Essential Tools

For Certified Staff

• Account Request Form (PDF)
• Assister Case Status Request (Excel)
• Federal Tax Information (FTI) Authorization Form for 2019 Coverage (PDF)
• Navigator Case Association Form (PDF) (5-2018)
• Online Navigator Case Association Form (5-2018)
• Training and training resources through Pathlore site

Life events reporting (report application changes)

• Report Application Changes
• Avoiding Common Errors in Reporting Life Events (PDF)

Special Enrollment Periods

• Qualifying Life Events
• Special Enrollment Period and Pre-enrollment Verification Guide for Assisters 2019 (PDF) (updated 1-2019)
• Verification documentation cover letter
• Verification document upload site

For Agency Administrators

• Instructions for using the Agency Management Program (AMP):
  • Creating an account (PDF)
  • Adding staff to your roster (PDF)
  • Updating staff on your roster (PDF)
  • Updating agency information, including authorized contacts (PDF)
  • Monitoring staff certification and recertification (PDF)
  • Agency Management Program Webinar for Agency Administrators (PDF)
• Background Study Consent (PDF)
• How to Update Authorized Contacts (PDF)
• Enrollment Report: Privacy and Security Policies Questionnaire (PDF)-Updated 11-2019
• How to Access Online Training (PDF)

Health Coverage Applications

• Application for Health Coverage & Help Paying Costs (DHS-6696) (PDF)
• Application for Certain Populations (DHS-3876) (PDF)
• General Consent/Authorization for Release of Information (DHS 3549) (PDF) - the form assisters should use to authorize DHS-HCEO, a county, or tribal agency to share information regarding a consumer’s application and enrollment status
• MHCP Eligibility Policy Manual - provides eligibility policy for the health care programs administered by the Minnesota Department of Human Services
• MNsure Application for Health Coverage (DHS-6741-Eng) (PDF)
• 2019 Insurance Company Plans by County