Minnesota Medicaid Eligibility


 


 

Minnesota Medical Assistance

The state of Minnesota offers some of its low-income residents an opportunity to have health care coverage through the Medicaid, or Medical Assistance, program. With qualifications that are much less strict than other states, more Minnesotans who cannot afford to purchase health insurance can receive it for free.

Children, families, and pregnant women are accepted for benefits, as well as individuals who are aged, disabled, or simply have a limited income. The largest of the state’s publicly funded health care programs, there are an average of 600,000 residents receiving Medical Assistance every month in Minnesota. The majority of individuals who use Medical Assistance benefits have their care through a health plan, while the remaining members receive care on a fee-for-service basis. This requires providers to bill the state directly for medical services.

To qualify for the program, you must be a resident of Minnesota, and national citizenship rules apply to determine the type of coverage you receive. Non-citizens do not need proof of citizenship if they are applying only for coverage during pregnancy, or those in need of emergency medical care or treatment of a chronic condition. For full Medicaid, non-citizens will need to present proof of their immigration status.

Below are the groups accepted for Medical Assistance in Minnesota, and the income requirements for each group. The program to which you are assigned depends on your grouping, and your income is determined by a percentage of the current Federal Poverty Level (FPL).

 

Group                                       Income (percent of FPL)

Infant                                                    275%

Child age 1-5                                        275%

Child age 6-19                                      275%

Parent (unemployed)                            215%

Parent (employed)                                215%

Childless Adult (unemployed)               75%

Childless Adult (employed)                   75%

Pregnant Women                                  275%

Single Aged/Blind/Disabled                   100%

*$3,000 asset limit

Aged/Blind/Disabled Couple                  100%

*$6,000 asset limit

 

Minnesota Public Health Programs Eligibility

 

Other Eligible Groups

  • Families who receive Temporary Assistance for Needy Families (TANF) benefits
  • Supplemental Security Income (SSI) beneficiaries
  • Disabled individuals who no longer qualify for SSI benefits
  • Low-income Medicare recipients
  • Qualified Medicare Beneficiary (QMB) program: Medicaid pays your Medicare monthly premium, deductibles, and coinsurance if your income is below the poverty level.
  • Specified Low-Income Medicare Beneficiary (SLMB) program: Medicaid pays your monthly premiums only if your income is below 120% FPL.
  • Medically Needy program: Medicaid for those who have high medical expenses that when subtracted from your income deem you eligible for Medicaid.

Resources

Minnesota Department of Human Services: Medical Assistance

Apply for Medical Assistance

Minnesota DHS Twin Cities Metro Area: 651-431-2670

Minnesota DHS Outside Twin Cities Metro Area: 800-657-3739

TTY: 800-627-3529 or 711

MinnesotaCare Contacts