Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: KIM EVANS, DIRECTOR
SUBJECT: INTRODUCING ONLINE APPLICATION FOR MEDICARE SAVINGS PROGRAMS (MSP) AND REVISIONS TO THE APPLICATION FORM
FORM REVISION #
IM-1MSP
IM-1MSP (SPANISH)
IM-1MSP (LARGE PRINT)
DISCUSSION:
The MSP application (IM-1MSP) can now be completed and submitted online. MSP’s are available for certain individuals to get assistance with paying their Medicare premium and for some participants to also receiving assistance with coinsurance and deductibles.
Additional information about MSP’s and the link to the online application is located on the Department of Social Services webpage, Programs for Seniors & Individuals with Disabilities.
Note: The IM-1MSP is NOT an application for MO HealthNet (MHN). A participant can apply for MSP and MHN or MHN only online, by calling 855-373-9994, or by completing an Application for Health Care & Help Paying Costs (IM-1SSL).
The IM-1MSP is also available as a paper form in local offices and as a PDF that participants, community agencies, and advocates can access online and print.
The IM-1MSP is a stand-alone application and must be registered and processed without requiring the Application for Health Coverage & Help Paying Costs (IM-1SSL) or the Aged, Blind, and Disabled Supplement (IM-1ABDS). When registering or processing an IM-1MSP, always explore prior quarter coverage.
Revisions were made to the IM-1MSP to add preferences for opting out of automated calls and texts and some minor formatting changes to add clarification.
The revised IM-1MSP is available in English, Spanish, and large print with a revision date of 7/2023. All other versions of these applications should be removed and only the 7/2023 version should be distributed by FSD staff. FSD will accept the 1/2023 version until 12/31/23.
The applications are available in the public forms manual and internal forms manual.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.
- Distribute 7/2023 revision as requested.
- Remove obsolete forms (any other revisions date).
- Share with community partners.
KE/cj