IM-124 MANAGED CARE PLANS ADDRESS UPDATE FLEXIBILITY APPROVED FOR MO HEALTHNET (MHN) PROGRAMS

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

TO:  ALL FAMILY SUPPORT OFFICES

FROM: KIM EVANS, DIRECTOR

SUBJECT: MANAGED CARE PLANS ADDRESS UPDATE FLEXIBILITY APPROVED FOR MO HEALTHNET (MHN) PROGRAMS

MANUAL REVISION #
0895.005.00
1895.005.00

 

DISCUSSION:

The Centers for Medicare and Medicaid Services (CMS) has approved the Missouri Department of Social Services’s (DSS) request to implement the following address change flexibility to promote retention of eligible MHN individuals. This flexibility will remain in effect through the Public Health Emergency (PHE) unwinding period.

Partnering with Managed Care Plans to Update Beneficiary Contact Information

Accept updated participant in-state contact information received directly from managed care plans without additional confirmation from the participant. In-state address changes reported by a managed care plan should be updated without first sending a notice to the participant address on file.

Address changes due to Managed Care Plan reports will be handled by MO HealthNet Division (MHD) staff. Family Support Division (FSD) staff may see comments made by contracted staff in the eligibility system regarding an address change.

Note: This flexibility does not apply to out-of-state address changes. FSD will process out-of-state address changes using current procedures.

Managed care providers can go to the Information for Managed Care Health Plans website to update a participant-reported address change using a new online form. Participants and their representatives should continue to use the Report a Change online form.

The MO HealthNet for the Aged, Blind and Disabled manual section 0890.005.00 Unwinding the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (PHE) and the Family MO HealthNet (MAGI) manual section 1895.005.00 Unwinding the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (PHE) have been updated to add this memo.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

KE/sh