Health care assistance (2024)

Apply for health care assistance

Most people can apply and shop online for healthcare coverage by visitingMNsure.orgor by calling 1-855-366-7873 for more information, including the names of community agencies that can help you apply or provide language assistance.

Use a self-service computer to apply for medical assistance atHennepin County human services office locations.

If you are age 65 or older, blind or certified disabled, living in or moving to a nursing home, or those applying for supports to remain in their own homes use the applications below.

Download theMinnesota health care programs (MHCP) – Application for certain populationsand submit back to Hennepin County if you are

• 21 years of age or older, with no dependents, and have Medicare coverage
• 65 years of age or older
• A child currently in foster care
• Blind or have a certified disability
• Applying for Medical Assistance for Employed Persons with Disabilities (MA-EPD)
• Applying for help with your Medicare premiums

Download theMinnesota health care programs (MHCP)– Application for medical assistance for long-term care services (MA-LTC) and submit back to Hennepin County if you are

• Living in, or may need to move to, a nursing home
• A person age 65 or older who would like services to help them stay in their home
• A person younger than age 65, who is disabled and would like services to help them stay in their home

Submit forms and update your information

Download forms

You can visithttp://edocs.mn.govto download any form.

How to submit forms and documents and update your information

• Update information and upload documents toInfoKeep
• Upload to MNbenefits
• Fax to 612-288-2981
• Mail to:
  Hennepin County Human Services Department
  P.O. Box 107
  Minneapolis, MN 55440

If you don't have access to these options, there are document drop boxes available at any Human Service Center.

Available drop boxes for residents

Northwest Human Service Center– Brooklyn Center
7051 Brooklyn Boulevard, Brooklyn Center, MN 55429
Northwest Human Service Center map

• Main floor lobby 7 a.m. to 5 p.m. weekdays only

Health Services Building – downtown Minneapolis
525 Portland Avenue, Minneapolis, MN 55415
Health Services Building map

• Main floor lobby 7 a.m. to 6 p.m. weekdays only

South Suburban Human Service Center – Bloomington
9600 Aldrich Avenue South, Minneapolis, MN 55420
South Suburban Human Service Center map

• Outside building by Hennepin County entrance

South Minneapolis Human Service Center
2215 East Lake Street, Minneapolis, MN 55407
South Minneapolis Human Service Center map

• First floor 8 a.m. to 4:30 p.m. weekdays only

North Minneapolis Human Service Center
1001 Plymouth Avenue North, Minneapolis, MN 55411
North Minneapolis Human Service Center map

• Outside building near main entrance

Renew health care benefits

If you have Medical Assistance (MA) the Department of Human Services (DHS) must review your eligibility once a year to see whether you are still eligible. This process is called a renewal.

Enrollees can expect their renewal between July 2023 and June 2024. Use DHS’s look up tool to find out when your renewal takes place.

You will receive a pre-renewal packet two to three months prior to your renewal. Renewal paperwork will be mailed out 45 to 60 days prior to the renewal date.Get your renewal questions answered.

You can use a MNsure-certified navigator to help you fill out your renewal paperwork. Services from MNsure-certified navigators are always free. Find a navigator.

Report your address change

If you have moved in the past three years, have not updated your information in our files, or if you will be moving soon it is important to update your information so we can reach you when it's time to renew your health insurance.

Watch for the circle in blue when it’s time to renew

You’ll get an envelope in the mail marked “Important information enclosed” with your renewal paperwork. Here’s what to do next. You may need to provide some documentation.There are many ways to submit documents.

Technology tools in the community

We have technology tools in the community for people who aren't able to access online tools using their own personal devices. Using a digital access point, residents can:

• Access and complete online applications
• Scan and print Human Services documents
• Use a phone to contact a representative
• Register to vote

Find a digital access point.

Managed health care options

If you qualify for a Medical Assistance (MA), you may need to choose a health plan (see below) to receive health care services. Most plans will also ask you to choose a primary clinic.

Managed care enrollment guides are available from DHS to help you decide the program and health plan that best meets your health care needs.

