Bulletin. Periodic Data Matching for Medical Assistance and MinnesotaCare TOPIC PURPOSE CONTACT SIGNED TERMINOLOGY NOTICE NUMBER DATE OF INTEREST TO

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1 Bulletin NUMBER # DATE March 13, 2018 OF INTEREST TO County Directors Social Services Supervisors and Staff Financial Assistance Supervisors and Staff Case Managers Navigators, In-person Assisters, and Certified Application Counselors Tribal Governments (Tribes) Health Care Eligibility Operations ACTION/DUE DATE Please read information and prepare for implementation EXPIRATION DATE March 13, 2020 Periodic Data Matching for Medical Assistance and MinnesotaCare TOPIC Implementation of periodic data matching for Medical Assistance and MinnesotaCare enrollees in the Minnesota Eligibility Technology System. PURPOSE To provide eligibility policy and an overview of the periodic data matching process for Medical Assistance and MinnesotaCare enrollees. CONTACT Health Care Eligibility Operations (HCEO), counties and tribal agencies should submit policy questions to HealthQuest. All others should direct questions to: SIGNED Health Care Eligibility and Access (HCEA) Division PO Box Cedar Street St. Paul, MN NATHAN MORACCO Assistant Commissioner Health Care Administration TERMINOLOGY NOTICE The terminology used to describe people we serve has changed over time. The Minnesota Department of Human Services (DHS) supports the use of "People First" language. Minnesota Department of Human Services PO Box St. Paul, MN

2 I. Periodic Data Matching Policy Background The 2015 legislature passed a law directing the Department of Human Services (DHS) to conduct periodic data matching (PDM) using trusted electronic data sources to identify Medical Assistance (MA) and MinnesotaCare enrollees in the Minnesota Eligibility Technology System (METS) who may not meet the eligibility criteria for the public health care program in which they are enrolled. II. Period Data Matching Process Beginning in March 2018, MA and MinnesotaCare enrollees with eligibility in METS are subject to data matching using electronic data sources at least once during an enrollee s 12-month period of eligibility. If the agency receives data that indicates that the enrollee may no longer qualify for the current program, the enrollee will receive a notice (Attachment A) that the agency received discrepant information. The enrollee must cooperate by responding to the notice and providing information requested within 30 days of the date on the notice. Failure to cooperate will result in termination of MA or MinnesotaCare coverage. DHS will select cases for periodic data matching each month based on the month of application. DHS will ensure the PDM process does not occur within three months before or after an enrollee s annual renewal. At this time, the electronic data sources used for periodic data matching include: Social Security Administration o Social Security Disability Insurance (SSDI) and Retirement, Survivors, and Disability Insurance (RSDI) benefit amounts o Death information o Medicare Part A information Equifax - Wage information from participating employers Internal Revenue Service (IRS) - Income information from federal tax returns Federal tax information is private and protected data the agency receives from the IRS and may not be disclosed or maintained as a record which may be accessible to others. Income information provided to the agency by the enrollee and retained in case evidence is not federal tax information. A. Notification of Discrepant Information Discrepant information is data DHS receives through the PDM process that is not consistent with the case information attested to by an enrollee. This could be inconsistent information about income, a death or Medicare Part A enrollment for the enrollee or anyone in the household. The discrepancy notice (Attachment A) identifies the type of discrepant data received about the enrollee or a member(s) of the household. An enrollee will receive a discrepancy notice only when the information received from an electronic data source indicates the enrollee may no longer qualify for the program in which he or she is currently enrolled. Minnesota Department of Human Services PO Box St. Paul, MN

