Medical Assistance for former foster care youth

If you aged out of foster care at age 18 or older, or will soon age out of foster care, you will continue to receive Medical Assistance health insurance coverage at no cost to you. Medical Assistance provides coverage without a copay for preventative care, dental visits, prescriptions, glasses, counseling and much more.

Medical Assistance provides health insurance coverage to youth who meet all the following:

  • Aged out of foster care in any state, District of Columbia, or United States territory at age 18 or older
  • Were on Minnesota Medical Assistance or another state’s Medicaid program when they aged out of foster care
  • Are currently under age 26

If you were in foster care in Minnesota, and are not sure if you aged out, contact Foster Youth Transitions with the Department of Children, Youth, and Families at dcyf.csp.foster.youth.transitions@state.mn.us. If you are not sure if you were enrolled in Medical Assistance, contact your county or Tribal office.

The information on this page does not cover all program rules.

Learn how to applyContact your local county or Tribe

Do I need to apply?

You can contact the county or Tribe’s health care office where you currently live to ask if you need to complete an application.

  • If you are in Minnesota foster care and have MA now, and will be leaving foster care at age 18 or older, your MA coverage will continue, and you do not need to reapply. We may contact you for updated information. If your address, phone number or other contact information changes, call your county or Tribe’s health care office to update them.
  • If you aged out of foster care in Minnesota, your MA coverage will continue until you turn 26 years old as long as you live in Minnesota. If you move out of Minnesota and decide to return, or if we do not have your current address, your MA coverage will close, and you will need to reapply. We may contact you to get your updated information to help make sure your coverage can restart or continue.
  • If you are a former foster care youth from another state who recently moved to Minnesota, you must complete an application to apply for MA.

When can my coverage start?

Depending on your circumstances, coverage may:

  • Start on the first day of the month that your county, tribal or state servicing agency receives your application. If you recently moved to Minnesota, coverage can only start as early as the day you became a Minnesota resident.
  • Go back up to three months before the month your county, tribal or state servicing agency receives your application. However, if you recently moved to Minnesota, coverage cannot go back earlier than the day you became a Minnesota resident.
  • Continue the month after you age out of foster care, if you are already enrolled in Minnesota MA while in foster care.

How much does coverage cost?

There is no cost for coverage for youth who were in foster care on the day they turned age 18 and are still under age 26.

What is the income limit?

There is no income limit for youth who qualify for Medical Assistance based on aging out of foster care. If other people in your home are applying, we may need to ask for your income information to see if they qualify.

County and Tribal health care office directory

tcm:1052-734525

Health Care Consumer Support

Health Care Consumer Support

If you have concerns that aren't being resolved, contact the Minnesota Office of the Foster Youth Ombudsperson

https://mn.gov/oofy/

Qualifying

Can I qualify if I have savings, a retirement account or other assets?

Yes. There is no asset limit for youth who qualify for Medical Assistance based on aging out of foster care. Assets are items like cars, checking and savings accounts, your home and financial investments.

Can I qualify if I have other health insurance?

Yes. Tell us if you have other health insurance or could get coverage through an employer or military service. Sometimes we can pay the cost of the other insurance so you can keep that coverage.

Learn how other insurance could impact eligibility[Learn about help to pay for your other insurance]

Can I qualify if I left foster care before I aged out?

If foster care ended before you turned age 18, your time in foster care will not be used to decide whether you are eligible for Medical Assistance. You may still be eligible for Medical Assistance, but not because you were formerly in foster care. See “What if I do not qualify and still need coverage?” in the next section.

What if I do not qualify and still need coverage?

If you do not qualify for Medical Assistance as a former foster care youth, you may still qualify for other health care coverage or help paying costs, such as:

  • Medical Assistance under a different eligibility group, such as Medical Assistance for people who are parents, people who are adults without children or people who are pregnant.
  • MinnesotaCare
  • A premium tax credit and cost-sharing reductions to help pay for private insurance through Minnesota's health insurance marketplace, MNsure.
    • The tax credit helps pay part or all of the health care premium.
    • Cost-sharing reductions are a form of financial help that help to reduce the out-of-pocket costs associated with private health insurance, such as deductibles, co-insurance and co-payments.

To see if you qualify for other health coverage or help paying costs, submit an application (see “How do I apply?”) or contact a MNsure navigator.

Medical Assistance MinnesotaCare MNsure Find a navigator

Do I need to report any changes while I am under age 26?

Once you are enrolled in Medical Assistance for former foster care youth, you must notify your local county or tribal health office of changes to your home or mailing address, your citizenship or immigration status, or changes to health care coverage available through your job or employer.

Importantly, if the local county or Tribal health office does not have your current address, you may not get important information about your coverage that is mailed to you, or your coverage may close. Update your address information and report other changes by contacting your local county or Tribal health care staff.

Find your local county or Tribal office

Will I be enrolled in a health plan?

After Medical Assistance is approved, you will be enrolled in a managed care health plan, unless you meet certain exceptions. The availability of managed care health plan choices depends on the county where you live, or which county the Tribal Nation shares geography with. If you move while enrolled in Medical Assistance, your managed care health plan choices may change.

  • Check our FAQs about health plans and managed care for help with common questions.
  • If you get care through a managed care health plan, find a primary care provider and see other health plan resources.
  • Get details about how fee-for-service coverage works if you are not enrolled in a managed care health plan.
FAQs Find a primary care provider Other health plan resources

How do I get past bills paid?

If you received medical bills for a time period before you were enrolled in Medical Assistance, which your coverage has been backdated to include, contact the providers who the bills are from and ask them to re-bill Medical Assistance fee-for-service for these months.

What if I'm not a U.S. citizen?

It depends. Medical Assistance eligibility for people who are not U.S. citizens depends on the person’s age, circumstances and immigration status. You can connect with a MNsure navigator to learn more about how your specific situation will impact eligibility for health care coverage. A list of resources and frequently asked questions can be found on the Health care coverage for people who are noncitizens page on the Health Care Programs section of the DHS website.

If you need help with immigration or don’t know what your immigration status is, talk to an immigration attorney right away, either at a legal aid office or a private law office. If you’re still in foster care (including Extended Foster Care) your child welfare caseworker and attorney should help you get referred to an immigration attorney. It is a good idea for any youth who is not a U.S. citizen to talk to an immigration lawyer to understand their situation and their options. A directory of legal providers and clinics can be found on www.LawHelpMN.org, and a directory of private law offices and attorneys that specialize in immigration law can be found on www.ailalawyer.com.

Youth may be eligible for Special Immigrant Juvenile Status (SIJS), which is available to certain noncitizen children and youth up to age 21 who have been abused, abandoned or neglected by a parent. Some helpful resources to learn more include: