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Chapter 256B
Section 256B.06
Recent History
- 2026 Subd. 4 Amended 2026 c 127 art 6 s 13
- 2024 Subd. 6 Revisor Instruction 2024 c 115 art 16 s 43
- 2024 Subd. 6 Revisor Instruction 2024 c 80 art 16 s 96
- 2022 Subd. 4 Revisor Instruction 2022 c 98 art 4 s 51
- 2021 Subd. 4 Amended 2021 c 7 art 1 s 6
- 2019 Subd. 4 Amended 2019 c 54 art 2 s 19
- 2016 Subd. 4 Amended 2016 c 189 art 19 s 9
- 2015 Subd. 6 New 2015 c 71 art 11 s 18
- 2014 Subd. 4 Amended 2014 c 312 art 29 s 5
- 2013 Subd. 4 Amended 2013 c 108 art 6 s 7
- 2013 Subd. 4 Amended 2013 c 108 art 1 s 25
- 2011 Subd. 4 Amended 2011 c 9 art 6 s 27
- 2009 Subd. 4 Amended 2009 c 173 art 1 s 19
- 2009 Subd. 4 Amended 2009 c 79 art 5 s 23
- 2009 Subd. 5 Amended 2009 c 79 art 5 s 24
- 2008 Subd. 4 Amended 2008 c 286 art 1 s 6
- 2006 Subd. 4 Amended 2006 c 282 art 17 s 34
- 2005 Subd. 4 Amended 2005 c 4 art 8 s 28
- 2004 Subd. 4 Amended 2004 c 288 art 6 s 21
- 2003 Subd. 4 Amended 2003 c 14 art 12 s 31
- 1998 Subd. 4 Amended 1998 c 407 art 4 s 19
- 1997 Subd. 4 Amended 1997 c 85 art 3 s 19
- 1997 Subd. 5 Amended 1997 c 203 art 12 s 2
- 1997 Subd. 5 New 1997 c 85 art 3 s 20
- 1995 Subd. 4 Amended 1995 c 207 art 6 s 38
256B.06 ELIGIBILITY; MIGRANT WORKERS; CITIZENSHIP.
Subd. 3.Migrant worker.
Notwithstanding any law to the contrary, a migrant worker who meets all of the eligibility requirements of this section except for having a permanent place of abode in another state, shall be eligible for medical assistance and shall have medical needs met by the county in which the worker resides at the time of making application.
Subd. 4.Citizenship requirements.
(a) Except as provided in paragraph (c), eligibility for medical assistance is limited to citizens and nationals of the United States and noncitizens who are eligible for coverage with federal financial participation provided by Medicaid or the Children's Health Insurance Program. Noncitizens who are eligible for federal financial participation include but are not limited to:
(1) children and pregnant women who are lawfully residing in the United States as provided by section 214 of the federal Children's Health Insurance Program Reauthorization Act of 2009, Public Law 111-3, and who otherwise meet eligibility requirements of this chapter; and
(2) pregnant noncitizens who are ineligible for federal financial participation because of immigration status; who are not covered by a group health plan or health insurance coverage according to Code of Federal Regulations, title 42, section 457.310; and who otherwise meet the eligibility requirements of this chapter. These individuals are eligible for medical assistance through the period of pregnancy, including labor and delivery, and 12 months postpartum.
(b) Citizens or nationals of the United States must cooperate in obtaining satisfactory documentary evidence of citizenship or nationality according to the requirements of the federal Deficit Reduction Act of 2005, Public Law 109-171.
(c) Beginning October 1, 2003, persons who are receiving care and rehabilitation services from a nonprofit center established to serve victims of torture and who are otherwise ineligible for medical assistance under this chapter are eligible for medical assistance without federal financial participation. These individuals are eligible only for the period during which they are receiving services from the center. Individuals eligible under this paragraph are not required to participate in prepaid medical assistance. The nonprofit center referenced in this paragraph may establish itself as a provider of mental health targeted case management services through a county contract under section 256.0112, subdivision 6. If the nonprofit center is unable to secure a contract with a lead county in its service area, then, notwithstanding the requirements of section 256B.0625, subdivision 20, the commissioner may negotiate a contract with the nonprofit center for provision of mental health targeted case management services. When serving clients who are not the financial responsibility of their contracted lead county, the nonprofit center must gain the concurrence of the county of financial responsibility prior to providing mental health targeted case management services for those clients.
(d) Nonimmigrants who otherwise meet the eligibility requirements of this chapter are eligible for the benefits as provided in paragraphs (e) to (g). For purposes of this subdivision, a "nonimmigrant" is a person in one of the classes listed in United States Code, title 8, section 1101(a)(15).
(e) Payment shall also be made for care and services that are furnished to noncitizens, regardless of immigration status, who otherwise meet the eligibility requirements of this chapter, if such care and services are necessary for the treatment of an emergency medical condition.
(f) For purposes of this subdivision, the term "emergency medical condition" means a medical condition that meets the requirements of United States Code, title 42, section 1396b(v).
