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You must refer to Minn. Statute 127.034 or this illustration for an example of an appropriate Medicaid application. We would strongly recommend that you follow the steps outlined in section 2B, of the illustration. Home health agencies and elders services agencies must review your application to make sure it is complete and has been submitted in the correct format. In addition to the forms that you need to submit, they will need to be able to verify your income, your medical history, your assets, your eligibility for other public programs, and your ability to contribute to the cost of your care. If your information is not complete, you may be able to submit additional documents to make your case for Medicaid eligibility.

When your home health agency or elders services agency (JSS) has decided whether you are eligible for Medicaid home health services, they must make an assessment of your actual or anticipated need for home health services. We recommend that you discuss this assessment with your home health agency. The home health agency will also provide you with a written report of their assessment and the estimated cost of your services. You must be provided with this report no later than 24 days after the date of your decision. You must decide whether you will accept the proposed services. You may choose to ask the home health agency to reconsider their proposed services and ask for a different proposed plan. You may also ask the home health agency for a review fee if you wish to have the home health agency assess you again. You must keep all of the Medicaid forms that your social services office/HRA sends to you and not throw away or shred them. If you do burn an original Medicaid eligibility determination, you may be charged a 20 percent penalty.

If you are unable to afford your own long term care, you or your family may apply for Medicaid Long Term Care benefits. If you cannot afford your own care and you do not have another family member or close friend who can provide help or care you, you may seek to be placed in a nursing home. d2c66b5586

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