Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: PATRICK LUEBBERING, DIRECTOR
SUBJECT: 2019 MO HEALTHNET CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) PREMIUM ADJUSTMENT
MANUAL REVISION #59
DISCUSSION:
The purpose of this memorandum is to introduce the CHIP premium adjustment effective July 1, 2019. Premiums are required for families with income above 150% of the Federal Poverty Level (FPL). Each year, as required by state statute, the MO HealthNet Division (MHD) establishes the new premium amounts. The new premiums range from a minimum of $15 to a maximum based on family size and gross income, not to exceed 5% of the family’s gross income. A premium chart with an effective date of July 1, 2019 is attached.
For CHIP cases active prior to July 1, 2019
The MHD Premium Collections Unit is including an advance notice of the upcoming change to premiums with invoices mailed July 2019 to all eligible premium group families. Premiums paid in June for July coverage will not change. Premiums invoiced in July for August coverage will reflect the new premiums.
For CHIP cases starting on or after July 1, 2019
Premiums for CHIP cases beginning on or after July 1, 2019 will immediately reflect the new premium amounts.
Questions about premiums
Refer any questions concerning premiums to the Premium Collections Unit at (877) 888-2811.
Hearing Requests
Hearings requested as a result of the premium change will be conducted by the MO HealthNet Division (MHD) using normal hearing procedures. Refer participants to the MHD Participant Services number: (800) 392-2161.
Hearings requested as a result of a change in income or household composition that affect the premium will be conducted by the Family Support Division. If a hearing is requested on any of these cases, please complete the Application for State Hearing (IM-87) form. Scan and index the IM-87 and action notice to the FSD Hearing Portal.
Evidence presented at the hearing must include a copy of the invoice from the Premium Collections Unit, a copy of the budget used to arrive at the monthly gross income, and the IM-4(PRM) reflecting the premium amounts based on income.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.
ATTACHMENTS
PL/df