Minn. Stat. § 256L.04
ELIGIBLE PERSONS.
Redline — January 1, 2014 → current.View current text →
Current — January 1, 2024
As of January 1, 2014
Subdivision 1. Families with children.
Subdivision 1. Families with children.
Families with children with family income above 133 percent of the federal poverty guidelines and equal to or less than 200 percent of the federal poverty guidelines for the applicable family size shall be eligible for MinnesotaCare according to this section. All other provisions of sections 256L.01 to 256L.18 shall apply unless otherwise specified. Children under age 19 with family income at or below 200 percent of the federal poverty guidelines and who are ineligible for medical assistance by sole reason of the application of federal household composition rules for medical assistance are eligible for MinnesotaCare.
Families with children with family income above 133 percent of the federal poverty guidelines and equal to or less than 200 percent of the federal poverty guidelines for the applicable family size shall be eligible for MinnesotaCare according to this section. All other provisions of sections 256L.01 to 256L.18 shall apply unless otherwise specified. Children under age 19 with family income at or below 200 percent of the federal poverty guidelines and who are ineligible for medical assistance by sole reason of the application of federal household composition rules for medical assistance are eligible for MinnesotaCare.
Subd. 1a. Social Security number required.
Subd. 1a. Social Security number required.
Individuals and families applying for MinnesotaCare coverage must provide a Social Security number if required by Code of Federal Regulations, title 45, section 155.310 (a)(3).
(b) The commissioner shall not deny eligibility to an otherwise eligible applicant who has applied for a Social Security number and is awaiting issuance of that Social Security number.
(c) Newborns enrolled under section 256L.05, subdivision 3 , are exempt from the requirements of this subdivision.
(d) Individuals who refuse to provide a Social Security number because of well-established religious objections are exempt from the requirements of this subdivision. The term "well-established religious objections" has the meaning given in Code of Federal Regulations, title 42, section 435.910.
Subd. 1b.
Subd. 1b.
[Repealed, 2013 c 108 art 1 s 68 ]
[Repealed, 2013 c 108 art 1 s 68 ]
Subd. 1c. General requirements.
Subd. 1c. General requirements.
To be eligible for coverage under MinnesotaCare, a person must meet the eligibility requirements of this section. A person eligible for MinnesotaCare shall not be considered a qualified individual under section 1312 of the Affordable Care Act, and is not eligible for enrollment in a qualified health plan offered through MNsure under chapter 62V.
To be eligible for MinnesotaCare, a person must meet the eligibility requirements of this section. A person eligible for MinnesotaCare shall not be considered a qualified individual under section 1312 of the Affordable Care Act, and is not eligible for enrollment in a qualified health plan offered through MNsure under chapter 62V.
Subd. 2. Third-party liability, paternity, and other medical support.
Subd. 2. Third-party liability and other medical support.
Individuals and families may cooperate with the state agency to identify potentially liable third-party payers and assist the state in obtaining third-party payments. "Cooperation" includes, but is not limited to, complying with the notice requirements in section 256B.056, subdivision 9 , identifying any third party who may be liable for care and services provided under MinnesotaCare to the enrollee, providing relevant information to assist the state in pursuing a potentially liable third party, and completing forms necessary to recover third-party payments.
(b) A parent, guardian, relative caretaker, or child enrolled in the MinnesotaCare program must cooperate with the Department of Human Services and the local agency in establishing the paternity of an enrolled child and in obtaining medical care support and payments for the child and any other person for whom the person can legally assign rights, in accordance with applicable laws and rules governing the medical assistance program. A child shall not be ineligible for or disenrolled from the MinnesotaCare program solely because the child's parent, relative caretaker, or guardian fails to cooperate in establishing paternity or obtaining medical support.
Subd. 2a. Applications for other benefits.
Subd. 2a.
To be eligible for MinnesotaCare, individuals and families must take all necessary steps to obtain other benefits as described in Code of Federal Regulations, title 42, section 435.608. Applicants and enrollees must apply for other benefits within 30 days of notification.
[Repealed, 2016 c 189 art 19 s 31 ]
Subd. 3.
Subd. 3.
[Repealed, 1998 c 407 art 5 s 48 ]
[Repealed, 1998 c 407 art 5 s 48 ]
Subd. 4.
Subd. 4.
[Repealed, 1998 c 407 art 5 s 48 ]
[Repealed, 1998 c 407 art 5 s 48 ]
Subd. 5.
Subd. 5.
[Repealed, 1998 c 407 art 5 s 48 ]
[Repealed, 1998 c 407 art 5 s 48 ]
Subd. 6.
Subd. 6.
[Repealed, 1998 c 407 art 5 s 48 ]
[Repealed, 1998 c 407 art 5 s 48 ]
Subd. 7. Single adults and households with no children.
Subd. 7. Single adults and households with no children.
The definition of eligible persons includes all individuals and families with no children who have incomes that are above 133 percent and equal to or less than 200 percent of the federal poverty guidelines for the applicable family size.
The definition of eligible persons includes all individuals and families with no children who have incomes that are above 133 percent and equal to or less than 200 percent of the federal poverty guidelines for the applicable family size.
Subd. 7a. Ineligibility.
Subd. 7a. Ineligibility.
Adults whose income is greater than the limits established under this section may not enroll in the MinnesotaCare program.
Adults whose income is greater than the limits established under this section may not enroll in the MinnesotaCare program.
Subd. 7b. Annual income limits adjustment.
Subd. 7b. Annual income limits adjustment.
The commissioner shall adjust the income limits under this section each July 1 by the annual update of the federal poverty guidelines following publication by the United States Department of Health and Human Services except that the income standards shall not go below those in effect on July 1, 2009.