3 Page 3 If a discrepancy exists for an enrollee, a system-generated discrepancy notice is sent informing the enrollee that DHS received discrepant information. The discrepancy notice requests that the enrollee resolve the discrepant information by responding to the servicing agency or MinnesotaCare, and it describes the ways to do this. When an enrollee does not respond to the notice or does not respond with information to resolve the discrepancy within the 30-day period, the enrollee s eligibility will end as a result of not complying with the request for information. B. Extending the Time to Resolve a Discrepancy An extension of time beyond the 30-day period is available when an enrollee is cooperating with the agency but is unable to provide the information needed to resolve the discrepancy before the date of closure. An agency may grant an extension only when the request is made by the enrollee. The agency cannot grant an extension due to agency delay. The system will generate an extension notice (Attachment D) when the agency grants the extension. The notice acknowledges the request for a 30-day extension, lists the household member the extension applies to and states the discrepancy type. If the enrollee fails to further cooperate by the end of the extension period, the enrollee s MA or MinnesotaCare coverage will be closed at that time. C. Resolving a PDM Discrepancy An enrollee has 30 days from the date on a PDM discrepancy notice to confirm the information DHS received or provide a reasonable explanation for the discrepancy. An enrollee may respond to the discrepancy notice by submitting the response form with confirmed or corrected information by mail, in person or by calling the servicing agency. An enrollee who confirms the information on the form is correct is not required to provide verifications to resolve a discrepancy. When an enrollee attests to corrections or changes to update the information, the discrepancy is resolved and the case may be processed as a change in circumstance (See Section D). Resolving an income discrepancy An income-related PDM discrepancy is resolved when the agency receives an attestation of current income and projected annual income (PAI) for the household from the enrollee. No verification is required if the enrollee s attested income is the same as the income listed on the discrepancy notice. Resolving a Medicare Part A discrepancy When an enrollee has a discrepancy related to Medicare, the enrollee must confirm having Medicare Part A or attest that he or she does not have Medicare Part A. If an enrollee disputes having Medicare, the agency must check any other available data sources about Medicare enrollment, and if necessary, refer the enrollee to the Social Security Administration (SSA) to update his or her records. The agency cannot require an enrollee to contact SSA before resolving the discrepancy. Resolving a death discrepancy Minnesota Department of Human Services PO Box St. Paul, MN

4 Page 4 A death discrepancy is resolved when the death is either confirmed or denied by the household. If an enrollee denies the death discrepancy, the agency must resolve the discrepancy and refer the enrollee to SSA to correct his or her records. The agency cannot require an enrollee to contact SSA before resolving the discrepancy. When an enrollee cooperates with resolving all PDM discrepancies by contacting the agency as explained earlier in this section, the agency must notify the enrollee that the PDM process is complete. The system will generate a discrepancy outcome notice (Attachment B) that informs the enrollee that the discrepancies have been resolved. If a discrepancy resolution results in a program change, the system will also generate a standard eligibility notice that reflects the new program eligibility. D. Changes in Circumstances Enrollees may report changes during the process of resolving their PDM discrepancies. Workers should process changes in circumstances according to existing program rules and verify as required. Workers who suspect fraud should follow current rules and procedures for fraud referrals and overpayments. E. Failure to Resolve a PDM Discrepancy Enrollees must cooperate with the PDM process as a condition of eligibility. Enrollees who fail to resolve a PDM discrepancy or request an extension within 30 days of the notice are no longer eligible for their current program. They will not be eligible for MA, MinnesotaCare, advanced premium tax credits (APTC) or cost-sharing reductions (CSR) until they resolve all outstanding discrepancies. If an enrollee is no longer eligible to continue coverage in MA or MinnesotaCare due to an unresolved discrepancy, the enrollee may be eligible to purchase a qualified health plan without a subsidy if he or she meets the eligibility criteria. DHS must notify an enrollee when he or she loses MA or MinnesotaCare eligibility for failure to resolve a PDM discrepancy. DHS will send a system-generated closing notice (Attachment C) 10 days in advance of ending MA or MinnesotaCare eligibility. An enrollee who receives a closing notice for failure to resolve a PDM discrepancy can still complete the PDM process before the effective date of closure. An enrollee s coverage cannot be closed if he or she is cooperating with the agency but is unable to provide the information needed to resolve the discrepancy before the effective date of closure. In this circumstance, the enrollee may request a 30-day extension to resolve the discrepancy. Minnesota Department of Human Services PO Box St. Paul, MN

