*** The Health Care Programs Manual (HCPM) has been replaced by the Minnesota Health Care Programs Eligibility Policy Manual (EPM) as of June 1, 2016. Please refer to the EPM for current health care program policy information. ***
Effective: March 1, 2011 |
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25.10 - MA-EPD Premiums |
Archived: June 1, 2016 (Previous Versions) |
People enrolled in MA for Employed Persons with Disabilities (MA-EPD) must pay monthly premiums.
Exception: An American Indian who has provided verification of American Indian status is exempt from paying a premium for MA-EPD.
l To determine the MA-EPD premium amount, including the Unearned Income Obligation (UIO) follow steps provided in MA-EPD Income Calculation.
l County agencies are responsible for sending and collecting the initial MA-EPD premiums.
l The DHS Special Recovery Unit (SRU) is responsible for ongoing MA-EPD premiums.
Note: This section provides steps for workers to follow when a client fails to pay a premium.
l There are several different ways a client may pay the MA-EPD premium and the premium payments are applied in a specific order. See Payment Options, Refunds and Dishonored Payments.
l See Changing the MA-EPD Premium Amount for more information on when to make a change in the MA-EPD premium amount.
l Good Cause for late payment is available and is determined by DHS.
l There is a premium exemption for American Indians.
A MA-EPD Premium Estimator is available for use and is linked to the DHS Disability Services website. The user can enter income and household size information to get estimated MA-EPD premium amounts.
For more information on MA-EPD see MA for Employed Persons with Disabilities.