Subd. 8. Applicants potentially eligible for medical assistance.
(a) Individuals who receive Supplemental Security Income or retirement, survivors, or disability benefits due to a disability, or other disability-based pension, who qualify under subdivision 7, but who are potentially eligible for medical assistance without a spenddown shall be allowed to enroll in MinnesotaCare, so long as the applicant meets all other conditions of eligibility. The commissioner shall identify and refer the applications of such individuals to their county social service agency. The county and the commissioner shall cooperate to ensure that the individuals obtain medical assistance coverage for any months for which they are eligible.
(b) The enrollee must cooperate with the county social service agency in determining medical assistance eligibility. Enrollees who do not cooperate with medical assistance shall be disenrolled from the plan within one calendar month. Persons disenrolled for nonapplication for medical assistance may not reenroll until they have obtained a medical assistance eligibility determination. Persons disenrolled for noncooperation with medical assistance may not reenroll until they have cooperated with the county agency and have obtained a medical assistance eligibility determination.
(c) Counties that choose to become MinnesotaCare enrollment sites shall consider MinnesotaCare applications to also be applications for medical assistance.
(d) The commissioner shall redetermine provider payments made under MinnesotaCare to the appropriate medical assistance payments for those enrollees who subsequently become eligible for medical assistance.
The commissioner shall adjust the income limits under this section annually on January 1 as provided in Code of Federal Regulations, title 26, section 1.36B-1(h).
Subd. 9.
Subd. 8.
[Repealed, 2013 c 107 art 4 s 22; 2013 c 108 art 1 s 68 ]
[Repealed, 2016 c 189 art 19 s 31 ]
Subd. 9.
[Repealed, 2013 c 107 art 4 s 22; 2013 c 108 art 1 s 68 ]
Subd. 10. Citizenship requirements.
Subd. 10. Citizenship requirements.
(a) Eligibility for MinnesotaCare is limited to citizens or nationals of the United States and lawfully present noncitizens as defined in Code of Federal Regulations, title 8, section 103.12. Undocumented noncitizens are ineligible for MinnesotaCare. For purposes of this subdivision, an undocumented noncitizen is an individual who resides in the United States without the approval or acquiescence of the United States Citizenship and Immigration Services. Families with children who are citizens or nationals of the United States must cooperate in obtaining satisfactory documentary evidence of citizenship or nationality according to the requirements of the federal Deficit Reduction Act of 2005, Public Law 109-171.
(a) Eligibility for MinnesotaCare is available to citizens or nationals of the United States; lawfully present noncitizens as defined in Code of Federal Regulations, title 45, section 155.20; and undocumented noncitizens. For purposes of this subdivision, an undocumented noncitizen is an individual who resides in the United States without the approval or acquiescence of the United States Citizenship and Immigration Services. Families with children who are citizens or nationals of the United States must cooperate in obtaining satisfactory documentary evidence of citizenship or nationality according to the requirements of the federal Deficit Reduction Act of 2005, Public Law 109-171.
(b) Notwithstanding subdivisions 1 and 7, eligible persons include families and individuals who are lawfully present and ineligible for medical assistance by reason of immigration status and who have incomes equal to or less than 200 percent of federal poverty guidelines.
(b) Notwithstanding subdivisions 1 and 7, eligible persons include families and individuals who are ineligible for medical assistance by reason of immigration status and who have incomes equal to or less than 200 percent of federal poverty guidelines, except that these persons may be eligible for emergency medical assistance under section 256B.06, subdivision 4 .
Subd. 10a.
Subd. 10a.
[Repealed, 2013 c 108 art 1 s 68 ]
[Repealed, 2013 c 108 art 1 s 68 ]
Subd. 11.
Subd. 11.
[Repealed, 1Sp2005 c 4 art 8 s 88 ]
[Repealed, 1Sp2005 c 4 art 8 s 88 ]
Subd. 12. Persons in detention.
Subd. 12. Persons in detention.
An applicant or enrollee residing in a correctional or detention facility is not eligible for MinnesotaCare, unless the applicant or enrollee is awaiting disposition of charges.
An applicant or enrollee residing in a correctional or detention facility is not eligible for MinnesotaCare, unless the applicant or enrollee is awaiting disposition of charges.
Subd. 13. Families with relative caretakers, foster parents, or legal guardians.
Beginning January 1, 1999, in families that include a relative caretaker as defined in the medical assistance program, foster parent, or legal guardian, the relative caretaker, foster parent, or legal guardian may apply as a family or may apply separately for the children. If the caretaker applies separately for the children, only the children's income is counted and the provisions of subdivision 1, paragraph (b), do not apply. If the relative caretaker, foster parent, or legal guardian applies with the children, their income is included in the gross family income for determining eligibility and premium amount.
Subd. 13.
MS 2018 [Repealed, 2020 c 115 art 3 s 40 ]
Subd. 14. Coordination with medical assistance.
Subd. 14. Coordination with medical assistance.
(a) Individuals eligible for medical assistance under chapter 256B are not eligible for MinnesotaCare under this section.
(a) Individuals eligible for medical assistance under chapter 256B are not eligible for MinnesotaCare under this section.
(b) The commissioner shall coordinate eligibility and coverage to ensure that individuals transitioning between medical assistance and MinnesotaCare have seamless eligibility and access to health care services.
(b) The commissioner shall coordinate eligibility and coverage to ensure that individuals transitioning between medical assistance and MinnesotaCare have seamless eligibility and access to health care services.
Official source: Minnesota Office of the Revisor of Statutes. Reproduced from public-domain Minnesota statutes; confirm against the official source for the current text. Not legal advice.