Essential Tools

• Appendix A-Employer Health Coverage form (PDF) (for employees who enroll in individual coverage and whose employer offers small group coverage)
• Case Status Request (Excel)
• Federal Tax Information (FTI) Form (PDF)
• Consumer Notice: Federal Tax Information (FTI)
• General Consent/Authorization for Release of Information (DHS 3549) (PDF)
• How to Access Online Training (PDF)
• MHCP Eligibility Policy Manual
• MNsure Learning Center (Pathlore site)
• Manual Account Request Form (PDF)
• Navigator Case Association: Online form

Agency Management Program (AMP)

Instructions for using AMP:

• Create an AMP Account
• Add Staff to Your Roster
• Update Staff on Your Roster
• Update Agency Information
• Monitor Staff Certification
• Monitor Staff Recertification

Additional resources:

• Background Study Consent (PDF)
• Enrollment Report: Enrollment Report Request Form (PDF)
• Update Agency Authorized Contacts form (PDF)

Health Coverage Applications

• Appendix A-Employer Health Coverage form (PDF) (for employees who enroll in individual coverage and whose employer offers small group coverage)
• Application for Certain Populations (DHS-3876) (PDF)
• MNsure Application for Health Coverage & Help Paying Costs (DHS-6696) (PDF)
• MNsure Application for Health Coverage (DHS-6741-Eng) (PDF)