5 Page 5 F. Eligibility After Closure If an enrollee s coverage was closed for not resolving PDM discrepancies and the individual requests coverage again at a later date, he or she must still resolve the discrepancies by contacting the agency. Once the individual resolves outstanding discrepancies, the earliest the individual can be eligible for MA or MinnesotaCare is the first day of the month in which the individual cooperated with the agency to resolve the PDM discrepancy or reapplied. G. Appeals Enrollees who lose eligibility for MA or MinnesotaCare as a result of the PDM process can appeal the decision by following the rules for the program in which they were enrolled. III. Legal Authority Minnesota Statutes, section 256B.0561 IV. Attachments There are four new notices related to PDM compliance. Attachment A: The Medical Assistance or MinnesotaCare Discrepancy Notice informs enrollees who have a discrepancy in the household and their discrepancy type. Attachment B: The Medical Assistance or MinnesotaCare Discrepancy Outcome Notice informs enrollees that they have resolved all of their discrepancies or the discrepancies no longer apply. Attachment C: The Medical Assistance or MinnesotaCare Closing Notice for Unresolved Discrepancy informs enrollees that the agency did not receive a response to the discrepancy notice. The notice lists the enrollees who are no longer eligible for Medical Assistance or MinnesotaCare. The notice indicates the date they are no longer eligible. Attachment D: The Medical Assistance or MinnesotaCare Extension to Resolve Discrepancy notice informs enrollees that they requested an extension to resolve a discrepancy and they have an additional 30 days from the date on the notice to resolve it. Minnesota Department of Human Services PO Box St. Paul, MN

6 Page 6 V. Americans with Disabilities Act (ADA) Advisory Minnesota Department of Human Services PO Box St. Paul, MN

7 Attachment A Servicing Agency 123 Main Street St. Paul, MN Mar 25, :45 AM JOHN J SMITH 500 MOCKINGBIRD LANE ST. PAUL, MN * Medical Assistance or MinnesotaCare Discrepancy Notice Important: Action Needed We have received information about you or members of your household that is different from what you reported. You must confirm or update the information on this notice within 30 days from the date on this notice. If you do not respond, health care coverage for some or all household members may end. Contact the agency listed above or complete the enclosed form and send it to the agency listed above. We will use the information you give us to redetermine your eligibility. This may result in: Your health care program staying the same Your health care program changing Your health care program closing If you would like to call the agency listed above and do not know the phone number, call the DHS Member Help Desk at or for assistance. Medicare Discrepancy Information from electronic sources indicates that the following people have Medicare Part A. [John Jacob Smith Jr] [Jane Julie Smith] [Joshua James Smith] Death Discrepancy Information from electronic sources indicates that [John Jacob Smith Jr] is deceased. This person s death may effect health care coverage for the following people: [John Jacob Smith Jr] [Jane Julie Smith] [Joshua James Smith]

8 Income Discrepancy Income information received from electronic sources indicates that the following people may no longer meet the income limit for their health care program. You must confirm the income information for your household. [John Jacob Smith Jr] [Jane Julie Smith] [Joshua James Smith]

9 Medical Assistance or MinnesotaCare Discrepancy Response Form Review the information below. You must tell us if this information is correct or if it is incorrect and needs to be changed. If you know the information below is complete and correct: Call the agency listed on the first page of this notice to confirm the information; or Enter your name below, and send this form to the agency listed on the first page of this notice. If you know the information below is incomplete or incorrect: Call the agency listed on the first page of this notice to provide updated information; or Enter your name below and provide updated information in the boxes below. Send this form to the agency listed on the first page of this notice. Name of person completing this form:. You must respond within 30 days from the date on this notice. If you do not respond, health care coverage for some or all household members may end. Medicare Information The information below is complete and correct unless you enter a change in the box below. Name Type of insurance Start date [John Jacob Smith Jr] Medicare Part A 01/01/2017 [Jane Julie Smith] Medicare Part A 01/01/2017 [Joshua James Smith] Medicare Part A 01/01/2017 If the information above is not correct, clarify in the box below: Mar 25, :45 AM

