Essential Tools

• Appendix A-Employer Health Coverage form (PDF) (for employees who enroll in individual coverage and whose employer offers small group coverage)
• Assister Case Status Request (Excel)
• Federal Tax Information (FTI) Form (PDF)
• General Consent/Authorization for Release of Information (DHS 3549) (PDF)
• How to Access Online Training (PDF)
• Insurance Company 2019 Plans by County (PDF)
• MHCP Eligibility Policy Manual
• MNsure Learning Center (Pathlore site)
• Manual Account Request Form (PDF)
• Navigator Case Association: PDF form | Online reporting
• Report Application Changes
• Special Enrollment Periods (SEP):
  • Qualifying Life Events
  • Special Enrollment Period and Pre-enrollment Verification Guide for Assisters 2019 (PDF)
  • Verification documentation cover letter (PDF)
  • Verification document upload site

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 and Recertification
• Renew Contract

Additional resources:

• Background Study Consent (PDF)
• Enrollment Report: FY 2019 Privacy and Security Policies Questionnaire (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)