Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: KIM EVANS, DIRECTOR
SUBJECT: UPDATED AND OBSOLETE MO HEALTHNET (MHN) APPLICATION FORMS
FORM REVISION #
IM-1SSL supp obsolete
IM-1SSL supp letter obsolete
DISCUSSION:
The “Supplemental Form for Family MO HealthNet Programs” (IM-1SSL supp) and the corresponding letter are now obsolete and have been removed from the Department of Social Services (DSS) Manuals Income Maintenance (IM) Forms Manual and the Family Support Division (FSD) Intranet IM Forms Manual. The IM-1SSL supp and corresponding letter are obsolete as MHN now uses a single streamlined application process.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.
- Discontinue use of obsolete forms; recycle any blank forms that are currently in stock in your office or storage.
KE/cj