MN medicaid for undocumented children

changelog_entry.yaml

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+- bump: minor
+  changes:
+    added:
+      - Add MinnesotaCare for undocumented children under 19 with income at or below 200% FPL.

policyengine_us/parameters/gov/states/mn/dhs/minnesotacare/child/eligibility/age_limit.yaml

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+description: >-
+  Maximum age for children's eligibility for MinnesotaCare.
+  Per Minnesota Statutes 256L.04 subdivision 10(c), undocumented noncitizens
+  age 18 or older have restricted eligibility, meaning children must be
+  under age 18 to qualify for ongoing coverage.
+metadata:
+  unit: year
+  period: year
+  label: MinnesotaCare children maximum age
+  reference:
+    - title: Minnesota Statutes 256L.04 Subd. 10(c) - Eligibility for MinnesotaCare
+      href: https://www.revisor.mn.gov/statutes/cite/256L.04
+
+values:
+  2020-01-01: 18

policyengine_us/parameters/gov/states/mn/dhs/minnesotacare/child/eligibility/in_effect.yaml

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+description: >-
+  Whether MinnesotaCare coverage for undocumented children is in effect.
+  The 2023 Minnesota Legislature expanded MinnesotaCare to include undocumented
+  individuals, with coverage beginning January 1, 2025. While coverage for
+  undocumented adults was later restricted effective June 15, 2025, children
+  under 19 continue to be eligible. Coverage is state-only funded and delivered
+  on a fee-for-service basis.
+metadata:
+  unit: bool
+  period: year
+  label: MinnesotaCare for undocumented children in effect
+  reference:
+    - title: Minnesota Statutes 256L.04 Subd. 10 - Eligibility for MinnesotaCare
+      href: https://www.revisor.mn.gov/statutes/cite/256L.04
+    - title: DHS Bulletin 24-21-10 - MinnesotaCare Eligibility Expansion
+      href: https://www.dhs.state.mn.us/main/groups/publications/documents/pub/mndhs-068276.pdf
+    - title: MinnesotaCare coverage changes for undocumented adults (June 2025)
+      href: https://www.dhs.state.mn.us/main/idcplg?IdcService=GET_FILE&RevisionSelectionMethod=LatestReleased&Rendition=Primary&allowInterrupt=1&dDocName=MNDHS-070570
+
+values:
+  2020-01-01: false
+  2025-01-01: true

policyengine_us/parameters/gov/states/mn/dhs/minnesotacare/child/eligibility/income_limit.yaml

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+description: >-
+  Income limit for children's eligibility for MinnesotaCare as a fraction of FPL.
+  Per Minnesota Statutes 256L.04 subdivision 1, children with family income at or
+  below 200 percent of federal poverty guidelines are eligible.
+metadata:
+  unit: /1
+  period: year
+  label: MinnesotaCare children income limit as fraction of FPL
+  reference:
+    - title: Minnesota Statutes 256L.04 Subd. 1 - Eligibility for MinnesotaCare
+      href: https://www.revisor.mn.gov/statutes/cite/256L.04
+
+values:
+  2020-01-01: 2.0

policyengine_us/tests/policy/baseline/gov/states/mn/dhs/minnesotacare/child/eligibility/mn_minnesotacare_children_eligible.yaml

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+- name: Eligible undocumented child under 200% FPL
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [child]
+    people:
+      child:
+        age: 10
+        immigration_status: UNDOCUMENTED
+        medicaid_income_level: 1.5  # 150% FPL
+  output:
+    mn_minnesotacare_children_eligible: true
+
+- name: Ineligible - citizen child (should use federal programs)
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [child]
+    people:
+      child:
+        age: 10
+        immigration_status: CITIZEN
+        medicaid_income_level: 1.5
+  output:
+    mn_minnesotacare_children_eligible: false
+
+- name: Ineligible - undocumented child over income limit
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [child]
+    people:
+      child:
+        age: 10
+        immigration_status: UNDOCUMENTED
+        medicaid_income_level: 2.5  # 250% FPL - above 200% threshold
+  output:
+    mn_minnesotacare_children_eligible: false
+
+- name: Ineligible - undocumented adult (must be under 18)
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [adult]
+    people:
+      adult:
+        age: 25
+        immigration_status: UNDOCUMENTED
+        medicaid_income_level: 1.5
+  output:
+    mn_minnesotacare_children_eligible: false
+
+- name: Ineligible - program not in effect before 2025
+  period: 2024
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [child]
+    people:
+      child:
+        age: 10
+        immigration_status: UNDOCUMENTED
+        medicaid_income_level: 1.5
+  output:
+    mn_minnesotacare_children_eligible: false
+
+- name: Eligible at exactly 200% FPL
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [child]
+    people:
+      child:
+        age: 10
+        immigration_status: UNDOCUMENTED
+        medicaid_income_level: 2.0  # Exactly 200% FPL
+  output:
+    mn_minnesotacare_children_eligible: true
+
+- name: Eligible 17-year-old (still under 18)
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [teen]
+    people:
+      teen:
+        age: 17
+        immigration_status: UNDOCUMENTED
+        medicaid_income_level: 1.5
+  output:
+    mn_minnesotacare_children_eligible: true
+
+- name: Ineligible 18-year-old (at age limit)
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [teen]
+    people:
+      teen:
+        age: 18
+        immigration_status: UNDOCUMENTED
+        medicaid_income_level: 1.5
+  output:
+    mn_minnesotacare_children_eligible: false

