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DHS5274ENG821Minnesota Child Care Assistance Program Redetermination Form This is the Minnesota Child Care Assistance Program (CCAP) Redetermination Form. You must complete this form if you want to.

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Coverage Options through MNsure Medical Assistance: Covers low-income Minnesotans, including children and pregnant women, as well as people with disabilities. There is no monthly premium. Enrollment is available year-round. MinnesotaCare: Covers lower-income Minnesotans who aren't eligible for Medical Assistance.

Do the children of an MA member have to pay back what MA paid for their parent's care? No. An MA member's children do not have to use their own assets to reimburse the state for any MA services the member received. Counties that collect on an MA estate claim do so with priority over distributions to heirs.

Additionally, if you don't report your income change within the required time frame, it may affect what you're eligible for in terms of savings and coverage. Essentially, the amount you earn directly impacts the amount you pay for your health insurance plan.

To report this change, gather the information needed and call the MNsure Contact Center at 651-539-2099 (855-366-7873 outside the Twin Cities). Have this information ready when you report this change: New street address, apartment number (if applicable), city, state, ZIP code, and county. The date the move occurred.

If you have received your PEBT Link Card, and need to update your address; you may do so using the LINK hotline at 1-800-678-5465. If needed, you can order a new card from the LINK hotline also.

For Medi-Cal, you must report it within 10 days. To report changes, call Covered California at (800) 300-1506 or sign in to your online account. You can also find a Licensed Insurance Agent, Certified Enrollment Counselor or county eligibility worker who can provide free assistance in your area.

Who do I report a change to? If someone in your household gets MA, report a change to your county or tribal agency. If no one in your household gets MA, but someone in your household does get MinnesotaCare, report a change to DHS Health Care Consumer Support at 800-657-3672 or 651-297-3862.

MinnesotaCare is for families with income at or below 200% of the Federal Poverty Guidelines (FPG) ($27,180 per year for an individual; $55,500 for a family of four), but above 138% of FPG ($18,754 for an individual; $38,295 for a family of four). MinnesotaCare counts most types of earned and unearned income you have.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232