Default Health Plan Enrollment Process

Posted: November 9, 2026

MMIS will automatically enter a health plan enrollment span for an enrollee in certain situations. This is referred to as the default health plan.

Health plan choices vary depending on county of residence. The default health plan for a household may vary depending on several factors:

1. Whether the enrollee was previously enrolled in a health plan within the last 12 months. See the Reenrollment and Reinstatement page for more information.

2. What the case default health plan is. If a member of a household is already enrolled in a health plan and the enrollee is being added to the case, MMIS will default the new enrollee to the household’s plan.

3. What the county default plan is. The county default plan is established through the Department of Human Services (DHS) procurement process. The default plan will vary by county.

For more information on a county’s default health plans, refer to the Default Enrollment Technical Specifications document on the managed care contracts website.

Newly eligible Prepaid Medical Aassistance Program (PMAP), MinnesotaCare, and Minnesota Senior Care Plus (MSC+) enrollees who have not been enrolled in a health plan within the past 12 months who do not make a health plan selection will be enrolled into a plan based on their county of residence.

Non-integrated Special Needs Basic Care (SNBC) is a voluntary managed care program. The health plan default assignment process will be used when the enrollee has not opted out of managed care. Non-integrated SNBC enrollees may choose to dis-enroll at any time. They will be Fee For Serivce (FFS) for the next available month.

Minnesota Senior Health Options (MSHO) and integrated SNBC plans are voluntary, and members must complete an enrollment form. There are no default plans for these programs.

The default health plan can be viewed on the RCHP screen in MMIS.

After the enrollee is enrolled in the health plan, they will receive a system generated enrollment notice. This notice informs them which health plan they are enrolled in and the effective begin date of their coverage with that health plan. DHS will mail the enrollee a Minnesota Health Care Program (MHCP) member ID card. The enrollee gets a Notice of Health Plan Enrollment indicating what health plan they are enrolled in and the effective date. The health plan will mail additional information and a health plan ID card to the enrollee.