The State of Minnesota has enacted several health care reform measures to improve health care quality and create a seamless system of care for its population. PMAP currently serves 160,000 Medicaid beneficiaries in eight counties. The existing PMAP demonstration serves the AFDC population, needy children, pregnant women, and the elderly. Individuals who are under 65 and certified as disabled are exempt from the demonstration. These children are subject to insurance barriers designed to discourage employers and individuals from discontinuing insurance coverage to access Medicaid.
Enrollment is accomplished through two different methods.
Enrollment materials are mailed to individuals who do not attend the presentation. Assignment to a plan occurs if the individual does not return the enrollment forms. After meeting with their financial workers for the eligibility review, beneficiaries receive an in-person information session on plan options. Auto-assignment is made if the beneficiary does not voluntarily choose a plan. For individuals in nursing homes, the procedure is different from the above methods.