Minnesota Administrative Rules

9506.0060 QUALITY CONTROL.

Subpart 1.

Changes.

Enrollees must report to the department any changes in the following:

A.

address;

B.

household composition;

C.

employment status;

D.

a change of more than $50 per month of gross income;

E.

availability of other health coverage;

F.

onset of disability or change in disability; or

G.

anticipation of legal action to collect money for an accident or an injury, or benefits available due to an accident or injury.

Subp. 2.

Random audits.

The commissioner shall perform audits of randomly selected enrollees to verify enrollees' gross annual family income and MinnesotaCare eligibility. Enrollees being audited must provide additional income and eligibility information, including:

A.

federal income tax returns;

B.

federal W2 forms;

C.

employment check stubs;

D.

family composition;

E.

residency;

F.

length of time without health insurance;

G.

access to employer-subsidized coverage; and

H.

any additional information necessary to determine income and eligibility.

Subp. 3.

Disenrollment.

The commissioner shall disenroll enrollees who refuse to provide information required under subparts 1 and 2. MinnesotaCare coverage will terminate the last day of the calendar month in which notice of cancellation is sent. Persons may reenroll after complying with this part and being determined eligible for MinnesotaCare.

Statutory Authority:

MS s 256.9352; 256L.02

History:

19 SR 1286

Published Electronically:

February 2, 2005