IM-16 FORMS ADDED TO IM FORMS MANUAL TO VERIFY VETERAN’S ADMINISTRATION (VA) INCOME FOR VENDOR PARTICIPANTS

Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri

TO:  ALL FAMILY SUPPORT OFFICES

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  FORMS ADDED TO IM FORMS MANUAL TO VERIFY VETERAN’S ADMINISTRATION (VA) INCOME FOR VENDOR PARTICIPANTS

FORM REVISION #07 – FA-312 VA VendorFA-313 VA Vendor Letter

DISCUSSION:

When a participant is receiving VA income and enters a vendor facility, their income may or may not change depending on what type of VA income they are receiving.

Regional Nursing Home offices can send a release form to the participant to sign so that staff may contact VA directly to verify any changes in income that occurred due to the participant entering a vendor facility.

Forms were added to the IM Forms Manual to assist staff with collecting this information. Veterans Administration Verification (Vendor) form (FA-312 VA Vendor) is the release form for the participant to sign. VA Letter (FA-313 VA Vendor Letter) is available for staff to send to the participant to request the signed release and explain why FSD needs to contact VA.

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/cj