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COMBINED MANUAL

ISSUE DATE 02/2022

RECERTIFICATION PROCESS

0009.06

All the forms and information that are required to be provided and reviewed with applicants must also be sent and verbally reviewed with clients during their recertification interview. See 0005.12.12.01 (Forms/Handouts For Applicants) for a list of forms and information that must be provided and reviewed with clients.

If a recertification form is provided after the certification period ends, the unit will need to re-apply.

MSA, GA, GRH: MAXIS will also include the following forms in the recertification packet: ● Return envelope.

● Domestic Violence Information (DHS-3477) (PDF).

MAXIS will send the Combined Annual Renewal for Certain Populations (DHS-3727) (PDF) for cases: ● With 1 person, or 2 people if they are married and living together.

AND

● All unit members are age 18 or older.

AND

● The only income is SSI or SSI/RSDI.

This includes people age 18 or older who are residing in a long term care facility or receiving EW services who receive only SSI or SSI/RSDI income.

MAXIS will send the Minnesota Health Care Programs Renewal for People Receiving Long-Term Care Services (DHS-2128) (PDF) for people residing in long term care facilities or receiving EW services who do not meet the criteria to receive the Combined Annual Renewal for Certain Populations, including LTC residents who receive MSA for personal needs and EW enrollees residing in GRH facilities and receiving GRH payments. See the Minnesota Health Care Programs Eligibility Policy Manual.

For GA units and MSA non-SSI units subject to monthly reporting, the unit must sign and date the CAF on or after the last day of the reporting period.

For GA units and MSA non-SSI units not subject to monthly reporting, the unit can sign the CAF any time after the date MAXIS mailed the recertification packet.

For MSA SSI units, the unit can sign the CAF any time after the date MAXIS mailed the recertification packet.