10 Death Information If the information below is correct, enter the date of death for the deceased individual. Name of deceased Gender Date of birth Date of Death [John Jacob Smith Jr] Male 01/01/1980 If the information above is not correct, please clarify in the box below: Income Information 1. Income you reported This is the income you have reported for your household. Information we have from electronic sources is now showing this income may not be correct. You must confirm or update this information within 30 days from the date on this notice. Review the income information below and: Contact the agency listed on the first page of this notice to confirm or change what is reported below OR Send this form to the agency listed on the first page of this notice to confirm or change what is reported below. Name Source of income Check here if this income source has ended Amount Frequency Amount of interest received or Social Security benefit that is tax exempt

11 If any of the information reported above is no longer correct and complete, you must report the change, even if it is the same source of income. If you have new income to report, add this information as well. Name Type of Income Amount Frequency Amount of interest received or Social Security benefit that is tax exempt 2. Income Adjustments Below are income adjustments you reported. They are expenses you can subtract from your income on the IRS 1040 tax form. Some examples include alimony paid and student loan interest. For a complete list of allowable income adjustments, see lines on the 1040 tax form. You can list adjustments even if you don t file a tax return. Name Type of income adjustment Amount of income adjustment Frequency of income adjustment The information above is complete and correct unless you enter a change below: Name Type of income adjustment Amount of income adjustment Frequency of income adjustment 3. Projected Annual Income Projected annual income (PAI) is the income your household expects to have for the calendar year (January through December). If you file taxes, it is the modified adjusted gross income your household expects to have for the tax year. What is PAI? It includes income your household already received this year, even if that income has stopped. It includes all taxable income. It also includes Social Security benefits, interest income and foreign earned income your household expects to receive this year, even if it is not taxable. It doesn t include Supplemental Security Income (SSI), child support or workers compensation. It includes adjustments that you expect to claim on your federal tax return if you file one. Some common adjustments are alimony you pay and student loan interest. You can use your most recently filed federal tax return (1040 tax form), if you filed one, as a guide. The income is listed on lines The adjustments are listed on lines

12 This is the PAI we have for people in your household. If you need help with your PAI, please contact your county agency or MinnesotaCare Operations. Name PAI for [Current Tax Year] PAI for [Next Tax Year] $ $ $ $ $ $ The information above is complete and correct unless you enter a change below: Name PAI for [Current Tax Year] PAI for [Next Tax Year] $ $ $ $ $ $

13 What if I have questions about this notice? Call us if you have questions. For questions about Medical Assistance, call your county or tribal agency. For questions about MinnesotaCare, call MinnesotaCare Operations at or For general questions about Medical Assistance or MinnesotaCare, call the MHCP Member Help Desk at or If you have hearing or speech disabilities, contact us using your preferred telecommunications relay service. You can also visit us in person: For in-person help about Medical Assistance, go to your county or tribal agency. For in-person help about MinnesotaCare, go to the MinnesotaCare walk-in office. The walk-in office is on the first floor of the Elmer L. Andersen Human Services Building in St. Paul. It is next to the security desk in the lobby. Location: Hours: Elmer L. Andersen Human Services Building 540 Cedar Street St. Paul, MN :00 a.m. to 5:00 p.m., Monday Friday Who can help me resolve a discrepancy? If you have Medical Assistance, your county or tribal agency has workers who can help you. If you have MinnesotaCare, you can get help from workers at MinnesotaCare Operations. The Department of Human Services (DHS) also partners with trusted organizations across the state. People from these organizations, called navigators, are trained to provide free face-to-face help. To find a navigator near you, use the MNsure Assister Directory at

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15 Attachment B Servicing Agency 123 Main Street St. Paul, MN Mar 25, :45 AM * JOHN SMITH 500 MOCKINGBIRD LANE ST. PAUL, MN Medical Assistance or MinnesotaCare Discrepancy Outcome Notice We sent you a Discrepancy Notice because we received information about you or members of your household that was different from what you told us. The discrepancies for the following people have either been resolved or no longer apply: [John Jacob Smith Jr] [Jane Julie Smith] [Joshua James Smith]. We will send you another notice that explains the eligibility for all members of your household who have requested assistance. It will also tell you if you need to send us any additional information or proof about the information you told us.

