Eligibility for Medicaid in Minnesota

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“What are the requirements for Medicaid in Minnesota?” is a question that many Minnesotans seeking medical coverage may be asking. Candidates who learn how to qualify for Medicaid will improve their chances of a successful application. Minnesota’s Medicaid program, referred to as Medical Assistance (MA), is intended for families and individuals with a financial situation that could be classified as low-income. Most individuals who qualify for Medical Assistance get health care through different health plans. Participants can select a health plan that makes sense for them. Participants who opt to not enroll in a health plan can still receive care, but they will pay on a fee-for-service basis, with health care providers billing the state of Minnesota directly for any services they provide. Understanding Medicaid benefits eligibility guidelines is integral to ensuring that qualified candidates are able to receive assistance. When a candidate meets all Medicaid eligibility requirements, MA provides different types of comprehensive coverage. There are income requirements for Medicaid in Minnesota, just like any other state. Petitioners wanting to know who is eligible for Medicaid in MN can find answers by reviewing the information below.

What are the requirements for Medicaid in Minnesota?

If a petitioner is seeking to qualify for Medicaid in Minnesota, he or she must be a resident of the state. To meet Medicaid eligibility requirements, applicants must also be a U.S. national, U.S. citizen or a qualifying non-citizen. Applicants are required to provide a Social Security number for each household member who is requesting MA, unless they qualify for a special exception. Petitioners must meet the MN Medicaid eligibility income limit and asset limit for the program and adhere to any other program rules and regulations. To learn more about eligibility requirements for Medicaid, download our comprehensive guide.

Residents may still qualify to receive MA benefits even if they already have other private insurance. When applying for Medicaid, they simply must state in their application that they have other insurance or could get insurance through an employer or military service. Often, MA can pay the cost of the other insurance, allowing the candidate to keep the same coverage.

What are the income requirements for Medicaid in Minnesota?

The Medicaid income requirements in Minnesota depend on a candidate’s age and who is living in the candidate’s household. To qualify for Medical Assistance, applicants who are pregnant, blind or living with a disability adhere to different income limits. To learn more about required income levels for different groups, download our guide.

Some petitioners who do not meet the MN income limit for Medicaid may still be eligible for Medicaid benefits by using a spenddown. A spenddown functions like an insurance deductible, meaning participants are responsible for some of their medical bills before MA can provide financial assistance.

Besides the income limit for Medical Assistance in Minnesota, there is an asset limit. Assets are personal possessions that have value, such as cars, checking and savings accounts, real estate and investments. The asset requirements for Medicaid in MN do not apply to children who are younger than 21 years of age, adults without children, pregnant women and certain other groups. Parents and any caretaker relative who are eligible for MA with a spenddown have certain asset limits. Seniors and people who are 21 years of age and older who are disabled or blind have to adhere to an asset limit as well. Assets that do not need to be noted toward the Medicaid asset limit requirements include the applicant’s place of residence, household goods, personal items like clothing and jewelry and special items owned by an American Indian.

What are the Medicaid application guidelines in Minnesota?

Applicants who want a quick determination of MN Medicaid benefits eligibility can apply online to obtain the fastest results. By following Medicaid application guidelines and applying online, candidates can avoid a long waiting period. Applicants may be notified right away if they qualify for Medical Assistance in Minnesota or if they will have to pay for health care coverage. If an applicant is denied for MA benefits, the state will provide reasoning for its decision. Those who qualify for Medicaid benefits will receive an official letter with a response that lists eligible members of the household. The letter will also offer information on how to have the application reviewed if the candidate does not agree with the determination that was made. Candidates can also apply by mail, but the process does take longer.