Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: KIM EVANS, DIRECTOR
SUBJECT: CLARIFICATION FOR USE OF AGED, BLIND, AND DISABLED SUPPLEMENT (IM-1ABDS) AND OBSOLETING APPLICATION FOR MO HEALTHNET (IM-1MA)
Memo #63 released 6/28/2021 introduced the new form IM-1ABDS and stated that the IM-1MA is obsolete as of 7/6/2021. However, some clarifications are needed.
When a participant applies for MO HealthNet for the Aged, Blind, and Disabled using the Application for Health Coverage & Help Paying Costs (IM-1SSL), and does not submit the IM-1ABDS, staff should attempt to contact the applicant by phone. If unable to collect the information by phone, staff must mail the
IM-1ABDS to the participant with a request for contact.
As of 7/6/2021, the IM-1MA is obsolete and should not be distributed by FSD staff. The MO HealthNet for the Aged, Blind, and Disabled appendices (IM-1MA appendices) are still valid and remain in the Department of Social Services Forms Manual. IM-1MA applications will remain available to staff and the public until 7/6/2021.
FSD will honor IM-1MA’s received between 7/6/2021 and 12/31/2021 as applications. An IM-1MA received prior to 12/31/2021 MUST be processed as a valid application.
NOTE: If an IM-1MA is received after 12/31/2021, FSD staff must send an IM-1SSL and IM-1ABDS to the participant. If the IM-1SSL is returned within 30 days, the date of application is the date the IM-1MA was first received.
- Review this memorandum with appropriate staff.