• Managed Care Enrollment Guide for Families and Children Prepaid Medical Assistance Program (PMAP) and MinnesotaCare
• Managed Care Enrollment Guide for Seniors
• Managed Care Enrollment Guide for Special Needs BasicCare (SNBC)

Health plans for families and adults without children

Blue Plus

• Member Services: 651-662-5545
• Transportation: 651-662-8648

Health Partners

• Member Services: 952-967-7998
• Transportation: 952-883-7400

Hennepin Health

• Member Services: 612-596-1036
• Transportation: 612-596-1036

Medica

• Member Services: 952-992-2580
• Transportation: 952-992-2580

UCare

• Member Services: 612-676-3200
• Transportation: 612-676-6830

United Healthcare

• Member Services: 1-888-269-5410
• Transportation: 1-888-444-1519

Health plans for seniors, 65 and older

Blue Plus

• Member Services: 651-662-5545
• Transportation: 651-662-8648

Health Partners

• Member Services: 952-967-7029
• Transportation: 952-883-7400

Medica

• Member Services: 952-992-2580
• Transportation: 952-992-2580

UCare

• Member Services: 612-676-3200
• Transportation: 612-676-6830

Health plans for people with disabilities

Health Partners

• Member Services: 952-967-7998
• Transportation: 952-883-7400

Hennepin Health

• Member Services: 612-596-1507
• Transportation: 612-596-1507

UCare

• Member Services: 612-676-3395
• Transportation: 612-676-6830

Medica

• Member Services: 952-992-2580
• Transportation: 952-992-2580

Hennepin County managed care team

Get help with enrollment questions, billing questions, or complaints and HMO issues.

612-596-8860 (9 a.m. to 3 p.m.)

You should know

Medical Assistance

Medical Assistance recipients are required to participate in managed care. There are some exceptions, and these are discussed in detail in the managed health care presentations at application sites. The managed health care advocates also can assist you.

Getting started

Once you get access to Medical Assistance, it can take several months to get enrolled in a health plan. In the meantime, you (and those who don't need to choose a health plan - see below) can have fee-for-service (also called straight Medical Assistance). This means you can go to any providers who accept Medical Assistance, and the provider will bill the state directly. Note: This does not apply to MinnesotaCare.

Once you are enrolled in a health plan, you must get all medical care from that health plan's providers, or you will have to pay the bills. If you have questions about your health plan, call the health plan (see the phone numbers above) or call the Hennepin County Managed Health Care Office at 612-596-8860.

Keeping your doctor

If each of your family members' clinics accept a different health plan, you may choose a different health plan for each person so they can continue seeing the same doctor. You will need to verify which plan each clinic accepts and then choose accordingly.

You may change your health plan at any time during the first 12 months you are in the managed health care plan. After the first year, you can only change health plans once a year during the annual health plan selection period, which begins in October. Annual health plan selection changes are effective the first of January of the next year. For changes at other times, call the Managed Health Care office at 612-596-8860.

Approval for treatment

When you are enrolled in a health plan you must receive all your medical services through that health plan's providers, or have a referral from the health plan to go outside of the network for medical services. Most billing problems are the result of not following this rule. Billing problems should be referred to the Managed Health Care Advocate at 612-596-8860 for investigation.

Troubleshooting

If you have been denied a service, or a service has been reduced or terminated, you can file an appeal with the health plan and request a state appeal. You must file an appeal with your health plan before you request a state appeal. To request an appeal, call your health plan and tell them that you disagree with their decision; they can help you with your questions and assist in filing an appeal.

Get help

Call the Hennepin County Managed Health Care Office at 612-596-8860 for help with enrollment questions, billing questions, or complaints. They can work with you and advocate for you when you have problems with the HMO. The staff also can give presentations to individuals and groups on managed health care.

Transportation to medical appointments

Minnesota Non-Emergency Transportation (MNET) provides transportation to medical appointments for people on Medical Assistance, some pregnant women and children on MinnesotaCare who have no other transportation available to them.

If you are enrolled in a managed health care plan, call your plan for transportation assistance.

