Special Populations

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

• MNsure.org page on American Indians
• List of federally recognized tribes (PDF from the Bureau of Indian Affairs)

Immigrants and Lawfully Present

• Application Requirements: Immigration Status and Supporting Documents
• Residency Requirements: Citizenship or Immigration Status

Language Support

• Outreach Materials (many are available in non-English versions)
• Limited English Proficiency Policy

People with Disabilities

• Disability Hub (formally the Disability Linkage Line)
• Disability Benefits 101
• MNsure's accessibility page
• State Medical Review Team (SMRT) Referrals For People with Disabilities (PDF)

Seniors

• Minnesota Board on Aging
• Senior LinkAge Line

Veterans

• Veterans Assistance Health Benefits Service Center
• Veterans Linkage Line