16 What if I have questions about this notice? Call us if you have questions. For questions about Medical Assistance, call your county or tribal agency. For questions about MinnesotaCare, call MinnesotaCare Operations at or For general questions about Medical Assistance or MinnesotaCare, call the MHCP Member Help Desk at or If you have hearing or speech disabilities, contact us using your preferred telecommunications relay service. You can also visit us in person: For in-person help about Medical Assistance, go to your county or tribal agency. For in-person help about MinnesotaCare, go to the MinnesotaCare walk-in office. The walk-in office is on the first floor of the Elmer L. Andersen Human Services Building in St. Paul. It is next to the security desk in the lobby. Location: Hours: Elmer L. Andersen Human Services Building 540 Cedar Street St. Paul, MN :00 a.m. to 5:00 p.m., Monday Friday

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18 Attachment C Servicing Agency 123 Main Street St. Paul, MN Mar 25, :45 AM JOHN J SMITH 500 MOCKINGBIRD LANE ST. PAUL, MN Medical Assistance or MinnesotaCare Closing Notice for Unresolved Discrepancy Important: Action Needed We sent you a Discrepancy Notice asking you to confirm or update information about you or members of your household. You did not respond within 30 days, so the people listed on this form are no longer eligible for Medical Assistance or MinnesotaCare. You may be able to continue your Medical Assistance or MinnesotaCare if you immediately contact the agency listed above or complete the Discrepancy Response Form that we sent you. You must do this before the date that coverage ends (listed below). If you complete the form, send it to the agency listed at the top of this page. If you would like to call the agency listed above and do not know the phone number, call the DHS Member Help Desk at or for assistance. Health Care Results John Jacob Smith Jr - MNsure ID Number: You no longer qualify for Medical Assistance starting [date]. The last day you can receive coverage from Medical Assistance is [date]. You do not qualify for Medical Assistance because you did not provide the information we asked you for so that we could confirm your current eligibility. (Code of Federal Regulations, title 42, section ; Minnesota Statutes, section 256B.0561) You do not qualify for MinnesotaCare because you did not provide the information we asked you for. (Code of Federal Regulations, title 42, section ; Minnesota Statutes, section 256B.0561) John Jacob Smith Jr - MNsure ID Number: You no longer qualify for MinnesotaCare starting [date]. If you have MinnesotaCare coverage, the last day you can receive coverage from MinnesotaCare is [date]. You do not qualify for MinnesotaCare because you did not provide the information we asked you for so that we could confirm your current eligibility. (Code of Federal Regulations, title 42, section ; Minnesota Statutes, section 256B.0561)

19 You do not qualify for Medical Assistance because you did not provide the information we asked you for. (Code of Federal Regulations, title 42, section ; Minnesota Statutes, section 256B.0561)

20 What if I have questions about this notice? Call us if you have questions. For questions about Medical Assistance, call your county or tribal agency. For questions about MinnesotaCare, call MinnesotaCare Operations at or For general questions about Medical Assistance or MinnesotaCare, call the MHCP Member Help Desk at or If you have hearing or speech disabilities, contact us using your preferred telecommunications relay service. You can also visit us in person: For in-person help about Medical Assistance, go to your county or tribal agency. For in-person help about MinnesotaCare, go to the MinnesotaCare walk-in office. The walk-in office is on the first floor of the Elmer L. Andersen Human Services Building in St. Paul. It is next to the security desk in the lobby. Location: Hours: Elmer L. Andersen Human Services Building 540 Cedar Street St. Paul, MN :00 a.m. to 5:00 p.m., Monday Friday Who can help me resolve a discrepancy? If you have Medical Assistance, your county or tribal agency has workers who can help you. If you have MinnesotaCare, you can get help from workers at MinnesotaCare Operations. The Department of Human Services (DHS) also partners with trusted organizations across the state. People from these organizations, called navigators, are trained to provide free face-to-face help. To find a navigator near you, use the MNsure Assister Directory at

