10.6.6 Approving Eligibility at Redetermination
ISSUE DATE: 03/2026
If the family is eligible, notify the family and provider of any changes to the number of hours of care authorized or changes to the copayment amount. See Chapter 12.3 (Notices to Families) and Chapter 12.6 (Notice to Providers).
If notices do not generate after processing a redetermination, workers must send a memo to the family informing the family that the redetermination has been processed and identifying changes, including copay changes.
Copay changes
Information verified at redetermination may change the family’s copay.
· A copay decrease is effective the biweekly period after the redetermination is processed.· A copay increase requires a 15-day notice. You must ensure the family’s copay does not increase during the 12-month eligibility period. The copay increase is effective the biweekly period after the 15-day notice. The time period with the lower copay is not an overpayment unless the family failed to report a change timely.· When a closed case is reinstated and the redetermination is processed resulting in a copay increase, a 15-day adverse action notice is required. See Chapter 10.6.10 (Redetermination Processing - Reinstatement).Authorization at Redetermination
Information verified at redetermination may change the number of hours authorized for a child.
· An increase in the number of hours authorized is effective the biweekly period after the redetermination is processed. Authorized hours may also be increased for biweekly periods prior to the date the redetermination was processed if the child qualifies for more hours.· A decrease in the number of hours authorized requires a 15-day notice. Give 15-day notice from the day the redetermination is processed. The decrease in the number of hours authorized is effective the biweekly period after the 15-day notice. The time period with the higher authorized hours is not an overpayment unless the family failed to report a change timely. Caseworkers should reference the MEC² User Manual – Decrease in Authorized Hours of Care Requires a 15-Day Notice to correctly reduce authorized hours with a 15-day notice.· When a closed case is reinstated and the redetermination is processed resulting in a decrease in the number of hours authorized, a 15-day adverse action notice is required. See Chapter 10.6.10 (Redetermination Processing - Reinstatement). Schedule verification missing
If schedule verification is missing but all other required information has been returned and the family remains eligible, process the redetermination but do not authorize care until schedule verification is received:
· If the Service Authorization(s) is not already closed, end the Service Authorization using the reason code “Care is No Longer Authorized” using the last day of the redetermination period as the end date and approve Service Authorization to end allowing for a 15-day notice. Suspend the family’s case for a period of up to one year. See Chapter 8.9 (Suspending).· If the Service Authorization(s) were closed due to incomplete redetermination and the case is being reinstated, end the Service Authorization using the reason code “Care is No Longer Authorized” using the date the redetermination is processed as the end date and approve Service Authorization to end allowing for a 15-day notice. Suspend the family’s case for a period of up to one year. See Chapter 8.9 (Suspending).· When the schedule verifications are received, reauthorize child care. Child care can be authorized retroactively back to the date care was ended or three months prior to the date the Service Authorization is issued, whichever is later (assuming that the schedule provided applies to the time period when care was ended). See Chapter 9.3 (Payments to Providers).Pending in-home care requests
If an in-home child care request is needed but has not been submitted or is not yet approved but the family remains eligible, process the redetermination but do not authorize care until an in-home request is approved.
· If the Service Authorization(s) is not already closed, end the Service Authorization using the reason code “Care is No Longer Authorized” using the last day of the redetermination period as the end date and approve Service Authorization to end allowing for a 15-day notice. Suspend the family’s case for a period of up to one year. See Chapter 8.9 (Suspending).· If the Service Authorization(s) were closed due to incomplete redetermination and the case is being reinstated, end the Service Authorization using the reason code “Care is No Longer Authorized” using the date the redetermination is processed as the end date and approve Service Authorization to end allowing for a 15-day notice. Suspend the family’s case for a period of up to one year. See Chapter 8.9 (Suspending).· Authorize child care when the in-home child care request is approved by the department or the family chooses an out-of-home provider. Child care can be authorized retroactively back to the date care was ended or three months prior to the date the Service Authorization is issued, whichever is later. See Chapter 9.3 (Payments to Providers).Legal authority
Minnesota Statutes 142E.03
Minnesota Statutes 142E.17, subd. 9
Minnesota Rules 3400.0180
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