This article is a section taken from Medicare Savings Programs (MSP), a part of the revisions and additions to the Minnesota Health Care Program Eligibility Policy Manual.
The federal government administers the Medicare program and the Minnesota Department of Human Services (DHS) administers the Medicare Savings Programs (MSP). This section outlines the requirements for Medicare and MSP applications.
People must sign up for Medicare with the federal government. See MSP Medicare Overview for more information.
Medicare Part D Extra Help
Some Part D beneficiaries who have limited income and assets are eligible for premium and cost-sharing subsidies. These subsidies are referred to as Extra Help or Low-Income Subsidy (LIS). The two types of Extra Help are full and partial subsidies. People enrolled in an MSP or Medical Assistance (MA) automatically qualify for Extra Help with Medicare Part D. DHS informs Medicare who these people are and Medicare sends the person information about which Medicare Part D plans have Extra Help or LIS.
Medicare Savings Program Application
If Medicare thinks someone might be eligible for an MSP, then the Social Security Administration (SSA) sends them a letter called “How to Get Help With Your Medicare Costs” SSA Publication Form L447. A person does not need this letter to apply for an MSP. A person must submit an application form to their county, tribal, or state servicing agency for an MSP eligibility determination.
A person’s situation determines which application form to use to apply for an MSP.
New applicants living in the community who are applying for an MSP and Medical Assistance for People Who Are Age 65 or Older and People Who Are Blind or Have a Disability (MA-ABD) should use the MHCP Application for Certain Populations (DHS-3876) for the quickest eligibility determination.
New applicants living in a nursing facility or intermediate care facility and who are applying for MSP and MA long-term care facility services using an MA-ABD basis of eligibility should use the MHCP Application for Payment of Long-Term Care Services (DHS-3531) for the quickest eligibility determination.
New applicants living in the community who are seeking a home and community-based services waiver to help stay in their home and who are applying for MSP and MA for long-term care services using an MA-ABD basis of eligibility should use the MHCP Application for Payment of Long-Term Care Services (DHS-3531) for the quickest eligibility determination.
When a person is currently enrolled in MA and wants to apply for an MSP, they should contact their county, tribal, or state servicing agency. The servicing agency will request further information to make an MSP eligibility determination.
The following MHCP application policies also apply to MSPs:
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.