.
Note: Clients with a different county of financial responsibility from their county of residence may file at the county of financial responsibility.
l For clients wishing to apply for MCRE only, their enrollment site is either:
n MinnesotaCare Operations at DHS.
n The county agency where they live, if that county is a MCRE enrollment site.
Workers must forward application forms, related information and verifications to the appropriate enrollment site.
County Enrollment Site Processing
County enrollment sites normally determine MA and GAMC eligibility first, and then either process MCRE eligibility or transfer the file to MCRE Operations at DHS.
Note: Applicants must inform the county agency if they wish to be considered for MCRE only.
l If the client applies only for MCRE, send a denial notice for MA/GAMC to confirm their choice.
l If the client does not indicate for which program he or she is applying, or is only applying for MA/GAMC, determine MA/GAMC eligibility and then MCRE.
l If the client only applies for MA/GAMC, inform the client of the option to also have the application processed for MCRE.
Other MA/GAMC Sites for Application
Clients may also apply at other locations besides the county for MA/GAMC. These include:
l Residents of Regional Treatment Centers (RTC) may file application with the RTC reimbursement officer who will take the application and forward it to the county of residence.
l Authorized representatives applying on a client’s behalf may apply in any of the following counties and that county will forward the application to the client’s county of residence after processing:
n The client’s county of residence.
n The client’s county of financial responsibility.
n The authorized representative’s county of residence.
l Pregnant women and children may also apply at locations other than the county agency, known as outstation locations.
These outstation locations may include:
n Hospitals.
n Clinics.
n Other county and state designated locations.
l Authorized providers may accept applications and determine presumptive eligibility for MA for Breast and Cervical Cancer (MA-BC).
l Providers may assist applicants who are unable to request health care at the time of admission to a facility in submitting a request for assistance to the county agency.
MCRE Enrollment Site Processing
All MCRE enrollment sites must offer services on How to Apply for health care coverage.
When people file an application at MCRE Operations or a county MCRE enrollment site, the initial enrollment site retains the case until the applicant has submitted all verifications and DHS has received the initial premium payment.
l Allow a transfer from MCRE Operations to a county enrollment site when one of the following occurs:
n The client requests assistance from the county enrollment site to obtain verifications.
n MFIP, GA, MSA, MA, GAMC or Food Support are approved at a county enrollment site for one or more members of a household.
n A county social worker is helping an applicant with the application process.
l Allow other enrollment site transfers with supervisor approval.
l Allow an enrollment site transfer when an enrollee requests it, either verbally or in writing. Transfer the case file within five working days.
Clients may apply for MCRE at DHS MCRE Operations or at their county agency, if it is a MCRE enrollment site.
There are three types of county MCRE enrollment sites:
l Type One sites offer processing of applications only.
n These sites accept and process applications from county residents who have either:
m Never applied for MCRE.
m Had a break in eligibility for at least one calendar month.
n Process MA/GAMC eligibility first unless the client notifies the county agency verbally or in writing that they do not want eligibility determined for MA/GAMC.
n These county enrollment sites transfer cases to MCRE Operations when all of the following have been completed:
m All mandatory verifications are received.
m MCRE is approved.
m The initial premium payment is received.
n Applications are not transferred to MCRE Operations if no household members are eligible.
l Type Two sites offer processing of applications and continued case maintenance for county residents.
n Process MA/GAMC eligibility first unless the client notifies the county agency verbally or in writing that they do not want eligibility determined for MA/GAMC.
l Type Three sites offer processing of applications and continued case maintenance for county residents who meet the definition of current contacts.
To be considered a current contact, households must meet at least one of the following factors:
n Include at least one member who is eligible for cash, food support, or MA/GAMC and have at least one member applying for MCRE.
n Include at least one member who is losing eligibility for MA, GAMC, or MFIP and who requests MCRE within 30 days of termination.
n Include at least one GAMC client who is required to apply for MCRE.
n Include at least one member who is denied for MA or GAMC and requests MCRE.
Process MA/GAMC eligibility first unless the client notifies the county agency verbally or in writing that they do not want eligibility determined for MA/GAMC.