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Minnesota Senior Health Options (MSHO)
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Who is eligible?
What services are offered?

How to enroll

Health plans

Frequently Asked Questions

MSHO and Medicare Part D
Performance Improvement Projects

Research/Policy

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What is the Minnesota Senior Health Options Program?
The Minnesota Senior Health Options (MSHO) is a health care program that combines separate health programs and support systems into one health care package. It is for people ages 65 and older who are eligible for Medical Assistance (MA) and enrolled in Medicare Parts A and B or who have MA only. People can choose to join MSHO or stay in their current MA program. MSHO enrollees are assigned a care coordinator who will help them get their heath care and related support services.

MSHO is administered by the Minnesota Department of Human Services (DHS) and nine health maintenance organizations: Blue Plan, First Plan Blue, HealthPartners, Itasca Medical Care, Medica, Metropolitan Health Plan, PrimeWest Health System, South Country Health Alliance and UCare Minnesota.


One person’s MSHO experience
Larry is a 75-year-old man with health problems. His health problems have made it hard for him to take care of his home and his personal hygiene. In one year, he was in the hospital four times for dehydration. His meals often include canned foods, cheese, lunch meat and soda. Larry is very independent and doesn’t like to ask for help.

After joining MSHO, Larry met with a care coordinator. His care coordinator helped him get the health care services he needed. Now, Meals-on-Wheels brings him a daily meal. A nurse visits him every two weeks to help him manage his diabetes and medication. A home health aide visits him three times a week to help him with hygiene and personal care and he gets weekly homemaking services and chore services. The care coordinator also helped him schedule regular doctor’s appointments. During the first six months of joining MSHO, Larry was not hospitalized once. He even told his care coordinator that she is his "ray of sunshine."


Who can enroll in MSHO?
MSHO is for people who:

• are eligible for Medical Assistance and enrolled in both Medicare Parts A and B or
• are eligible for only Medical Assistance
• are age 65 or older
• live in one of the counties where at least one health plan offers MSHO. See map of health plan service areas for the MSHO program by county. (DHS-4840)

What services can I get through MSHO?
MSHO offers the same services as Medical Assistance and Medicare:

• doctor visits
• emergency room care
• hospitalization
• dental care
• lab and X-rays
• durable medical equipment
• prescription drugs
• personal care attendant services
• home health services
• home and community-based services (Elderly Waiver)
• nursing home care
• transportation
• interpreter services
• a care coordinator.
An MSHO health plan may offer additional services.


How to enroll
To enroll in MSHO, you must be eligible for MA or already have Medicare coverage. If you have questions about health care programs, contact the county human services agency in which you live. If you have questions about Medicare, visit www.medicare.gov or call the Senior Linkage Line at 1-800-333-2433.

If you are already on MA and want to enroll in MSHO, contact one of the MSHO health plans.


Health plans
You can choose an MSHO health plan or stay with your current health plan if it offers the MSHO program.


Health plans that offer the MSHO program
Blue Plus (651) 662-3584 or (888) 878-0137 (TTY/TDD) (toll free)

First Plan Blue (218) 724-3083 or (800) 635-4159 (toll free)

HealthPartners (952) 883-5050 or (877) 713-8215 (toll free) or (800) 443-0156 (TTY/TDD)

Itasca Medical Care (218) 327-6193 or (800) 843-9536 (toll free)

Medica (952) 992-2345 or (800) 234-8755 (toll free) or (800) 234-8819 (TTY/TDD)

Metropolitan Health Plan (612) 347-3300 or (800) 647-0550 (toll free) or (800) 627-3529 (TTY/TDD)

PrimeWest Health System (800) 366-2906 (toll free) or (877)627-3529 (TTY/TDD)

South Country Health Alliance (507) 444-7770 or (866) 567-7242 (toll free)

UCare Minnesota (800) 707-1711 (toll free) or (800) 688-2534 (TTY/TDD)


Health plan service areas for the MSHO program by county (PDF) DHS image (DHS-4840)

MSHO offers opportunity for better coordinated health care under Medicare Part D
Minnesotans who are eligible for both Medicare and Medicaid have a special opportunity to receive a new federal prescription drug benefit and improve coordination of all of their health care services through MSHO. More information is available in a news release.


Questions
(651) 431-2670 (Twin Cities metro area) or
(800) 657-3739 (outside Twin Cities metro area)
TTY: (800) 627-3529 or 711
Phone numbers for county human service agencies



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