IM-020 – WAIVER OF ADMINISTRATIVE HEARING DISQUALIFICATION CONSENT AGREEMENT

Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri

TO:  ALL FAMILY SUPPORT OFFICES

FROM:  PATRICK LUEBBERING, DIRECTOR
SUBJECT:  WAIVER OF ADMINISTRATIVE HEARING DISQUALIFICATION CONSENT AGREEMENT

FORM REVISION #6
IM-161

DISCUSSION:

The IM-161 WAIVER OF ADMINISTRATIVE HEARING DISQUALIFICATION CONSENT AGREEMENT had a typo in the heading that states “IF A OR BE IS CHECKED”; this has been corrected to A or B.

NECESSARY ACTION:

Review this memorandum with staff that would be sending out Medical Review Team packets or answering questions regarding the packet or assisting participants in completing the packet.

PL/st