21 IMPORTANT APPEAL RIGHTS! READ THIS NOW! What if I do not agree with the action DHS took on my health care coverage? If you think the decision in your health care notice is wrong, you have the right to appeal. An appeal is a legal process where a human services judge holds a hearing and reviews (1) a decision by the Minnesota Department of Human Services (DHS) about MinnesotaCare coverage; or (2) a decision by a county or tribal agency about Medical Assistance coverage. You can learn more about how this works at How do I appeal? You can appeal by submitting your own written request, filling out a DHS appeal form, or getting help by phone or in person. Your county or tribal agency can help you file your appeal. 1. Internet 2. Phone (for help filing an appeal) Fill out the DHS-0033 form at mn.us/lfserver/public/d HS-0033-ENG and submit it electronically. Call your county or tribal agency. 3. Mail 4. In person (appeals help only) Mail your request to Department of Human Services Appeals Office 444 Lafayette Road North St. Paul, MN Get appeals help in person at Minnesota Department of Human Services Information Desk 444 Lafayette Road North St. Paul, MN What can I appeal? You can appeal any of these: The county or tribal agency or DHS failed to act on your request about health care coverage. The county or tribal agency or DHS processed your request too slowly. Tthe county or tribal agency or DHS took an action you do not agree with (examples of actions: denial of Medical Assistance coverage, approval of coverage for a program you do not think you are eligible for, a change in your MinnesotaCare benefits). When must I appeal? If your appeal involves Medical Assistance or MinnesotaCare, you must file your appeal within 30 days of receiving your health care notice. If you show good cause for not appealing a Medical Assistance or MinnesotaCare action within 30 days, you may be able to appeal up to 90 days after the date of your health care notice. See below for more important information about time limits for Medical Assistance and MinnesotaCare appeals. Important: An appeal decision for one household member may affect the eligibility of other household members. Household eligibility may need to be redetermined. Will my benefits continue during my appeal? You may be able to continue to get the same benefits you were receiving at the time you got the health care notice. But you may have to file your appeal within a certain time limit. For Medical Assistance and MinnesotaCare enrollees, we usually must send you an advance notice 10 days or more before the effective

22 date of an action, or we may send you a notice five days before an action, depending on the situation. Your benefits will automatically continue if you file your appeal by the effective date of the action on the advance health care notice. In a few situations we may send you a notice less than five days before an action, or on the effective date of an action. Your benefits will continue if you file an appeal within 15 days from the date of that health care notice. You must pay your monthly MinnesotaCare premium to get continued coverage during your appeal. Tell DHS in writing if you do not want your benefits to continue. Important: If you lose your appeal, you may have to pay back the benefits you got while your appeal was pending. Important: You have the right to apply for Medical Assistance or MinnesotaCare again if your benefits stop. What if I need a hearing right away? You have the right to ask for an expedited (sped-up) appeal. If you need a hearing right away, tell DHS the reason when you file your appeal. To ask for a sped-up appeal for Medical Assistance or MinnesotaCare, contact the DHS Appeals Office at (outstate) or (metro). What do I do after I file my appeal? Gather information related to the action you are appealing that you think will prove or explain the reason you think the action was wrong. You will get a letter telling you the date and time of the appeal hearing. Many hearings are done over the phone. Continue to report changes (such as the start or stop of a job or changes in who lives with you) within these time frames: 30 days if you have MinnesotaCare 10 days if you have Medical Assistance If you have Medical Assistance, report changes by calling your county or tribal agency. If you have MinnesotaCare, report changes by calling MinnesotaCare Operations at or Can I get help with my appeal? You may speak for yourself at the hearing. You may also have someone else speak for you. You can let us know that you want someone else to speak for you at the hearing when you file your appeal. If your income is below a certain limit, you may be able to get legal advice or help with your appeal from your local legal aid office. Discrimination is against the law The U.S. Department of Health and Human Services Office for Civil Rights prohibits discrimination in its programs because of race, color, national origin, age, disability, and sex, including sex stereotypes and gender identity. If you believe you have been discriminated against, you have the right to file a complaint directly with the federal agency. Write to the U.S. Department of Health and Human Services Office for Civil Rights Region V at 233 North Michigan Avenue, Suite 240, Chicago, IL Or call at (voice), (toll-free), or (TTY). In Minnesota, if you believe you have been discriminated against because of race, color, national origin, religion, creed, sex, sexual orientation, public assistance status, or disability, you have the right to file a complaint with the Minnesota Department of Human Rights at Freeman Building, 625 Robert Street North, St. Paul, MN Or call at (voice) or (toll free), or use your preferred relay service.

