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Fillable Online MnCHOICES Referral Form - Anoka County 2025

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The MnCHOICES Assessment Referral Form is a document used to collect essential information for individuals seeking long-term services and supports. It includes sections for client details, legal authority, insurance status, providers, diagnosis, assistance needs, and referral reasons. The form must be completed and submitted via email or fax to the appropriate intake department.

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How do I schedule a MN choice assessment?

How to get started. To request your free assessment, submit an online request form, or call 651-430-6422 (select option 1). Important: If you are requesting a MnCHOICES Assessment to fund assisted living services, please contact our intake social workers to request an assessment before you run out of funds.

What is the family support grant in Anoka County?

The Family Support Grant provides family-centered services and supports to families who have children with disabilities. Individuals accessing either grant option must be certified disabled.

What is the Anoka County alternative care program?

The Alternative Care (AC) Program is for individuals, over the age of 65, with low income and assets who do not qualify for Medical Assistance. This program provides financial assistance for seniors, who meet nursing facility level of care, to allow access to home care services and supports.

What is the income limit for the elderly waiver in Minnesota?

The Alternative Care (AC) program provides home- and community-based services to people who need a nursing home level of care, but prefer to live in the community.

How do I email Anoka County paperwork?

Paperwork can also be submitted by email to EADocs@co.anoka.mn.us.

What is the alternative care AC program?

Minnesotas CSG Program is a state-funded alternative to Medicaid services that provides a grant that can be used to pay for in home support and other services. This program allows certain family members, including spouses, to be hired and paid as personal care providers.

How do you qualify for the alternative care program in Minnesota?

To qualify for the Alternative Care program, an individuals income and assets must not be enough to cover a nursing home stay of 135 days and must also require services that AC can provide. To apply for either program, contact the Senior Linkage Line at 800.333. 2433 or your county health and human service agency.

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