Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: PATRICK LUEBBERING, DIRECTOR
SUBJECT: UPDATED HEALTH INSURANCE PREMIUM PAYMENT PROGRAM FORMS (HIPP)
FORMS MANUAL REVISION #8
DISCUSSION:
The purpose of this memorandum is to replace the outdated Application for Health Insurance Premium Payment Program form (HIPP-1) in the Forms Manual and to add a second version, HIPP-A, which is used for HIV and AIDS participants.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.
- Begin using these forms immediately
PL/df