Health Care Renewal Notice Page 6
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46Bulletin #14-21-05
December 23, 2014
Page 6
Example: Mark’s MinnesotaCare certification period ends December 31. Mark
receives a pre-populated renewal form in November and returns it to his servicing
agency in December. A worker starts to process the renewal, and a new income
verification is required. The worker sends Mark a request for income verification.
Mark does not submit the requested verification until after December 31. The
worker receives Mark’s income verification on April 10. The worker treats the pre-
populated renewal form as a new application, because the agency received the
necessary verifications to complete it within the reconsideration period. The date of
application is April 10. Mark qualifies for MinnesotaCare, with coverage beginning
the first day of the month after he pays his premium. Mark is ineligible for retroactive
coverage, unless his circumstances were different in the retroactive months such
that he qualified for MA in those months.
Example: Raul’s certification period for MA ends May 31. Raul receives a pre-
populated renewal form in April but does not return the form by the last day of May.
Instead, Raul returns the completed and signed form to his servicing agency in
October. Raul must complete a new application to have eligibility determined,
because he submitted the renewal form after the reconsideration period.
D. Renewals for Mixed Households
This section applies to renewals for households with some members enrolled in
public programs and some in private-market plans. These cases are generally
referred to as mixed households.
MNsure has its own renewal process for enrollees in a qualified health plan (QHP)
with or without subsidies. Enrollees may become eligible for MA or MinnesotaCare
as a result of that renewal process.
Households with family members enrolled in MA or MinnesotaCare will follow the
MA and MinnesotaCare renewal process to renew eligibility for public programs,
even if other family members are enrolled in Insurance Assistance (IA) or an
unassisted qualified health plan (UQHP). ONEsource procedures include
instructions for notifying MNsure when an enrollee moves either to or from IA or
UQHP as a result of renewal processing. Eligibility workers should see the
ONEsource procedure “Process MA and MinnesotaCare Renewals in the New
Eligibility System” for more information and instructions for processing pre-
populated renewal forms.
III. Renewal Notices and Forms
The new eligibility system generates a Health Care Renewal Notice by the tenth of the
month that is two months before the renewal month. The Health Care Renewal Notice
informs the household which members have been automatically renewed and which
members need to renew. Household members with the same renewal month receive a
Minnesota Department of Human Services · PO Box 64238 · St. Paul, MN 55164-0238
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