policyengine_us/tests/policy/baseline/gov/states/mn/dhs/minnesotacare/child/eligibility/mn_minnesotacare_children_immigration_status_eligible.yaml

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+- name: Undocumented - eligible for state program
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [person]
+    people:
+      person:
+        immigration_status: UNDOCUMENTED
+  output:
+    mn_minnesotacare_children_immigration_status_eligible: true
+
+- name: Citizen - should use federal programs
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [person]
+    people:
+      person:
+        immigration_status: CITIZEN
+  output:
+    mn_minnesotacare_children_immigration_status_eligible: false
+
+- name: Legal permanent resident - should use federal programs
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [person]
+    people:
+      person:
+        immigration_status: LEGAL_PERMANENT_RESIDENT
+  output:
+    mn_minnesotacare_children_immigration_status_eligible: false
+
+- name: Refugee - should use federal programs
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [person]
+    people:
+      person:
+        immigration_status: REFUGEE
+  output:
+    mn_minnesotacare_children_immigration_status_eligible: false

policyengine_us/tests/policy/baseline/gov/states/mn/dhs/minnesotacare/child/eligibility/mn_minnesotacare_children_income_eligible.yaml

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+- name: Income eligible - under 200% FPL
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [person]
+    people:
+      person:
+        medicaid_income_level: 1.5  # 150% FPL
+  output:
+    mn_minnesotacare_children_income_eligible: true
+
+- name: Income eligible - exactly at 200% FPL
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [person]
+    people:
+      person:
+        medicaid_income_level: 2.0  # 200% FPL
+  output:
+    mn_minnesotacare_children_income_eligible: true
+
+- name: Income ineligible - above 200% FPL
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [person]
+    people:
+      person:
+        medicaid_income_level: 2.1  # 210% FPL
+  output:
+    mn_minnesotacare_children_income_eligible: false
+
+- name: Income eligible - at 0% FPL
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [person]
+    people:
+      person:
+        medicaid_income_level: 0
+  output:
+    mn_minnesotacare_children_income_eligible: true

policyengine_us/tests/policy/baseline/gov/states/mn/dhs/minnesotacare/costs/mn_minnesotacare_cost_if_enrolled.yaml

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+- name: Eligible child cost
+  period: 2025
+  absolute_error_margin: 1
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [child]
+    people:
+      child:
+        age: 10
+        immigration_status: UNDOCUMENTED
+        medicaid_income_level: 1.5  # 150% FPL
+  output:
+    mn_minnesotacare_cost_if_enrolled: 3_775.59  # 2,382,000,000 / 631,000
+
+- name: Ineligible person - zero cost
+  period: 2025
+  absolute_error_margin: 0.01
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [adult]
+    people:
+      adult:
+        age: 30
+        immigration_status: CITIZEN
+        medicaid_income_level: 1.5
+  output:
+    mn_minnesotacare_cost_if_enrolled: 0
+
+- name: Child over income - zero cost
+  period: 2025
+  absolute_error_margin: 0.01
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [child]
+    people:
+      child:
+        age: 10
+        immigration_status: UNDOCUMENTED
+        medicaid_income_level: 2.5  # Over 200% FPL
+  output:
+    mn_minnesotacare_cost_if_enrolled: 0

policyengine_us/tests/policy/baseline/gov/states/mn/dhs/minnesotacare/costs/mn_minnesotacare_group.yaml

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+- name: Eligible child maps to CHILD group
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [child]
+    people:
+      child:
+        age: 10
+        immigration_status: UNDOCUMENTED
+        medicaid_income_level: 1.5
+  output:
+    mn_minnesotacare_group: CHILD
+
+- name: Ineligible person maps to NONE group
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [adult]
+    people:
+      adult:
+        age: 30
+        immigration_status: CITIZEN
+        medicaid_income_level: 1.5
+  output:
+    mn_minnesotacare_group: NONE
+
+- name: Undocumented child over income maps to NONE
+  period: 2025
+  input:
+    households:
+      household:
+        state_code: MN
+        members: [child]
+    people:
+      child:
+        age: 10
+        immigration_status: UNDOCUMENTED
+        medicaid_income_level: 2.5  # Over 200% FPL
+  output:
+    mn_minnesotacare_group: NONE