Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: KIM EVANS, DIRECTOR
SUBJECT: UPDATES TO THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL REGARDING CHANGES IN CIRCUMSTANCE
MANUAL REVISION #54
A new section has been added to the Changes in Circumstance section of the MHABD manual. Policy regarding coverage changes between the Spend Down and Ticket to Work programs is discussed in MHABD manual section 0840.010.35 Change in Coverage- Spend Down and Ticket to Work.
The Spend Down-Ticket to Work Comparison Guide has been created to aid staff members when communicating these coverage options with participants.
Coverage can only be changed if the participant has not met their Spend Down or paid in their Spend Down or Ticket to Work premium.
When authorizing a change in coverage for a month there is an open Spend Down or Ticket to Work invoice email the Premium Payments Unit to request the invoice(s) for the specific month(s) be closed. Send email to: MHD.PremiumPayments@dss.mo.gov with the following information:
- Subject line “Invoice needs closed”
- Month(s) with open invoices that need to be closed.
MHABD Manual Sections 0840.010.00 Changes in Circumstance and 0855.010.00 Application Processing Procedures (TWHA) have been revised to include information covered in MHABD manual section 0840.010.35 Change in Coverage- Spend Down and Ticket to Work.
- Review the memorandum and manual revisions with appropriate staff.