Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
TO: ALL FAMILY SUPPORT OFFICES
FROM: PATRICK LUEBBERING, DIRECTOR
SUBJECT: MANAGED CARE AND MEDICARE
MANUAL REVISION #20
DISCUSSION:
The purpose of this memorandum is to clarify eligibility for individuals enrolled in Medicare. Individuals enrolled in Medicare cannot also receive Managed Care. If someone receiving Medicare requests coverage under a Family MO HealthNet program, they will not be allowed to enroll in managed care. The individual will be automatically opted out and placed under fee-for-service.
This issue should be discussed with the individual requesting the coverage. Some medical professionals will not accept fee-for-service patients. If individuals need assistance finding fee-for-service providers, refer them to the MO HealthNet Fee-For-Service Provider Search engine.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.
PL/df