DEPARTMENT OF SOCIAL SERVICES
FAMILY SUPPORT DIVISION
PO BOX 2320
JEFFERSON CITY, MISSOURI
TO: ALL FAMILY SUPPORT OFFICES
FROM: PATRICK LUEBBERING, DIRECTOR
SUBJECT: MO HEALTHNET ELIGIBILITY REVIEW INFORMATION (FA-402) REVISIONS FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAMS
The purpose of this memorandum is to introduce changes made to the FA-402.
Additional information has been added to allow the MO HealthNet Eligibility Review Information (FA-402) form to be used as an application during the ninety (90) day reconsideration period for all MHABD cases. If a case was closed for failure to return the annual review, and the completed FA-402 is returned more than thirty (30) days after the closing date, but within ninety (90) days from the date the case closed as per IM-63, November 21, 2018, the participant is not required to complete a new application form.
The revised FA-402 is available in the IM Forms Manual. The same version of the FA-402 will be automatically generated by the Family Assistance Management Information System (FAMIS).
- Review this memorandum with appropriate staff
- Destroy all paper versions of the FA-402