*** The Health Care Programs Manual (HCPM) has been replaced by the Minnesota Health Care Programs Eligibility Policy Manual (EPM) as of June 1, 2016.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: July 1, 2008 |
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25.10.20 - Changing the MA-EPD Premium Amount |
Archived: June 1, 2016 (Previous Version) |
Determine the premium amount at application and renewal.
Contacting the Special Recovery Unit (SRU).
Only take action to change the premium amount in the following situations:
l At renewal.
l When a reported change results in a decreased premium including but not limited to the following:
n Decreased income.
n Increased household size.
Notify the DHS Special Recovery Unit (SRU) by sending a SIR webmail message to dhs.made@state.mn.us if a reported change results in a decreased premium. SRU will bill the new amount on the next billing cycle.
Note: SRU will not decrease the premium retroactively except in the case of worker error.
l When the income guidelines change because of a change in law, or the annual increase in the FPG standards.
l When an IEVS match results in an increase in the MA-EPD premium. Apply the increased premium amount for the next available month.
Note: See IEVS Overpayment Process for information on how increased MA-EPD premiums due to an IEVS match are processed.
Contacting the Special Recovery Unit (SRU)
To contact SRU send a SIR webmail message to dhs.made@state.mn.us with a subject of ”MA-EPD Premium New/Changes” and include the following information:
l Enrollee Name.
l Case number.
l PMI.
l Billing Address.
l Representative Payee.
l Month/Amounts Paid.
l Effective Date of Change.
l New Premium Amount.
l County and worker name.
l Worker e-mail code.
l Comments including reason for the change.