IM-136 MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL REVISIONS TO INCLUDE CORRECT ELIGIBILITY CRITERA FOR DISABLED CHILDREN UNDER AGE 18 IN A VENDOR FACILITY

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

TO:  ALL FAMILY SUPPORT OFFICES

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL REVISIONS TO INCLUDE CORRECT ELIGIBILITY CRITERA FOR DISABLED CHILDREN UNDER AGE 18 IN A VENDOR FACILITY  

MANUAL REVISION #

0815.005.00 Eligibility for Vendor Payments

0815.010.00 Applications for Participants Not Currently Receiving Medicaid

0815.055.05 Participants Under Age 18 Receiving Inpatient Psychiatric Services

0815.065.00 Individuals Under Age 18 in an Institution for the Intellectually Disabled or Nursing Facility

DISCUSSION:

The purpose of this memorandum is to inform staff the manual has been updated to remove MO HealthNet for Families (MHF) and MO HealthNet for Kids (MHK) references pertaining to FAMIS in these sections, and to refer instead to the Family MO HealthNet manual sections related to eligibility for (MHF) and (MHK) poverty level children under the age of 18. 

A note has also been added to remind staff that children temporarily receiving in-patient services who are ineligible for MO HealthNet for Disabled Children (MHDC), but are actively receiving benefits under (MHF) or (MHK), are able to continue receiving those services with no level of care change needed, and MO HealthNet Division will immediately dis-enroll the (MHF) or (MHK) child from Managed Care. 

Children who meet this criteria are anticipated to have a short stay and will either be discharged, or transitioned into residential care.  When/if the child is transitioned into residential care, a new determination should be made.  See 0815.055.00 INPATIENT PSYCHIATRIC SERVICES FOR INDIVIDUALS UNDER 21 YEARS OF AGE.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/vm