Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: KIM EVANS, DIRECTOR
SUBJECT: COVID-19 UPDATED MO HEALTHNET (MHN) COVERAGE FOR POSITIVE COVID-19 DIAGNOSIS
DISCUSSION:
IM Memo #20, dated March 25, 2020, introduced coverage for individuals testing positive for COVID-19, eligibility requirements, and the process for approving coverage. The process has changed, due to clarification of requirements from Centers for Medicare & Medicaid Services (CMS).
Approval based solely on a COVID-19 positive diagnosis is no longer allowed. Individuals must meet the eligibility guidelines for permanent and total disability.
Effective immediately, medical information must be submitted to the Medical Review Team (MRT) for eligibility determination prior to approval for MO HealthNet for the Aged, Blind, or Disabled (MHABD) coverage, based on COVID-19 diagnosis.
MRT will make the determination if the individual meets the medical eligibility requirements for approval.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.
- Submit all COVID-19 positive applications to MRT for medical determination.
KE/vb