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Medicaid Expansion

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Coverage for more Minnesotans starting in 2011

In March 2011, low income adults without children became eligible for Medical Assistance, Minnesota’s Medcaid program. This “early Medicaid expansion” brought improved coverage to 84,000 low-income Minnesotans and savings to the state budget.  This expansion was made possible through federal health reform and an executive order signed by Governor Mark Dayton in January 2011.  Adults may qualify for the early Medicaid expansion if they do not have children under age 21 in the home and have incomes at or below 75% of the federal poverty level, or about $698 a month or $8,378 a year for one person.

Beginning in 2014, Minnesota has the option of expanding Medical Assistance eligibility further to individuals younger than 65 who earn up to 133% of the federal poverty level, or about $14,859 for a single adult.  This expansion, which the Affordable Care Act required but was made optional by the July 2012 Supreme Court Decision, would cover an additional 57,000 Minnesotans. The combination of the early expansion and the optional expansion is estimated to save the state budget about $1 billion from 2011 to 2015.

Who are the Minnesotans benefiting from the early Medicaid Expansion?

The early Medicaid Expansion provides coverage for adults without children who have incomes at or below 75% of the federal poverty level, or about $698 a month or $8,378 a year for one person. Under the expansion, approximately 84,000 Minnesotans previously enrolled in two state funded program – General Assistance Medical Care (GAMC) and MinnesotaCare – will received Medical Assistance (MA), which provides more comprehensive benefits and has lower copayments.

Who are the Minnesotans that would benefit from optional Medicaid coverage expansion?

The optional Medicaid expansion would cover Minnesotans with income up to 133% of the Federal Poverty Level who are age 19 to 65, are not pregnant, are not eligible or enrolled in Medicare, and not otherwise eligible for Medicaid.  This means that childless adults below 133% FPL, parents between 100% and 133% of FPL, and 19 and 20 year olds between 100% and 133% FPL would move from Medical Assistance or MinnesotaCare into the expanded Medical Assistance.

How do I find out if I’m eligible for Medicaid under the expansion?

Individuals eligible for Medicaid are adults without children who have incomes at or below 75 percent of the poverty level, about $698 a month or $8,378 a year for one person.
People may apply through their local county office. Applications and information about applying can be found by clicking on How to apply in the left column.

When will more Minnesotans get affordable care through health reform?

About 84,000 Minnesotans have already received coverage through the early Medicaid Expansion.  Beginning in 2014, the state has the option of expanding Medcaid to Minnestoans below 133% the Federal Poverty Level.  An Exchange, would also off subsidies to purchase private insurance for Minnesotans who earn up to 400% of the Federal Poverty Level, or about $89,400 for a family of four.