|
Effective: December 1, 2006 |
|
|
09.05ar1 - Mandatory Verifications (Archive) |
Archived: May 1, 2007 |
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 The citizenship and identity of a client claiming U.S. citizenship.
Apply this requirement for applicants and enrollees applying for or renewing eligibility on or after August 1, 2006 if the client is applying for the following:
n MinnesotaCare for families with children, including pregnant women.
n MA:
m For families with children, including pregnant women.
m For women with breast or cervical cancer (MA-BC).
m For Employed Persons with Disabilities (MA-EPD).
m For enrollees who are in an Institution for Mental Disease (IMD) and enrollees on program IM in an IMD.
m Long-Term Care (LTC).
m For people receiving home and community-based waiver programs.
m TEFRA.
n Minnesota Family Planning. For more information on this program see Bulletin #06-21-07.
l Do not require verification of citizenship or identity for applicants and enrollees:
n Applying for or enrolled in MinnesotaCare for adults without children.
n Enrolled in or entitled to enroll in Medicare. The Social Security Administration has already verified citizenship and identity.
n General Assistance Medical Care (GAMC).
n HIV/AIDS Program.
See Verification of U.S. Citizenship or Bulletin #06-21-09C for more detailed information regarding how to document citizenship and identity.
l Immigration status for people who are requesting coverage who indicate they are non-citizens. 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, as well as 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.
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, as well as 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). See Long-Term Care.
Verify the following information for GAMC eligibility, as well as the requirements given in Verification – All Programs:
l State residence. See Residency for specific policy requirements.
l Liquid assets if total reported assets are within $300 of the asset limit. See Verification of Assets for specific policy requirements.