Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: PATRICK LUEBBERING, DIRECTOR
SUBJECT: IM-54A HOME AND COMMUNITY BASED SERVICES REFERRAL FORM REVISION
FORM REVISION #18
The purpose of this memorandum is to introduce a revision to the Home and Community Based Services Referral form (IM-54A).
The IM-54A has been revised to include a new email address for staff to use when sending referrals to the HCB Processing Center. The new email address is FSD.HCBinformation@dss.mo.gov.
- Review this memorandum with appropriate staff.
IM 54A Home and Community Based Services Referral