This article is a section taken from Medical Assistance (MA), a part of the revisions and additions to the Minnesota Health Care Program Eligibility Policy Manual.
Medical Assistance (MA) Medical Support
The Medical Assistance (MA) program requires parents or relative caretakers to help provide health care for their children. When one parent does not live with the child, a referral for medical support may be required.
Medical support is health insurance coverage or cash payments that a parent, who is not living with the child, provides or is court-ordered to provide to meet the medical needs of their child. For MA eligibility, the parent or relative caretaker who lives with the child is required to cooperate with medical support referral requirements for children younger than age 19 on MA.
Assignment of Rights and Cooperation
A parent or relative caretaker assigns the child’s right to medical support by signing a paper or online healthcare application or renewal form.
County, tribal, or state servicing agencies are required to mail a medical support referral packet to the parent or relative caretaker. The MA enrolled parent or relative caretaker must return the form within 30 days of the date on the referral packet. Regardless of whether the forms are returned or not, the county, tribal or state servicing agency must initiate a referral to the county or tribal child support agency, also called the IV-D agency.
For medical support, cooperation may include:
Establishing an order for medical support, or enforcing an existing order
Providing information about non-custodial parents
Forwarding any medical support payments received directly from the non-custodial parent to the Department of Human Services (DHS)
A pregnant woman, or a parent or relative caretaker who is pregnant, is not required to cooperate with medical support for the child she is expecting or for any other child during pregnancy or during the postpartum period.
The county or tribal child support office determines non-cooperation with medical support requirements and notifies the county, tribal or state servicing agency. The parent or relative caretaker’s MA coverage is closed with 10-day notice.
If MA is closed for non-cooperation, MA coverage cannot be reopened until the parent or relative caretaker cooperates with medical support requirements. If the parent or relative caretaker cooperates, MA may reopen the first day of the month in which cooperation occurs.
The child’s MA coverage is not impacted by their parent or relative caretaker’s non-cooperation with medical support requirements.
A parent or relative caretaker may request “good cause” when there are circumstances beyond their control which keeps them from cooperating with medical support requirements. Information about good cause is included in the medical support referral packet sent to parents who are referred to medical support. A good cause committee reviews the good cause request.
When Medical Support Referrals are Made
A medical support referral is made when a child younger than age 19 resides with one parent or a relative caretaker, both the child and the parent or relative caretaker are eligible for MA, and none of the Referral Not Required criteria below applies.
Referral Not Required
A medical support referral is not made in any of the following circumstances:
One parent in a two-parent household has a temporary absence. Refer to Section 1.4.4 Minnesota Health Care Programs Temporary Absence for more information.
The parent is deceased.
The parent or relative caretaker is pregnant.
The parent is a minor child under age 18 or is an emancipated minor.
The child receives Northstar Adoption Assistance.
The child receives Northstar Foster Care or Kinship Assistance.
A parent is involuntarily out of the household because he or she is being detained by U.S. Immigration and Customs Enforcement (ICE) or is waiting for immigration authorization from U.S. Citizenship and Immigration Services (USCIS) from outside of the United States.
A parent or relative caretaker may request voluntary medical support or child support referral services from the county or tribal IV-D agency when a referral for MA eligibility purposes is not required. The county or tribal IV-D agencies can assist people in getting the medical or child support referral services.
Code of Federal Regulations, title 42, section 433.145
Code of Federal Regulations, title 42, section 433.146
Code of Federal Regulations, title 42, section 433.147
Code of Federal Regulations, title 42, section 433.148
Code of Federal Regulations, title 42, section 435.610
Minnesota Statutes, section 256.741
Minnesota Statutes, section 256B.056, subdivisions 6 and 8
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.