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Probate & Trust Law Section Conference Manual ... - Minnesota CLE

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programs, available in the State.<br />

<strong>Section</strong> 2002 of the Affordable Care Act requires that Modified Adjusted<br />

Gross Income (MAGI) will be the basis for determining Medicaid and<br />

CHIP eligibility for nondisabled, nonelderly individuals, effective January<br />

1, 2014. CMS has recommended that the States adopt a Standardized<br />

MAGI Conversion Methodology for converting existing Medicaid and<br />

CHIP net income standards to MAGI. <strong>Minnesota</strong> will convert to MAGI<br />

for all health care programs that take income into account in determining<br />

eligibility for benefits.<br />

2. REVISING MINNESOTACARE TO CONFORM TO BASIC<br />

HEALTH PLAN REQUIREMENTS<br />

<strong>Law</strong>s of <strong>Minnesota</strong> 2013, Ch. ___, (HF 1233) Art. 1, Secs. 28 to 63.<br />

In 1986, <strong>Minnesota</strong> created the <strong>Minnesota</strong>Care program. 40 <strong>Minnesota</strong>Care<br />

has been a publicly subsidized state health insurance program for residents<br />

who do not have access to affordable health care coverage. 41 The program<br />

served an average of 129,000 people each month in fiscal year 2012. It has<br />

been funded by a state tax on <strong>Minnesota</strong> hospitals and health care<br />

providers, federal Medicaid matching funds and enrollee premiums.<br />

Most people have not been eligible if their employer offers health insurance<br />

and pays at least half of the monthly cost. There are exceptions to this rule<br />

for some children.<br />

Most enrollees have paid a monthly premium, determined by a sliding-fee<br />

scale based on family size and income. There have been exceptions for<br />

children in households below certain income levels, some military families<br />

and American Indians. Many enrollees have paid their premium online.<br />

Health care services have been provided through health plans. People were<br />

allowed to choose their health plan from those serving <strong>Minnesota</strong>Care<br />

enrollees in their county.<br />

40 <strong>Law</strong>s of <strong>Minnesota</strong> 1986, Ch. 444, codified as Minn. Stat. Ch. 256L.<br />

41 See <strong>Minnesota</strong> Department of Human Services <strong>Minnesota</strong>Care Fact Sheet available at:<br />

http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&dDo<br />

cName=id_006255&RevisionSelectionMethod=LatestReleased<br />

41

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