IM-29 COVID-19: END OF EXTENSION FOR ALL SHOW ME HEALTHY BABIES (SMHB) PROGRAM COVERAGE

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: END OF EXTENSION FOR ALL SHOW ME HEALTHY BABIES (SMHB) PROGRAM COVERAGE                           

DISCUSSION:

Coverage under the SMHB program no longer includes extension of coverage during the Public Health Emergency (PHE).  The Family Support Division has received clarification from the Centers for Medicare and Medicaid Services (CMS) that because SMHB is a Children’s Health Insurance Program (CHIP), participants should not retain coverage beyond normal timeframes.

Beginning April 26, 2021 the following levels of coverage will follow pre-PHE guidelines and will no longer be extended:

  • SMHB pregnant women (citizen or qualified immigrant mother) will move to a 60-day post-partum period after delivery. The post-partum period should end on the last day of the month in which the 60th day after delivery lands.
  • SMHB pregnant women (non-citizen/non-qualified immigrant mother) will have full coverage until the discharge date after delivery, and will include one (1) post-partum visit.
  • SMHB Newborns (citizen or qualified immigrant mother) will end when the child turns age one (1), unless determined eligible for further coverage.
  • SMHB Newborns (non-citizen/non-qualified immigrant mother) will end when the child turns age one (1), unless determined eligible for further coverage.

COVID-19 EEE evidence will be removed from any SMHB coverage that was active prior to April 24, 2021, and an Adverse Action Notice (IM-80) will be mailed to participants. The system will continue sending IM-80s for SMHB coverage for 30 days.  At the end of 30 days, sending an IM-80 at the termination of SMHB coverage will stop. Any SMHB cases approved on or after that date will follow normal (pre-PHE) timeframe and notice guidelines.

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/df