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What is HealthCare
IAP
Household
Social Security
FPL
100
New law that expands health insurance coverage to millions of Americans. Many more people will qualify under the rules.
What is Affordable Care Act?
100
A program that provides policy information for county, tribal and state staff who assist with elgibility determination for health care programs
What is IAP? (Insurance Affordability Programs)
100
Household composition means the people included in an applicant's or enrollee’s household. The household composition is used to determine household size, income and program eligibility.
What is household composition?
100
Medical Assistance Each person requesting Medical Assistance (MA) must provide his or her SSN as a condition of eligibility unless he or she meets an exception. The following are exceptions: An applicant who refuses to obtain an SSN because of a well-established religious objection An applicant not eligible to receive an SSN or does not have one and may only be issued one for a valid non-work reason. People applying for or receiving Emergency Medical Assistance (EMA) services A child eligible for MA as an auto newborn Newly adopted children, children in foster care and children receiving adoption assistance
What program allowes no Social Security number and what is the exemptions?
100
less than 278%
What is FPL for a pregnant woman who is qualified for MA?
200
The three programs MN offers for health insurance.
What is MA MNCare and APTC/CSR
200
Commercial health insurance plans offered by insurance companies to address the coverage needs of Minnesotans. All of the plans offer the same cores set of benefits, including preventative, emergency, mental health and substance abuse services, presription drugs and hospilatization. Each of the plans has been reviewed by state regulators and approved and certified to be sold on the MNSURE exchange.
What is QHP?
200
In the case of married couples living together, each spouse is included in the other's household, regardless of tax filing status. Pregnant women count as one, plus the number of expected babies.
What is Household Composition for Medical Assistance for Adults for Families With Children and Adults?
200
A person approved for MA without an SSN or needing evidence regarding his or her SSN has 90 days to provide documentation of the SSN. Eligibility cannot be delayed to an otherwise eligible applicant pending the issuance or verification of an SSN. .
What is legth of time to provide a SS number on MA?
200
less than or equal to 283% FPG
What is FPL for infant on MA under 2?
300
Cost Sharing Reduction. People elgible for this benefit recieve a reduction in the co-pays, co-insurance and out of pocket maximum they pay forhealth insurance.
What is CSR?
300
All MNSURE health insurance plans are designed with cost sharing (deductibles, copays, coinsurance) and the specific levels of coverage are defined as Bronze (covers 60% of expected costs), silver (covers 70% of expected costs and covers the CSR to those who qualify) Gold (covers 80% of expected costs) Plantinum (covers 90% of expected costs
What are the three coverage levels of metal and which plan has the CSR included?
300
Household composition means the people included in an applicant's or enrollee’s household. The household composition is used to determine household size, income and program eligibility. The household composition for MinnesotaCare includes the following people: Tax filer Tax filer's spouse All tax dependents the taxpayer expects to claim for the benefit year, except unborn babies Temporary absence from the home is not a factor in household composition using tax filer rules
What is the household composition for Minnesota Care?
300
All applicants and enrollees seeking MinnesotaCare must provide an SSN, an individual taxpayer identification number (ITIN) or other unique identifier assigned by the Internal Revenue Service (IRS) for payment of taxes, including people who have an exemption for religious reasons.
What is rule for SS number for MNCare IAP ?
300
Income eligibility for Medical Assistance (MA) for Families with Children and Adults is determined by a person’s household income. The household income consists of the person’s own income and the income of everyone in his or her household composition, except for the income of certain children (regardless of age) and tax dependents. The income of a child or tax dependent is excluded if he or she is not expected to be required to file taxes, even if he or she does file a tax return.
What is income counts Income Counts for Medical Assistance for Families With Children and Adults?
400
A uniquely Minnesotan place or marketplace exchange to find health insurance. A simple on line marketplace where you can find MN health plans. A place to compare plans and enroll a one stop shopping place
What is MNSURE?
400
Eligibility for IAPs is evaluated in the following order: 1. Medical Assistance (MA)2.MinnesotaCare3.Advanced Premium Tax Credit (APTC)4.Qualified Health Plan (QHP) without Subsidy. People who are eligible for MA are not eligible for MinnesotaCare or APTC. Likewise, people who are eligible for MinnesotaCare are not eligible for APTC. Eligibility for an IAP is not a barrier to purchasing QHP without subsidy coverage.
What is Hierarchy for Program Eligibility?
400
Household Composition for Advanced Premium Tax Credit The household composition for Advanced Premium Tax Credit (APTC) includes the following people:Tax filer Tax filer's spouse All tax dependents the taxpayer expects to claim for the benefit year, except unborn babies Absence from the home is not a factor in household composition using tax filer rules
What is Household Composition for Advanced Premium Tax Credit?
400
All applicants and enrollees seeking eligibility for Advanced Premium Tax Credit (APTC) must provide an SSN, an individual taxpayer identification number (ITIN) or other unique identifier assigned by the Internal Revenue Service (IRS) for payment of taxes, including people who have an exemption for religious reasons
What is SS requirement for Advanced Premium Tax Credit on the IAP program?
400
Income eligibility for MinnesotaCare is determined by a person's household income. The income of the following members of a person's household is counted as part of his or her household income for MinnesotaCare: The taxpayer and spouse Tax dependents expected to be required to file a federal income tax return The income of tax dependents who file federal income tax returns when the Internal Revenue Service (IRS) does not require them to file is excluded from a person’s household income
What Income Counts for MinnesotaCare?
500
A state agency that has authorization to process the IAP's ensuring that the process is streamlined and coordinated, does not increase adminstrative costs or burden the applicants or enrolees, does not delay a determination or redetermination of elgibility and meets all requirements of confidentiality
What is DHS? Department of Human Services.
500
At this time, the IAP does not include policy for Medical Assistance (MA) for people age 65 or older, disabled or blind or MA for specific populations. They can still apply but not on the MNSURE application.
What is not included in a IAP?
500
All Minnesota Insurance Affordability Programs (IAPs) use electronic verification sources. If verification cannot be obtained electronically, it must be determined if self-attestation is acceptable. Sources are the SSA, IRS, Homeland Security, •The Systematic Alien Verification for Entitlements (SAVE) allows validation of immigration status and the IRS, •The Minnesota Department of Employment and Economic Development (DEED
What is the data hub?
500
We need your Social Security number to tell you apart from other people, to prevent duplication of state and federal benefits, and to verify income, resources or other information that may affect your eligibility and benefits. You do not have to give us a Social Security number for persons in your home who are not applying for coverage or if you have religious objections. If you are permanently living in the U.S. without permission or approval from the U.S. Citizenship and Immigration Services, you do not need to provide your Social Security number, but you may not be eligible to enroll in benefits or plans offered on MNsure. Immigration information you give to us is used to see if you are eligible to get coverage. We only share it when the law allows it or requires it. You do not have to give us immigration information about yourself if you are helping someone else apply or about anyone in your household who is not applying for coverage. For Medicaid, you do not have to provide immigration information if you are applying for emergency medical care only or are a pregnant woman living in the U.S.
What is the reason a social security number is required information on the IAP application?
500
Income eligibility for Advanced Premium Tax Credit (APTC) is determined by a person's household income. The income of the following members of a person's household is counted as part of his or her household income for APTC: The taxpayer and spouse Tax dependents expected to be required to file a federal income tax return The income of tax dependents who file federal income tax returns when the Internal Revenue Service (IRS) does not require them to file is excluded from a person’s household income.
What Income Counts for Advanced Premium Tax Credit?