Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: REGINALD E MCELHANNON, ACTING DIRECTOR
SUBJECT: NEW IM-1MAC ADDENDUM TO REQUEST CASH BENEFITS FOR MO HEALTHNET FOR THE AGED, BLIND AND DISABLED PARTICIPANTS
FORM REVISION #25
The purpose of this memorandum is to inform Family Support Division staff of a new form that has been added to the forms manual. The IM-1MAC ADDENDUM TO MO HEALTHNET APPLICATION: REQUEST FOR OPTIONAL CASH BENEFITS should only be used for MO HealthNet for the Aged, Blind and Disabled (MHABD) program participants who request the following cash benefits in addition to the MHABD benefits they have applied for or are already receiving:
- Supplemental Nursing Care (SNC)
- Supplemental Aid to the Blind (SAB)
- Blind Pension (BP)
Because the form itself is NOT a stand-alone application, the only individuals who may use this form are participants who:
- already have active MHABD coverage; OR
- have previously submitted a complete application and are still in application status.
NOTE: Staff should no longer require an active or application status MHABD participant to complete a new application to have eligibility explored for the SNC, SAB or BP MHABD cash programs.
- Review this memorandum with appropriate staff.