Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri
TO: ALL FAMILY SUPPORT OFFICES
FROM: KIM EVANS, DIRECTOR
SUBJECT: NEW PRESUMPTIVE ELIGIBILITY (PE) EMAIL AND REMINDER TO CLOSE PE
MANUAL REVISION #
1900.030.00
1900.030.10
1900.030.30
DISCUSSION:
Presumptive Eligibility (PE) is not consistently being closed upon approval or denial of ongoing full MO HealthNet (MHN) coverage. This causes duplicate coverage which can cause billing issues and be counted as an error on a Qualify Assurance/Quality Control (QA/QC) review. In order to ensure the PE is closed:
- Check MXIX to view if a participant has active PE coverage status and end dates. Even when the status shows Closed (CLS), review the end date on the coverage.
- Review the comments in MEDES on the Client Contact Notes.
- When a participant with an active PE case is ready to be approved or denied for ongoing MHN, follow directions in the Closing PE Guide in IM Resources.
The contact email for PE closures and contacts has been updated to FSD.IM.Cole.PE@dss.mo.gov. Please begin using this email immediately to request PE closures.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.
KE/bl