• BluePlus: 651-662-8648
• Medica: 952-992-2292
• Health Partners: 952-883-7400
• Hennepin Health: 1-800-647-0550
• UCare: 612-676-6830
• United Healthcare: 1-888-444-1519

Resources and reimbursem*nt

If you want reimbursem*nt for mileage and parking expenses even if you are in a health plan, or if you receive your care "fee for service" (not enrolled in a health plan) and need assistance with medical transportation, call MTM at 1-866-467-1724.

Other information

Allowable medical transportation expenses

• Bus fare
• Taxi fare
• Light rail transit fare
• Mileage reimbursem*nt (call in advance)
• Parking with a receipt
• Trips outside the local area, including transportation, lodging, and meals (call in advance).

"Fee for service"

Transportation must be to a Medical Assistance covered service from an enrolled provider or a service provider not enrolled with MHCP/DHS but could enroll with MHCP/DHS if they wanted to.

Medical Assistance "spenddown"

A Medical Assistance "spenddown" is like an insurance deductible. Non-emergency medical transportation does not count against the "spenddown." Non-emergency medical transportation is available and reimbursable even if the recipient spenddown has not been satisfied. Minnesota Non-emergency Transportation (MNET) provides transportation to medical appointments for people on Medical Assistance, some pregnant women and children on MinnesotaCare who have no other transportation available to them.

TEFRA overview and application process

Families in need of health care coverage for their children with disabilities may be eligible for TEFRA. TEFRA, which stands for the Tax Equity and Fiscal Responsibility Act, is Medical Assistance (MA) coverage for children with disabilities in families with incomes too high to qualify for MA.

To be eligible for MA under the TEFRA option, a child must meet all the following requirements:

• Determined ineligible for MA when parents’ income is counted
• Younger than 19 years old
• Lives with at least one biological parent, adoptive parent or stepparent
• Certified as disabled by the Social Security Administration or the State Medical Review Team (SMRT)

How to apply for Medical Assistance under the TEFRA option

• English: Medical Assistance under the TEFRA option (PDF, 1MB)
• Hmong:Medical Assistance Ntawm Qhov TEFRA (PDF, 1MB)
• Oromo:Medical Assistance Filannoo TEFRA jalattii (PDF, 1MB)
• Russian:Medical Assistance по опции TEFRA (PDF, 1MB)
• Somali:Medical Assistance sida ku cad doorashada TEFRA (PDF, 1MB)
• Spanish:Medical Assistance en el marco de la opción TEFRA (PDF, 1MB)
• Vietnamese:Medical Assistance theo tùy chọn TEFRA (PDF, 1 MB)

You have the right to appeal

If you don't agree with an action taken on your case, you have the right to appeal.

File an appeal

There are several options to file.

Submit a handwritten request

Submit a handwritten request to appeal or use theAppeal to State Agency form (DHS-0033)to Hennepin County:

• Mail
  Hennepin County Human Services Department
  PO Box 107
  Minneapolis, MN 55440
• Fax: 612-288-2981
• Drop off: Any Hennepin County Human Service Center drop box

Submit the Appeal to State Agency form (DHS-0033)to the Minnesota Department of Human Services. Submission instructions on the form.

Submit MNsure's appeal request form

• Online through your MNsureaccount, or
• By hand– Print, complete and submit the Appeal request form(submission instructions on form)

Submit the form by contacting MNsure at 651-539-2099.More information atAppeals / MNsure.

Timelines

• You must file your appeal within 90 days of the date of your eligibility determination notice.
• For decisions on Medical Assistance or MinnesotaCare, you must file your appeal within 30 days of the date of your eligibility notice. This goes up to 90 days if you can show good cause for filing late.
• Important: for Medical Assistance or MinnesotaCare, your benefits continue only if you appeal the later of: within 10 days of the date of the eligibility notice; or before the date when the action takes place.

Help while waiting for the appeal

You can continue to receive assistance while waiting for the appeal to be heard. If you lose the appeal, you must pay back any assistance received during that time.

Contact

• Minnesota Department of Human Services Appeals office: 651-431-3600
• Hennepin County Economic Supports office: 612-596-1300