Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: KIM EVANS, DIRECTOR
SUBJECT: MO HEALTHNET (MHN) COVERAGE FOR FORMER FOSTER CARE YOUTH (FFCY) INDIVIDUALS WHO AGED OUT OF CARE IN A STATE OTHER THAN MISSOURI
Section 1002(a)(2) of the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act became effective 1/1/2023 changing the way eligibility is determined for individuals who age out of foster care in a state other than Missouri. Eligibility for these individuals will be determined under different criteria based on when they reached the age of 18.
Individuals who turned 18 before January 1, 2023
- Are under age 26;
- Declare they were in foster care in a state other than Missouri for at least 6 months prior to aging out of care; and
- Must be found ineligible for MHN coverage in all other applicable mandatory eligibility groups prior to being approved for coverage under the FFCY program.
Individuals who turned 18 on or after January 1, 2023
- Are under age 26;
- Declare they were in foster care in a state other than Missouri at the time they turned 18;
- Are not required to be found ineligible for MHN coverage prior to being enrolled in FFCY coverage; and
- Are ineligible for FFCY coverage if they are already covered under a mandatory level of Medicaid through the state of Missouri.
System updates are in progress to determine eligibility for these individuals. Until system updates are completed, send an email to COLE.MHNPOLICY@dss.mo.gov with “Former foster care state other than Missouri” in the subject line if an application is received for one of these individuals.
FFCY eligibility for individuals who age out of foster care in Missouri will continue to be handled through Children’s Division’s (CD) eligibility system.
The Family MO HealthNet (MAGI) and Presumptive Eligibility (PE) Programs Manuals have been updated to reflect these changes.
- Review this memorandum with appropriate staff.