Renewal forms for health care programs

We need to review your information at certain times to see whether you are still eligible for Minnesota Health Care Programs (MHCP). This review process is called renewal.

If we are not able to automatically renew eligibility, you will get a letter in the mail telling you when you need to complete a renewal, along with a form. If you lose your form, contact your county or tribal worker or Health Care Consumer Support.

• MHCP renewal for families, children and adults (DHS-8262) (PDF)
• MHCP renewal for people who are age 65 or older and people who are blind or have a disability; people enrolled in a Medicare Savings Program; people enrolled in Medical Assistance with a spenddown, and people who are age 21 or older without children and have Medicare coverage (DHS-3418) (PDF)
• MHCP renewal for people receiving long-term care services (DHS-2128) (PDF)
• Minnesota Family Planning Program renewal (DHS-4740) (PDF)
• Medical Assistance - Breast and Cervical Cancer coverage renewal (DHS-3525) (PDF)