How to Apply for Minnesota Medicaid (Medical Assistance)
Medical Assistance (Minnesota Medicaid) · DHS-6696
Content verified 2026-07-17T17:38:57.210Z
Program overview
Minnesota's Medical Assistance (MA) program, also known as Minnesota's Health Care Programs, provides comprehensive health coverage for eligible low-income residents. You may qualify for help paying for health coverage even if you earn as much as $64,300 a year (for a family of four). The program covers essential medical services including doctor visits, hospital care, prescription medications, mental health services, and preventive care.
Use this form if all the applicants in the household meet at least one of the following criteria: are age 65 or older, requesting help only with Medicare costs, children in foster care, age 21 years or older with no dependents and have Medicare coverage, receiving Supplemental Security Income (SSI), or applying for Medical Assistance for Employed Person with Disabilities (MA-EPD). Families with children, pregnant women, seniors, and individuals with disabilities may qualify based on income and household size. Applicants using the MNsure online application have eligibility determined for all Minnesota Health Care Programs (MHCP) and advanced premium tax credits.
The program provides comprehensive coverage including doctor visits, hospital care, dental treatment, mental health services, prescriptions, and more. Additional services may include transportation to medical appointments, home and community-based services for seniors and people with disabilities, and long-term care services. MinnesotaCare serves as an alternative program for those who don't qualify for Medical Assistance but still need affordable coverage.
When applying, gather all required documentation to avoid processing delays. If you qualify for federally funded Medical Assistance or Emergency Medical Assistance, we are required to share information about you with the Centers for Medicare & Medicaid Services including but not limited to your name, date of birth, SSN, contact information and address. We will review your application and notify you in writing of the results. For fastest processing, consider applying online through MNsure or submit the complete paper application with all supporting documents to your local county human services office.
Main application form
Application for Health Coverage and Help Paying Costs
Form DHS-6696
Additional forms
Application for Certain Populations · DHS-3876
For special circumstances including age 65+, Medicare help only, SSI recipients
Download form →Application for Payment of Long-Term Care Services · DHS-3531
For nursing home residents or those needing long-term care services
Health Coverage from Jobs (Appendix A) · Appendix A
If someone has job-based insurance available and applying for financial help
Download form →