Managed Care Key Dates

Posted: November 9, 2026

According to Minnesota Rules, 9500.1453, enrollees must be given at least 30 days following written notification of health plan choices to select a health plan. You can find key dates for METS, MAXIS and MMIS in three locations:

· Managed Care Production Calendar in the MMIS User Manual – contains general descriptions of important managed care dates and when they occur.

· System Availability Calendar in SIR - MEC²/MAXIS/TSS – has specific dates in a rolling three-month calendar (next month, current month, previous month).

· METS Important Dates – METS 10-day Cut-off and Managed Care Capitation Dates in OneSource – has specific dates for the current calendar year.

Page Contents

Capitation
Managed Care Enrollment Cut-Off Date

Capitation

First capitation is six working days from the last working day of each month. This is the date on which enrollees are enrolled in managed care for the upcoming month. The Minnesota Department of Human Services (DHS) sends enrollment reports and capitation payments to the health plans.

The managed care reinstatement cut-off date is the last working day of each month and is sometimes known as second capitation.

Managed Care Enrollment Cut-Off Date

The cut-off date for entering health plan enrollment information onto the MMIS system for Medical Assistance, Minnesota Senior Care Plus (MSC+), or major program NM (NMED) is two days prior to capitation to allow for the necessary interface jobs between the MMIS, MAXIS and METS systems.

MinnesotaCare health plan enrollment has two cut-off dates based on when eligibility is opened on MMIS.

· If coverage is opened in MMIS and a premium payment is received before capitation, DHS must process the enrollee’s health plan selection prior to capitation to guarantee the enrollee is enrolled in their selected health plan starting the first of the following month. It is not guaranteed that health plan selections received on the day of capitation will be processed the same day. In these instances, DHS will review the case to determine if the household or enrollee is eligible for a change in health plans.

· If coverage is opened in MMIS and a premium payment is received between capitation and the last working day of the month, DHS must process the health plan enrollment form prior to the last working day of the month to guarantee enrollment into the selected health plan. It is not guaranteed that health plan selections received on the last day of the month will be processed the same day. In these instances, DHS will review the case to determine if the household or enrollee is eligible for a change in health plans.

These cut-off dates do not apply to integrated Special Needs BasicCare (SNBC) and Minnesota Senior Health Options (MSHO) programs. In most cases, if DHS receives an integrated enrollment form by the end of the month, the coverage will begin the following month.