Health Care Renewal Notice Page 7
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46Bulletin #14-21-05
December 23, 2014
Page 7
single Health Care Renewal Notice. The Health Care Renewal Notice serves as a cover
sheet for additional system-generated notices that are issued at the same time based on
whether an enrollee has been automatically renewed or needs to renew.
A. Notices for Automatically Renewed Enrollees
For enrollees who are automatically renewed, the Health Care Renewal Notice
includes an information summary that outlines the information from the integrated
case and electronic sources that was used to redetermine eligibility (Attachment A).
Since automatically renewed enrollees continue to be eligible for the same program
they had before their eligibility was redetermined, this notice is the only one
automatically renewed enrollees will receive about their renewal results.
Automatically renewed enrollees should review the information summary to ensure
the information used to determine their eligibility is correct and up to date. The
notice instructs enrollees to call their worker or the Minnesota Health Care
Programs (MHCP) Member Help Desk at DHS to report any corrections or changes.
B. Notices for Need-to-Renew Enrollees
For enrollees who need to renew, the Health Care Renewal Notice is the cover
sheet for a renewal form (Attachment B). The form is pre-populated with information
from the integrated case and information collected from electronic data sources.
Enrollees who receive a pre-populated renewal form must review the form, make
any changes or updates, sign the form and return it to their servicing agency within
30 days from the issuance date on the renewal notice. The notice instructs
enrollees to call their worker or the MHCP Member Help Desk at DHS with
questions.
Although the renewal form provides space for enrollees to report changes, it does
not include space to collect the information needed to add a new household
member to a case. Enrollees must contact their worker to add a household member.
The pre-populated renewal form sent with the Health Care Renewal Notice includes
only information about known household members.
C. Notices for Those Who Do Not Complete the Renewal Process
If an enrollee does not return the renewal form or requested information or
verifications by the renewal cutoff, the system automatically closes coverage in
MMIS for all household members who did not renew effective the end of the month.
The system sends a closing notice to all those for whom coverage is closed in
MMIS. (This notice was unavailable at the time we issued this bulletin. A copy of
this notice will be issued via SIR when it is available.)
Minnesota Department of Human Services · PO Box 64238 · St. Paul, MN 55164-0238
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