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Effective: May 1, 2007 |
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11.05.15ar1 - Cooperation with Documentation Requirements (Archive) |
Archived: April 1, 2008 |
People who are required to verify U.S. citizenship must cooperate within the application and renewal processing time periods. Cooperation may include signing an authorization allowing the contact of third parties to obtain documentation.
Do not deny or close eligibility when clients are cooperating in obtaining documentation of U.S. citizenship and identity, or while the agency is in the process of obtaining the documents.
All or Nothing Rule (MinnesotaCare).
All or Nothing Rule (MinnesotaCare)
The All or Nothing Rule applies to the citizenship documentation requirement for MinnesotaCare applicants and enrollees, which means that:
l All children and all adults in the household are ineligible if a child who is required to provide documentation of citizenship and identity fails to do so.
l All adults are ineligible if an adult who is required to provide documentation of citizenship and identity fails to do so.
Example:
Johanna applies for MinnesotaCare for her husband, Gary, and their two children, Suzi and Max. Johanna submits verification of citizenship and identity for all family members except for Suzi. Suzi is an eligible child and does not have other health insurance.
Action:
According to the All or Nothing Rule, no other child or adult in the household can enroll unless Suzi is enrolled.
Before denying or closing a case based on the All or Nothing Rule, see Failure to Cooperate below.
Failure to cooperate with U.S. citizenship and identity documentation requirements occurs when clients do all of the following:
l Have been notified of the requirement and do not provide the required documentation.
l Do not explain the reason it is not possible for them to obtain the documentation.
l Refuse to sign an authorization to contact third parties to obtain documentation.
Deny or close health care coverage for clients who are required to provide documentation of citizenship and identity with appropriate ten-day notice if they do not respond to written requests for documentation of U.S. citizenship and identity. Take the following steps:
l At application: If the applicant has not provided the required documentation by ten days prior to the end of the processing period, deny eligibility so the automated notice of denial is sent.
l At renewal: Follow the steps specified in Processing MinnesotaCare Renewals and Processing MA/GAMC Renewals for renewals with missing information or verifications and late renewals. After the appropriate steps are completed, if the enrollee has not responded to the request for citizenship and identity documentation, close eligibility with a ten-day notice.
Note: When clients are cooperating but are still unable to obtain documentation, refer the case to HealthQuest (see below).
Refer cases to HealthQuest when clients are cooperating with obtaining documentation and have made a good faith effort to obtain documentation, but appropriate documentation of citizenship and identity cannot be obtained.
l Complete a HealthQuest request by checking the ”Citizenship Documentation” check box. Do not give any private information. (When submitting a policy-only question, continue to check the program type.)
l Indicate in the question all details about what has already been done to obtain the documentation.
l Fax all supporting private information, forms, and documentation.
l Wait for the HealthQuest response before denying or closing eligibility.
l Upon receipt of the HealthQuest response, take appropriate action and document details in MAXIS or MMIS case notes.