IM-20 COVID-19 MO HealthNet (MHN) Coverage for Positive COVID-19 Diagnosis

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



SUBJECT:  COVID-19 MO HealthNet (MHN) Coverage for Positive COVID-19 Diagnosis


FSD will provide MO HealthNet coverage for individuals between the ages of 19 and 64 who have a positive COVID-19 diagnosis and meet current MHABD eligibility guidelines, including income and resources. 

Applications for individuals who have a positive COVID-19 diagnosis will be accepted on a signed IM-1MA application form.   

  • To expedite the process, applications for individuals who have a positive COVID-19 diagnosis can be submitted to
  • Submitting verification of the COVID-19 diagnosis with the application will allow for expedited processing. Verification of a positive COVID-19 diagnosis includes, but is not limited to, a letter signed by the physician, lab results, discharge summary, or hospital records that clearly state the diagnosis.
    • NOTE: FSD must accept fillable applications from hospitals, providers, friends and/or family with an electronic signature that includes a statement from the applicant who is quarantined and wishing to apply for Missouri Medicaid. 

If eligible, COVID-19 MHN coverage will begin the first day of the month of application in which a positive COVID-19 was performed and the determination of disability will be authorized for 90 days and reassessed moving forward.  To authorize coverage for the month of a test completed prior to the month of application, indicate a request for prior quarter coverage on the REQUEST/FM0G screen and entering the date of the diagnosis on the DISABLED/FMMX screen with the COV code.  When entering an approval ensure that only the appropriate months are authorized.

  • Additional information will be released when available regarding participants that continue to have a positive COVID-19 diagnosis at the end of the 90 day time period.
  • This coverage will remain in effect until the health emergency ends or the individual is no longer considered disabled whichever occurs last.

NOTE:  Utilize prior quarter as needed for medical services that are related to a positive COVID-19 test but not prior to February 1, 2020.  System updates allow for coverage based on a COVID-19 diagnosis to be authorized back to March 1, 2020.  When applicable, staff must use the Worker Initiated Budget Calculation screen in order to authorize coverage for February 2020.

Processing applications:

An application for COVID-19 coverage must be registered in the same manner as an MHABD-PTD application.  These applications are a high priority.    

  • Use the standard income and resource limits for the MHABD-PTD program.
  • Verification of a positive COVID-19 diagnosis is required.
  • To be eligible, individuals must be between the ages of 19 and 64.
  • Accept self-attestation of income and resources unless questionable, with the exception of trusts and annuities. Trusts and annuities must still be submitted to the Program and Policy unit for interpretation.
  • Staff must explore all avenues available to FSD to verify citizenship and identity before requesting verification from the participant.
  • The COVID-19 diagnosis will be captured in FAMIS on the DISABLED/FMMX screen using code “COV.”
    • The begin date is the date of the test that resulted in a positive COVID-19 diagnosis.
    • Only enter hard copy verification of the COV code if the individual is within the designated age range and has a positive COVID-19 diagnosis.
  • Coverage will be displayed as Spend Down or Non-Spend Down coverage. A new ME code will not be created for this program and coverage will show as ME 13.  If staff need to identify that coverage was authorized due to a positive COVID-19 test, this information can be located by checking the DISABLED/FMMX screen, or reviewing the technical details screen associated with the authorization. 
  • Programming is being completed to add specific information to the approval notice sent to eligible individuals who have a positive COVID-19 diagnosis.
  • Enter a comment on the Eligibility Unit Member Role (EUMEMROL/FM3Z) screen with label “COVID-19 Application” on every case approved for coverage due to positive diagnosis.
  • Include a comment on each income or resource entry that is verified with self-attestation with label “COVID-19 Self-Attestation” on every case approved for coverage due to positive diagnosis. The body of the comment should include the following statement:  “Self-attestation accepted as verification due to special circumstances.  42 CFR §435.952(c)(3)”

NOTE:  MAGI coverage should be explored if coverage could be offered through Family MHN programs

Questions regarding the entry of COVID-19 MHN coverage may be sent via email to


  • Review this memorandum with appropriate staff.