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DHS outlines eligibility checks, counties' role and warns federal changes may reduce coverage
Summary
DHS told lawmakers counties determine individual Medicaid eligibility and that recent federal legislation will require more frequent checks and could reduce enrollment; DHS and county representatives said implementation will add administrative work and may require system upgrades and funding.
Shereen Gandhi and John Connolly of the Minnesota Department of Human Services told a June 24 interim hearing that counties make individual Medicaid eligibility determinations and that eligibility checks rely heavily on electronic data sources.
Gandhi said federal law sets minimum Medicaid eligibility rules and Minnesota county workers use a set of "trusted data sources" to confirm information at renewal and between renewals. She listed several data sources DHS uses to corroborate applications and renewals: Social Security Administration records (to verify Social Security numbers, benefits, citizenship and deaths); the Department of Homeland Security (immigration status); the Internal Revenue Service and Equifax/The Work Number (wage verification); the Minnesota Department of Employment and Economic Development (wages and unemployment);…
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