Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: KIM EVANS, DIRECTOR
SUBJECT: 2022 UPDATE OF POVERTY INCOME GUIDELINES FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAMS
MANUAL REVISION #
Appendix J
Appendix K
DISCUSSION:
Effective April 1, 2022, the Federal Poverty Level (FPL) income guidelines increase for the following programs:
- MO HealthNet for the Aged, Blind and Disabled (MHABD)
- Ticket to Work Health Assurance (TWHA)
- Qualified Medicare Beneficiary (QMB)
- Specified Low Income Medicare Beneficiary (SLMB and SLMB2)
- Qualified Disabled Working Individuals (QDWI)
- MO HealthNet for Disabled Children (MHDC)
- Gateway to Better Health (GTBH)
- Blind Pension (BP)
The weekend of March 12, 2022, programs with income eligibility based on the FPL will be adjusted in the eligibility system.
MO HealthNet cases will be adjusted based on the new FPL income guidelines; however, due to the COVID-19 Public Health Emergency (PHE), no cases will have coverage closed or reduced to a lower level of care due to FPL adjustments until after the PHE has ended.
Premium Refunds
Premiums paid for April coverage will be refunded to the participant if the FPL causes the case to become eligible as a non-premium case. The refund process will take approximately 8 weeks to complete.
Program Descriptions
Appendix K: MO HealthNet eligibility for people who are Aged (65 or older), Blind, Disabled, or need treatment for Breast or Cervical Cancer in the MHABD Policy Manual has been updated to include the change in FPL income limits.
Income Standards
Appendix J: Eligibility Standards for MHABD has been updated in the MHABD Policy Manual to show the updated FPL income limits.
All FPL income guidelines are effective from April 1, 2022 through March 31, 2023. These standards may be referenced as needed for historical purposes.
|
MHABD income standards |
||
|
Assistance Group Size |
Non-Spend Down OAA/PTD (85% FPL) |
Non-Spend Down AB (100% FPL) |
|
1 |
$963 |
$1,133 |
|
2 |
$1,297 |
$1,526 |
|
QDWI income standards |
|
|
Assistance Group Size |
QDWI (200% of FPL) |
|
1 |
$2,265 |
|
2 |
$3,052 |
|
Medicare Savings Plan Program income standards |
|||
|
Assistance Group Size |
QMB (100% FPL) |
SLMB1 (120% FPL) |
SLMB2 (135% FPL) |
|
1 |
$1,133 |
$1,359 |
$1,529 |
|
2 |
$1,526 |
$1,831 |
$2,060 |
|
3 |
$1,920 |
$2,303 |
$2,591 |
|
Blind Pension sighted spouse monthly income maximum |
|
|
Sighted Spouse (500% FPL) |
$7,630 |
|
TWHA Income Standards and Premiums |
|||
|
Percent of FPL |
Type of Case |
Monthly Income |
Premium Amount |
|
Less than 100% FPL |
Single |
$1132.99 or less |
non premium |
|
|
Couple |
$1525.99 or less |
non premium |
|
100% FPL up to but not including 150% FPL |
Single |
$1133.00 – $1698.99 |
$42 |
|
|
Couple |
$1,526.00 – $2288.99 |
$56 |
|
150% FPL up to but not including 200% FPL |
Single |
$1699.00 – $2264.99 |
$62 |
|
|
Couple |
$2289.00 – $3051.99 |
$85 |
|
200% FPL up to but not including 250% FPL |
Single |
$2265.00 – $2831.99 |
$104 |
|
|
Couple |
$3052.00 – $3814.99 |
$141 |
|
250% FPL up to 300% FPL |
Single |
$2832.00 – $3398.00 |
$156 |
|
|
Couple |
$3815.00 – $4578.00 |
$211 |
NECESSARY ACTION:
- Begin using the new federal poverty level income guidelines for eligibility determinations effective April 2022 and ongoing.
- Follow the FAMIS Changes Due to FPL Adjustments user guide to resolve conflicting actions.
- Review this memorandum with appropriate staff.
KE/cj