In accordance with Minnesota Administrative Rule 7700.0090, MNsure will issue payments to contracted organizations for navigator assistance with the application, enrollment and renewal process. A navigator must be actively certified and associated with an eligible case through approved methods for the organization to receive a payment.
MNsure will pay navigator organizations quarterly based on a state-run report. Payments are issued within 60 days following the end of the quarter.
Effective October 1, 2013, the payment rate is:
- $70.00 per successful determination of eligibility for or enrollment in a QHP (with or without financial assistance).
- $25.00 per successful determination of eligibility for Medical Assistance (MA).*
- $70.00 per successful determination of eligibility for MinnesotaCare.
Payment rates are set by the MNsure Board of Directors and any changes to the rate must be published in the State Register. Payments are based on the availability of funding.
* Pending approval by the MNsure Board of Directors, the payment rate for Medical Assistance is expected to increase from $25 to $70 effective July 1, 2019.
A navigator organization is eligible for a per-enrollee payment when a certified navigator performs the following actions: