Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: REGINALD E. McELHANNON, INTERIM DIRECTOR
SUBJECT: DEPARTMENT OF HEALTH AND SENIOR SERVICES (DHSS) REFERRAL LETTERS FOR USE IN THE HOME AND COMMUNITY BASED SERVICES (HCB) UNIT
FORM REVISION #27
DHSS Referral Letter- Spend Down
The Home and Community Based Services (HCB) waiver program is coordinated by the Family Support Division (FSD) and the Department of Health and Senior Services (DHSS). FSD determines MO HealthNet eligibility. DHSS determines if the participant meets the level of care requirements.
In addition to the HCB Waiver program, participants can access Home and Community Based Services through DHSS while on the MO HealthNet Non-Spend Down and Spend Down programs. The HCB waiver program is informally called HCB. Home and Community Based Services under MO HealthNet Non-Spend Down or Spend Down coverage is informally called HCBS.
Two letters have been designed for use in the HCB Unit located in Popular Bluff (Butler County).
The DHSS Referral Letter has been created to alert participants to expect a phone call from DHSS in order to complete an assessment for the participant’s recent HCB request.
The DHSS Referral Letter- Spend Down has been created to alert individuals who are over the income limit for the HCB waiver program that they will need to meet their spend down in order for an HCBS assessment to be completed. Policy has not changed. Action Notices will continue to be used to notify participants of their eligibility for HCB and other MO HealthNet programs.
Reminder: All HCB Referrals received by FSD must be processed by the HCB Unit in Popular Bluff (Butler County). Please contact the HCB Unit via email at firstname.lastname@example.org
Individuals can also request an HCB referral by contacting DHSS directly at: 1-866-835-3505.
- Review this memorandum with appropriate staff.
- The attached notices are available for use by the HCB Unit.