Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: KIM EVANS, DIRECTOR
SUBJECT: POLICY UPDATES FOR THE TICKET TO WORK HEALTH ASSURANCE (TWHA) PROGRAM
MANUAL REVISION #
| 0855.000.00 | 0855.005.45 |
| 0855.005.00 | 0855.005.45.05 |
| 0855.005.35 | 0855.010.05 Obsolete |
| 0855.005.40 | 0855.020.00 |
| 0855.005.40.01 | Appendix K |
| 0855.005.40.05 Obsolete | |
| 0855.005.40.10 Obsolete |
DISCUSSION:
Senate Bill 106 requires changes to Missouri’s TWHA program. Missouri’s State Plan Amendment (SPA) for these changes was approved by the Centers for Medicare and Medicaid Services (CMS) on December 20, 2023. The following policy changes to the TWHA program are effective on January 1, 2024:
- Changes to the asset limit calculations to exclude the value of all retirement accounts,
- Modified the income calculations by broadening the definition to now consider the income of disabled participants up to 250% FPL, and
- Changes to the earned income that is disregarded for the non-TWHA Spouse.
The MO HealthNet (MHN) policy sections and appendix listed above are updated to reflect changes made to the TWHA program.
The IM-4 TWHA Brochure is available to assist staff in explaining the purpose of the TWHA program to participants and provide an understanding of TWHA coverage.
Processing information to be used until system updates are complete will be released in an upcoming email memorandum.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.
KE/mm