Applying for Health Care Assistance

If you ​​are:

• 21 years of age or older, with no dependents, and have Medicare coverage
• 65 years of age or older
• A child currently in foster care
• Blind or have a certified disability thru Social Security Administration (SSA) or the State Medical Review Team (SMRT)
• Applying for Medical Assistance for Employed Persons with Disabilities (MA-EPD)
• Applying for help with your Medicare premiums

Forms ​​​needed

• Application for Certain Populations (DHS 3876). 
• Authorization to Obtain Financial Information from the Asset Verification System (DHS-7823-ENG)

Submit application

• By fax:  651-554-5748 (preferred method)
• By email: eeadocs@co.dakota.mn.us (preferred method)
• By mail:  Northern Service Center 1 Mendota Road W., Suite 100 West St. Paul, MN 55118
• Contactless drop-off: There is a drop box located outside the front entrance at the Northern Service Center. The drop box is available 24 hours a day, 7 days a week. Items should be sealed in an envelope.

If you ​​are:

• Currently living in, or may need to move to, a nursing home or assisted living
• A person age 65 or older that would like services to help them stay in their home
• A person under age 65 who is disabled that would like services to help them stay in their home

Form​s needed:

• Minnesota Health Care Programs Application for Payment of Long-Term Care Services (DHS 3531).
• Authorization to Obtain Financial Information from the Asset Verification System (DHS-7823-ENG)

In additional to completing the forms, you should also contact Community Living Services to schedule a MnCHOICE screening.

Submit application

• By fax:  651-554-5748 (preferred method)
• By email: eeadocs@co.dakota.mn.us (preferred method)
• By mail:  Northern Service Center 1 Mendota Road W., Suite 100 West St. Paul, MN 55118
• Contactless drop-off: There is a drop box located outside the front entrance at the Northern Service Center. The drop box is available 24 hours a day, 7 days a week. Items should be sealed in an envelope.

MNsure is Minnesota's health insurance marketplace to apply for Medical Assistance (MA) and MinnesotaCare. It can also determine if you qualify for other financial help.

MNsure is NOT for people who are age 65 or older, those that are blind or certified disabled, individuals living in or moving to a nursing home, or those applying for supports to remain in their own home.

Go to the MNsure website to create a MNsure account and apply online.