Prepaid Medical Assistance Program:
This program only covers people with disabilities who are over the age of 65 and some who are also eligible for Medicare. It also covers children defined as having special needs by the state, which may include children with certain disabilities. The program provides a wide variety of medical services.
Community: community-based services, transportation
Health: chiropractic, dental, durable medical equipment, emergency room care, early and periodic screening, diagnosis and treatment, family planning, hearing, hospice, intermediate care facilities, IEP services, immunization, hospital services, mental health care, substance abuse treatment, laboratory, occupational therapy, pharmacy, physical therapy, physician, podiatry, preventive visits, respiratory therapy, skilled nursing facilities, speech therapy, vision, x-ray
Home: home health care
Social Services: case management, interpreter services
MinnesotaCare Program for Families and Children:
This program does not specifically include people with disabilities, but may include them because it is targeted at families (parents and other related caretakers) whose income is low but not low enough to qualify for regular Medicaid. Not all services will be available in all parts of the state.
- Community: transportation
- Health: chiropractic, dental, disease management, durable medical equipment, emergency room care, early and periodic screening, diagnosis and treatment, family planning, IEP services, immunization, hospital, hearing, hospice, intermediate care facilities, mental health, substance abuse treatment, laboratory, occupational therapy, pharmacy, physical therapy, physician, podiatry, preventive visits, speech therapy, vision, x-ray
- Home: home health care, home and community based services (including those covered under an HCBS waiver)
- Social Services: case management, interpreters
Minnesota Disability Health Options (MnDHO):
This program was designed specifically to meet the needs of adults with disabilities. According to government reports, providers have been especially encouraged to develop connections with professionals working with the disability community. This plan will cover some people who are also eligible for Medicare, and it will cover people participating in HCBS waiver programs.
Ages: 18 to 64
- Community: transportation
- Health: dental, durable medical equipment, family planning, hearing, hospice, immunization, hospital services, mental health services, substance abuse treatment, laboratory, pharmacy, physician services, skilled nursing facilities, x-ray
- Home: home and community-based services under the HCBS waiver, home health care
- Social Services: case management
Minnesota Senior Health Options:
This program was developed to cover people who are eligible for both Medicaid and Medicare, who are usually Medicaid users 65 and older but may also be people with disabilities. It does not cover children, or anyone residing in a state institution other than a nursing home or similar senior care facility, but it does include people participating in HCBS waiver programs. This program provides comprehensive services.
Restrictions: you must be Medicare and Medicaid dual eligible and residing in the community to qualify for this program.
- Community: community-based services, transportation
- Health: chiropractic, dental, durable medical equipment, end-stage renal disease treatment, hearing, hospice, hospitalization and hospital services, immunization, mental health, substance abuse treatment, laboratory, medication management, pharmacy, physician services, prosthetic and orthotic devices, public health services, reconstructive surgery, skilled nursing care, transplants, vision, x-ray
- Home: home health care, personal care, HCBS services
- Social Services: interpreters, case management
Senior Care and Senior Care Plus:
This program provides care to adults aged 65 and older, but also to adults with disabilities of all ages. It also covers some people who are eligible for Medicare as well.
- Community: community-based services, transportation
- Health: chiropractic, dental, disease management, durable medical equipment, emergency room care, end-stage renal disease treatment, family planning, hearing, hospice, immunization, hospital services, mental health care, substance abuse treatment, laboratory, medication help, occupational therapy, pharmacy, physical therapy, physician services, podiatry, preventive care, prosthetic and orthotic devices, public health, reconstructive surgery, respiratory therapy, skilled nursing facilities, speech therapy, transplants, vision, x-ray
- Home: home health care, personal assistant
- Social Services: interpreters, case management
Special Needs Basic Care:
This program provides services to adults and some children with disabilities. It is designed to meet the needs of people whose health might require more care than the average person. This program covers adults with disabilities and many people who are also eligible for Medicare.
- Community: transportation
- Health: chiropractic, dental, disease management, durable medical equipment, emergency room care, family planning, hearing, hospitalization, substance abuse treatment, laboratory, occupational therapy, outpatient mental health treatment, pharmacy, physical therapy, physician services, podiatry, preventive health care (including regular checkups for children and teens), respiratory therapy, skilled nursing care, speech therapy, vision, x-ray
- Home: home health care
- Social Services: case management, interpreters
Work: prevocational services, supported employment