(g)(1) Notwithstanding paragraph (f), services that are necessary for the treatment of an emergency medical condition are limited to the following:
(i) services delivered in an emergency room or by an ambulance service licensed under chapter 144E that are directly related to the treatment of an emergency medical condition;
(ii) services delivered in an inpatient hospital setting following admission from an emergency room or clinic for an acute emergency condition; and
(iii) follow-up services that are directly related to the original service provided to treat the emergency medical condition and are covered by the global payment made to the provider.
(2) Services for the treatment of emergency medical conditions do not include:
(i) services delivered in an emergency room or inpatient setting to treat a nonemergency condition;
(ii) organ transplants, stem cell transplants, and related care;
(iii) services for routine prenatal care;
(iv) continuing care, including long-term care, nursing facility services, home health care, adult day care, day training, or supportive living services;
(v) elective surgery;
(vi) outpatient prescription drugs, unless the drugs are administered or dispensed as part of an emergency room visit;
(vii) preventative health care and family planning services;
(viii) rehabilitation services;
(ix) physical, occupational, or speech therapy;
(x) transportation services;
(xi) case management;
(xii) prosthetics, orthotics, durable medical equipment, or medical supplies;
(xiii) dental services;
(xiv) hospice care;
(xv) audiology services and hearing aids;
(xvi) podiatry services;
(xvii) chiropractic services;
(xviii) immunizations;
(xix) vision services and eyeglasses;
(xx) waiver services;
(xxi) individualized education programs; or
(xxii) substance use disorder treatment.
(h) Notwithstanding paragraph (g), clause (2), the following services are covered as emergency medical conditions under paragraph (e) except where coverage is prohibited under federal law for services under clauses (1) and (2):
(1) dialysis services provided in a hospital or freestanding dialysis facility;
(2) surgery and the administration of chemotherapy, radiation, and related services necessary to treat cancer if the recipient has a cancer diagnosis that is not in remission and requires surgery, chemotherapy, or radiation treatment; and
(3) kidney transplant if the person has been diagnosed with end stage renal disease, is currently receiving dialysis services, and is a potential candidate for a kidney transplant.
(i) Effective July 1, 2013, recipients of emergency medical assistance under this subdivision are eligible for coverage of the elderly waiver services provided under chapter 256S, and coverage of rehabilitative services provided in a nursing facility. The age limit for elderly waiver services does not apply. In order to qualify for coverage, a recipient of emergency medical assistance is subject to the assessment and reassessment requirements of section 256B.0911. Initial and continued enrollment under this paragraph is subject to the limits of available funding.
Subd. 5.Deeming of sponsor income and resources.
When determining eligibility for any federal or state funded medical assistance under this section, the income and resources of all noncitizens shall be deemed to include their sponsors' income and resources as required under the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, title IV, Public Law 104-193, sections 421 and 422, and subsequently set out in federal rules. This section is effective May 1, 1997. Beginning July 1, 2010, sponsor deeming does not apply to pregnant women and children who are qualified noncitizens, as described in subdivision 4, paragraph (b).
History:
Ex1967 c 16 s 6; 1969 c 841 s 1; 1973 c 717 s 18; 1974 c 525 s 1,2; 1975 c 247 s 10; 1976 c 236 s 3; 1977 c 448 s 6; 1978 c 760 s 1; 1979 c 309 s 4; 1980 c 509 s 106; 1980 c 527 s 1; 1981 c 360 art 2 s 28; 1Sp1981 c 2 s 14; 3Sp1981 c 2 art 1 s 32; 3Sp1981 c 3 s 17; 1982 c 553 s 6; 1982 c 640 s 5; 1983 c 312 art 5 s 15; 1984 c 422 s 1; 1984 c 534 s 22; 1984 c 654 art 5 s 58; 1985 c 248 s 70; 1985 c 252 s 21; 1986 c 444; 1Sp1986 c 1 art 8 s 5; 1987 c 403 art 2 s 79,80; 1988 c 689 art 2 s 144,145,268; 1991 c 199 art 2 s 1; 1995 c 207 art 6 s 38; 1997 c 85 art 3 s 19,20; 1997 c 203 art 12 s 2; 1998 c 407 art 4 s 19; 1Sp2003 c 14 art 12 s 31; 2004 c 288 art 6 s 21; 1Sp2005 c 4 art 8 s 28; 2006 c 282 art 17 s 34; 2007 c 13 art 1 s 25; 2008 c 286 art 1 s 6; 2009 c 79 art 5 s 23,24; 2009 c 173 art 1 s 19; 1Sp2011 c 9 art 6 s 27; 2013 c 108 art 1 s 25; art 6 s 7; 2014 c 312 art 29 s 5; 2015 c 71 art 11 s 18; 2016 c 189 art 19 s 9; 2019 c 54 art 2 s 19; 1Sp2021 c 7 art 1 s 6; 2022 c 98 art 4 s 51; 2024 c 80 art 1 s 96; 2024 c 115 art 16 s 34; 2026 c 127 art 6 s 13
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Revisor of Statutes