Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: PATRICK LUEBBERING, DIRECTOR
SUBJECT: SPEND DOWN AND TICKET TO WORK HEALTH ASSURANCE (TWHA) PREMIUM AMOUNT AS MEDICAL DEDUCTIONS FOR THE FOOD STAMP PROGRAM
MANUAL REVISION #46
This memorandum provides clarification on how to treat MO HealthNet Spend Down and Ticket to Work Health Assurance (TWHA) premium amounts when entering them as Food Stamp (FS) medical expenses.
Once the Spend Down or TWHA premium case is approved, the premium amount is considered an anticipated medical expense for the FS case. The premium amount should be entered as a FS medical expense.
Use the following codes to enter the TWHA or Spend Down premium amount into FAMIS on the MEDEXP (FMXA) screen:
- Use code MC to enter the Spend Down expense.
- Use code TW to enter the TWHA expense.
- Review this memorandum with appropriate staff.