Low-income Minnesotans, including seniors, children and people with disabilities, can receive medical coverage through Medical Assistance (MA), the state’s Medicaid program. MA covers doctor and clinic visits, hospital visits, X-ray services, medical equipment, mental health care, outpatient surgery, urgent care, immunizations and many other necessary services. People who are enrolled in a health plan need to visit in-network providers. Some people may have monthly copays and deductibles, which are capped at 5% of household income.
Seniors may be able to receive MA coverage if they are U.S. citizens or eligible noncitizens who meet the program’s financial requirements. To qualify, seniors must have an income that is below the federal poverty guideline. Currently, this means individuals cannot earn more than $1,041 per month or $12,492 per year. For couples, these limits are $1,410 and $16,920, respectively. In addition to these income requirements, the state has an asset test. A single person is permitted to own up to $3,000 in assets, and couples are limited to $6,000.
The state’s spend-down program may help seniors with higher incomes qualify for MA coverage. A spend-down is similar to an insurance deductible in that seniors pay a certain amount of their own money toward their medical bills, and once they cover that amount, the state takes over.
Seniors who are interested in MA need to complete a paper application. Applications are available at the Washington County Community Services Department, located at 14949 62nd St. N., Stillwater, MN 55082. To have a paper application mailed to you, call the Medical Programs help desk at (651) 431-2670.
If you have questions about the program or need help with your application, call the Senior LinkAge Line at (800) 333-2433.
Elderly Waiver
Minnesota’s Elderly waiver helps low-income seniors stay out of nursing facilities. This waiver covers many services, such as chore services, companion services, personal care assistance, skilled nursing and specialized equipment. The waiver may provide residential care in foster care or customized living environments. In Minnesota, foster care refers to small assisted living facilities with five or fewer residents. Customized living refers to what the state calls a “housing with services establishment” and may include larger assisted living facilities.
Medicaid-eligible seniors may qualify for this waiver if they need the level of care that is provided in nursing homes. The Long-Term Care Consultation process is used to determine if seniors meet this requirement. In addition, the waiver services a senior needs must cost less than nursing home care.
Call the Senior LinkAge Line at (800) 333-2433 to apply. You can also call the WCCS at (651) 430-6455. There may be a waiting list to receive services, so interested seniors should apply as soon as possible.