Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: PATRICK LUEBBERING, DIRECTOR
SUBJECT: INTRODUCING MO HEALTHNET CHART FOR INFORMATION REQUESTS
The purpose of this memo is to introduce the new MO HealthNet Chart for Information Requests. This chart provides information for staff to use to determine if authorized representatives, or other entities that are requesting information about a participant’s case, are valid and if the representative can receive case information.
Any representative with a current and valid IM-6AR meets the requirements to release case information. However, if a participant wants to release the information to an attorney, individual, or organization they can provide a different release (such as a release created by their attorney or the organization), but the signed request must include certain information. This required information varies depending on who is requesting the information. This chart includes the specific information that is required for attorneys, individuals, and organizations.
The MO HealthNet Chart for Information Requests was created using the following policy information. There was no change in policy.
Family MO HealthNet (MAGI): 802.020.30 Signing by an Authorized Representative
Medical Assistance for the Aged, Blind, and Disabled: 0803.020.10 Appointment of an Authorized Representative
Income Maintenance Manual: 0130.000.00 Legal Aspects
The chart is available for staff to reference on the FSD Training & Development page, click on the Income Maintenance tab at the top of the page, click on the Guides tab, and then the MO HealthNet Chart for Information Requests will be located on the Guides and Helpsheets page under Guides.
The chart is also available for staff to reference in the MEDES Resource Guide.
- Staff must use this chart to determine if an information release is valid.
- Review this memorandum with appropriate staff.
MO HealthNet Chart for Information Requested