This article is a section taken from MA for Families with Children and Adults (MA-FCA), a part of the revisions and additions to the Minnesota Health Care Program Eligibility Policy Manual.
Table of Contents
Enrollees in Medical Assistance for Families with Children and Adults (MA-FCA) must have eligibility renewed every 12 months. Renewing eligibility means redetermining eligibility.
Annual Renewal Month
The annual renewal month is the month in which eligibility is redetermined for the next 12 months. The first annual renewal month after application is 12 months from the month of application and occurs annually thereafter as long as the enrollee remains eligible for MA.
Consent to Use Federal Tax Information
Applicants have the option when completing the application to allow the use of income data from the Internal Revenue Service to renew eligibility. Applicants choose one of six options for authorizing automatic eligibility redeterminations:
- Five years
- Four years
- Three years
- Two years
- One year
- Do not use information from my tax returns to renew my coverage
When authorized by the applicant, eligibility is redetermined using information in the case file that can be verified through electronic data sources.
Automatically Renewed MA-FCA Enrollees
Enrollees who have their eligibility automatically renewed receive a notice that includes a summary of the information used to renew their eligibility. If all of the information is correct, the enrollee does not need to do anything. If any of the information is inaccurate, the enrollee must report any corrections or changes.
Renewal Form for MA-FCA Enrollees
Enrollees whose eligibility is not automatically renewed will receive a renewal form. Enrollees must review, make any changes or updates, sign and return the renewal form to their servicing agency within 30 days from the issuance date on the renewal notice.
A late renewal is a renewal for which either of the following is true:
- the renewal form is received before the last day of the fourth month following closure
- any additional information or verifications that were required are received before the last day of the fourth month following closure
Eligibility for enrollees who do not return the renewal form, or who return the form but do not provide all the information and verifications needed to renew eligibility, is closed. However, eligibility for enrollees who are closed for failing to renew may be redetermined without requiring a new application if the form is returned within four months of the date of closure. The original certification period and renewal date apply.
Code of Federal Regulations, title 42, section 435.916
Minnesota Statutes, section 256B.056, subdivision 7a
CREDIT: The content of this post has been copied or adopted from the Minnesota Healthcare Programs Eligibility Policy Manual, originally published by the Minnesota Department of Human Services.
This is also part of a series of posts on Minnesota Healthcare Eligibility Policies.