Minnesota Medicaid
Minnesota
What is Minnesota Medicaid?
Medicaid provides health coverage to millions of Americans, including children, pregnant women, parents, seniors and people with disabilities. In some states the program covers all low-income adults below a certain income level.
Medical Assistance is Minnesota's Medicaid program. It is the largest of Minnesota's publicly funded health care programs, providing health care coverage to a monthly average of 1.1 million low-income Minnesotan. Of the total enrollment, about:
- 65 percent are families with children
- 17 percent are seniors and people with disabilities
- 18 percent are adults without children
Most members get their health care through health plans. They can choose a health plan from those serving Medical Assistance members in their county. The rest of members get care on a fee-for-service basis, with providers billing the state directly for services provided.
Medical Assistance pays for a variety of services, such as doctor visits, prescriptions and hospital stays. Some services and prescriptions may require prior approval.
For some members there is no cost for Medical Assistance. Others may have to to pay part of the cost of a service. This may include copays, deductibles, or spenddowns.
View a summary of covered services and costs.
Medical Assistance is funded with federal, state and county funds. The Minnesota Department of Human Services oversees the program statewide with eligibility also administered by county offices and tribes. The federal Centers for Medicare & Medicaid nationally.
Administration
Minnesota Medicaid is administered by Minnesota.
Program Requirements
Qualification Requirements Last Updated on 2025-03-01
To be eligible for Minnesota Medicaid, you must be a resident of the state of Minnesota, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. You must also be one of the following:
- Pregnant, or
- Be responsible for a child 18 years of age or younger, or
- Blind, or
- Have a disability or a family member in your household with a disability, or
- Be 65 years of age or older.
In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:
Household Size* | Maximum Income Level (Per Year) |
---|---|
1 | $20,030 |
2 | $27,186 |
3 | $34,341 |
4 | $41,496 |
5 | $48,652 |
6 | $55,807 |
7 | $62,963 |
8 | $70,118 |
Application Details
What is the application process for Minnesota Medicaid?
You can apply for Medical Assistance in different ways depending on what type of coverage you need. Learn more about applying for coverage for: