Minnesota Department Of Human Services 90 Day Transition Plan For Youth Discharged After Age 18 (Page 3 of 9) in pdf

Minnesota Department Of Human Services 90 Day Transition Plan For Youth Discharged After Age 18 Page 3

Health Information

Primary/Secondary

Contact Number

Insurance Provider

Health Plan/Type

Policy Number

Group Number

List the health care provider’s accepting the youth’s health care coverage:

Health care directive

The plan must include information on the importance of designating another individual to make health

care treatment decisions on behalf of the youth if the youth becomes unable to participate in these

decisions and the youth does not have, or does not want, a relative who would otherwise be authorized to

make these decisions. The plan must provide the youth with the option to execute a health care directive

as provided under Minnesota Statutes,

Chapter

145C. If youth want to pursue a Health Care Directive a

suggested form is available in

Minnesota Statutes, section

145C.16.

Per the Affordable Care Act, youth who have left foster care or will be leaving foster care on their 18th

birthday or later are eligible for Medical Assistance (MA) up to age 26. To qualify for this MA category an

individual must meet the following criteria: Is under age 26; was in foster care in Minnesota; had foster

care end at age 18 or older, and was enrolled in MA or MinnesotaCare at the time foster care ended.

Former foster care youth interested in applying for this category of MA, go to the

MNSure

website.

Patient Protection and Affordable Care Act, Public Law 111-148, section 2004

Minnesota Statutes, section 256B.055, subdivision 17

Page 3 of 9

90 Day Transition Plan for Youth Discharged after Age 18 (V15.4)

Revision: 11/16/15

Minnesota Department Of Human Services 90 Day Transition Plan For Youth Discharged After Age 18 Page 3