23 If you believe you have been discriminated against under federal laws, state laws, or both, you may also file a complaint with the Minnesota Department of Human Services, Equal Opportunity and Access Division, P.O. Box 64997, St. Paul, MN Or call (voice) or use your preferred relay service.

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25 Attachment D Servicing Agency 123 Main Street St. Paul, MN Mar 25, :45 AM JOHN J SMITH 500 MOCKINGBIRD LANE ST. PAUL, MN Medical Assistance or MinnesotaCare Extension to Resolve Discrepancy You contacted us to extend the time you have to resolve the discrepancy listed below. The time period has been extended 30 days from the date on this notice for the following people: [John Jacob Smith Jr] [Jane Julie Smith] [Joshua James Smith] You can contact the agency listed above or complete the form that we sent you. If you complete the form, send it to the agency listed at the top of this page. If you would like to call the agency listed above and do not know the phone number, call the DHS Member Help Desk at or for assistance. Medicare Discrepancy Information from the Social Security Administration (SSA) indicates that the following people have Medicare Part A. [John Jacob Smith Jr] [Jane Julie Smith] [Joshua James Smith] Death Discrepancy Information from the Social Security Administration (SSA) indicates that [John Jacob Smith Jr] is deceased. This person s death may effect health care coverage for the following people: [John Jacob Smith Jr] [Jane Julie Smith] [Joshua James Smith]

26 Income Discrepancy Income information received indicates that the following people may no longer meet the income limit for their health care program. You must confirm the income information for your household. [John Jacob Smith Jr] [Jane Julie Smith] [Joshua James Smith]

27 What if I have questions about this notice? Call us if you have questions. For questions about Medical Assistance, call your county or tribal agency. For questions about MinnesotaCare, call MinnesotaCare Operations at or For general questions about Medical Assistance or MinnesotaCare, call the MHCP Member Help Desk at or If you have hearing or speech disabilities, contact us using your preferred telecommunications relay service. You can also visit us in person: For in-person help about Medical Assistance, go to your county or tribal agency. For in-person help about MinnesotaCare, go to the MinnesotaCare walk-in office. The walk-in office is on the first floor of the Elmer L. Andersen Human Services Building in St. Paul. It is next to the security desk in the lobby. Location: Hours: Elmer L. Andersen Human Services Building 540 Cedar Street St. Paul, MN :00 a.m. to 5:00 p.m., Monday Friday Who can help me resolve a discrepancy? If you have Medical Assistance, your county or tribal agency has workers who can help you. If you have MinnesotaCare, you can get help from workers at MinnesotaCare Operations. The Department of Human Services (DHS) also partners with trusted organizations across the state. People from these organizations, called navigators, are trained to provide free face-to-face help. To find a navigator near you, use the MNsure Assister Directory at

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