State-funded MA has the same eligibility requirements and benefits package as federally-funded MA.
General Assistance Medical Care (GAMC)
Eligibile non-citizens
- "Legal" non-citizens who don’t fit an MA category.
- Victims of torture.
- Cuban and Haitian Entrants.
- Undocumented and non-immigrant children ‹ age 18, persons age 65+ and disabled persons.
GAMC has more restrictive income and asset limits than MA and fewer covered benefits.
Undocumented and non-immigrant people receiving GAMC must cooperate with the INS to obtain a qualified status or pursue citizenship. Acceptable documentation of cooperation includes a letter from an attorney that adjustment of status is not possible.
Children must not be penalized if parents fail to cooperate.
Emergency MA and GAMC
Eligibility determined without regard to immigration status.
Sponsored immigrants are eligible for emergency MA/GAMC without regard to their sponsors’ income or assets.
Emergency MA/ GAMC cover medical emergencies for a mental or physical condition that causes acute symptoms where the absence of immediate medical attention could reasonably be expected to:
- Place the person’s health in serious jeopardy; or
- Cause serious impairment to bodily functions; or
- Cause serious dysfunction of any bodily organ or part.
Examples of medical conditions covered under emergency MA/GAMC are severe pain, labor & delivery, stroke, heart attack, abscessed teeth, broken bones, ear infections, kidney disease, diabetes, HIV positive with complications and cancer.
The following medical services are not covered under emergency MA/GAMC :
- Transplants;
- Anti-rejection drugs;
- Routine pre-natal care;
- Home and community-based services;
- Preventive medicine and counseling/risk factor reduction;
- Preventive dental.
MinnesotaCare
"Legal" non-citizens who can obtain a social security number are eligible for state-funded MinnesotaCare.
MinnesotaCare enrollees must pay monthly premiums. Some enrollees also pay copays and deductibles and have a $10,000 inpatient hospital limit.
Sponsor Deeming
A sponsor is someone who signs an agreement to provide financial support to an immigrant. The agreement is called an "affidavit of support" (Immigration and Naturalization Service Form I-864).
"Sponsor-deeming means that sponsors’ income & assets are added to the income and assets of sponsored-immigrants, even if they never receive financial support from the sponsor.
The "affidavit of support" is a legally enforceable agreement between the sponsor and the government whereby the sponsor agrees to provide support to maintain an immigrant at 125% of the federal poverty level.
Family-based immigrants who entered the U.S. or adjusted their status on or after 12-19-97 are subject to sponsor deeming.
Refugees, Asylees, women who receive MA under the breast/cervical cancer program and emergency MA/GAMC recipients are exempt from sponsor-deeming requirements.
For immigrants and their children who have been subjected to extreme cruelty, only income and assets actually received are deemed.
See enclosed Department of Human Services Bulletin #02-03-06 for information about verification of immigration status and reporting information to the Immigration and Naturalization Service.
Public Charge
Using MA, GAMC or other health care benefits will not affect "public charge" status except for the use of long-term institutional care. See enclosed information on "public charge" for more details.
Definitions of Immigration Statuses
Legal Permanent Resident (LPRs) are admitted to the U.S. as permanent residents. They have permission to work in the U.S. They may apply for citizenship after living in the U.S. for 5 years.
Refugees have permission to enter and live in the U.S. because of a well-founded fear of persecution in their home country due to race, religion, membership in a particular social group, or due to political opinion. Refugee status is granted before the person enters the U.S.
Asylees are granted permission to remain in the U.S. because of fear of persecution in their home country due to race, religion, nationality, membership in a particular social group or political opinion. Asylee status is granted to immigrants already present in the U.S.
People whose deportation has been withheld have a status similar to asylees. The INS withholds deportation because of a threat to life or freedom in the person’s home country due to race, religion, nationality, membership in a particular social group or political opinion.
Conditional Entrants are granted entry to the U.S. because of fear of persecution in the home country due to race, religion, political opinion or because of a natural catastrophe.
Parolees are granted entry to the U.S. for emergency reasons such as to receive medical care or for other reasons deemed to be of public interest.
Cuban/Haitian Entrants are people who are paroled, who are the subject of exclusion or removal proceedings or who have an application for asylum pending. Other Cuban/Haitians may enter as refugees or LPRs.
Amerasians are persons born in Vietnam between 1/1/62 and 1/1/76 whose father is a U.S. citizen.
Deferred Enforced Departure was granted to some Salvadorans by executive authorization of the President. People with this status are authorized to remain in the U.S. with employment authorization.
Family Unity Beneficiary status provides protection from deportation and employment authorization to the spouses and children of non-citizens who obtained legal status under the Immigration and Reform Control Act of 1986 (IRCA).
Lawful Temporary Residents are people who resided in the U.S. unlawfully since 1/1/82 who were allowed to legalize their status.
Temporary Protected Status are people living in the U.S. who are from certain designated countries where unsafe conditions would make it a hardship for them to return. They are authorized to remain in the U.S. for a specified period of time.
Applicants for Asylum are allowed to remain in the U.S. with employment authorized while their asylee status is pending.
Trafficking Victims are non-citizens forced into the international sex trade, prostitution, slavery and forced labor through coercion, threats of physical violence, psychological abuse, torture and imprisonment.
Micronesians /Marshall Islanders are granted special status. They may live and work permanently in the U.S.