HELP

MA Application Steps

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• Find DHS 3531 

• Visit DHS Edocs site: https://mn.gov/dhs/general-public/publications-forms-resources/edocs/ 

• Search DHS 3531 MA LTC application 

• Complete application 

• Fax or drop application to appropriate County 

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LTC Eligibility Factors

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• People requesting MA-LTC must meet all of the following eligibility factors to be eligible: 

• Must be eligible for MA 

• Requires a nursing facility level-of-care as determined through a Long-Term Care Consultation (LTCC) 

• Must have home equity at or below the home equity limit 

• Must not be subject to a period of ineligibility under the uncompensated transfer rules 

• Must name the state the remainder beneficiary of certain annuities 

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Waiver Types

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• CADI waiver 

• BI waiver 

• DD waiver 

• CAC waiver 

• AC-EW waiver 

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Waiver Assessment Contact

Here is a link for waver assessment request contacts for all MN counties.