Processing Questions

1. What are the four components of a request for health coverage?

Be written.
Contain the name of the applicant.
Include a way to locate the applicant.
State the person wants health care

The request to apply is treated as an incomplete application. When an application is complete you can determine eligibility. If an application is not complete you will need to determine what is missing, and request that information from the client whether the client applied via a paper application or through the online MNsure application process.

2. Who is required to sign the application or request?

The following people are required to sign the application:

Only one signature per health care household is required to consider an application complete. For MNsure applications, an electronic signature is accepted.
Authorized representatives must sign the application, unless they have power of attorney or a document giving the person permission to make application for health care..
A spouse may sign the application on behalf of a spouse. A parent, stepparent, other relative caretaker or guardian may sign on behalf of 18, 19 and 20-year-olds living in their household. Accept the primary applicant’s signature when all household members are under age 18.
People unable to sign the form may sign with an “X” if two witnesses, who also sign and date the form, witness this signing.

3. How many days do you have to enter an MA-LTC request into the MAXIS system?

An application must be entered into MAXIS within two working days from the date of the request.

4. How long is the processing period when determining eligibility for MA-LTC for a person requesting MA and MA payment of LTC services at the same time?

The standard processing period is 45 days; 60 days for clients with a disability.

5. What sets the date of the health care application when a client has made an application for “Extra Help” through Social Security Administration?

The date of the application for Extra Help sets the date of application for health care, and the date that SSA transmitted the client data to DHS sets the processing period.

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Processing MA-LTC Requests

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