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Special Populations

Use the information on this page to support special populations in need of application and enrollment assistance.

Application for Certain Populations

Use this application for special circumstances where a consumer's eligibility cannot be determined online through MNsure. Download this application as an electronic PDF form (DHS-3876). Only use this application if at least one of the following is true:

  • all applicants are age 65 or older
  • all applicants are requesting help only with Medicare costs
  • all applicants are children in foster care
  • all applicants are age 21 years or older with no dependents and have Medicare coverage
  • all applicants are receiving Supplemental Security Income (SSI)
  • all applicants are applying for Medical Assistance for Employed Person with Disabilities (MA-EPD)

American Indians

Immigrants and Lawfully Present

Language Support

People with Disabilities



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