Medicaid for Home Care in Minnesota

Medicaid Certified Home Care Agency in Minnesota

Homecare service providers claiming Minnesota Medicaid should be certified as an HHA (Home Health Agency) and have a license. The agency can get full certification/documentation information through the state’s Bureau of Licensing and Certification.

Governing Body: Minnesota Department of Human Services

Overview:

Medicaid in Minnesota is also known as Medical Assistance (MA) for low-income individuals. A certain amount is deducted from the income of people who make more than the limit by utilizing ‘spenddown’.

Medicaid Programs:

  • Elderly Waiver (EW)
  • Personal Care Assistance (PCA)
  • Managed Care: MSC+ & MSHO
  • Community Access for Disability Inclusion Waiver (CADI)

Income Requirements:

  • For adults, income up to 133% of the FPL ($21,599 per year) for two persons
  • For children from the age 2 to 18, income up to 275% of the FPL ($44,660 per year) for two persons
  • For pregnant women, income up to 278% of the FPL ($45,147 per year) for two persons
  • For infants under age 2, household income up to 283% of the FPL ($45,959 per year) for two persons
  • For elderly, blind or disabled people, income up to 100% FPL ($16,248 per year) for two persons. For meeting an asset test: $3,000 for one person and $6,000 for two-person and $200 for each additional dependent
  • For working disabled people, up to 200% of the FPL ($32,724 per year) for two persons. For meeting an asset test: $4,000 for one person and $6,000 for two persons

Application Process:

The application process for accessing Medicaid in Minnesota is simple. One can apply online for the available Medicaid programs by visiting MNSure.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
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  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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50-State Medicaid Guide

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  • Create, Review & Approve Claims
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  • Claims submission in 837P, 837I format

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