Description.

Does not apply to participants directly but to an adult or child in the household who has 1 of the following conditions:

If the family member is receiving home or community-based services:
The person receiving the services or the disability case manager (if there is a signed release) could provide a copy of either of the following:

If the family member is NOT receiving the services under the special medical criteria but is claiming eligibility:
Participants can learn whether a household member meets any of these criteria by having a MNChoices Assessment done by the county or tribe. For more information about these assessments, participants may contact:

FSS – Special Medical Criteria.

Request updated verification at least annually, but sooner if the medical opinion indicates a shorter time frame.

Additional Requirements.

Do not require these participants to verify their ability to get or keep a job.

If the participant cannot get the necessary information from the health care provider:

1. Get a release of information allowing you to contact the family member’s health care provider.

2. Explain that you need the information in order to provide the appropriate services to the caregiver.

3. If that is not successful, contact the consumer representative at the family member’s health plan.

4. If that is not successful, contact the DHS Health Care Purchasing Division at 651-296-3386 or 1-800-657-3756.

Banked Months: