DEPARTMENT OF SOCIAL SERVICES
FAMILY SUPPORT DIVISION
PO BOX 2320
JEFFERSON CITY, MISSOURI
IM-#070, 12/18/2018
TO: ALL FAMILY SUPPORT OFFICES
FROM: PATRICK LUEBBERING, DIRECTOR
SUBJECT: MO HEALTHNET ELIGIBILITY UNDER SECTION 1619 OF THE SOCIAL SECURITY ACT
- MANUAL REVISION #50
0850.000.00
0850.005.00
0850.005.05
0850.005.10
0850.005.20
0850.010.00
0850.015.00
0850.020.00
DISCUSSION:
The purpose of this memorandum is to introduce revisions to the current Medical Assistance Manual Sections related to eligibility for Title XIX MO HealthNet under Section 1619 of the Social Security Act.
1619 status approval through Social Security occurs when disabled individuals lose SSI eligibility due to income from employment. The threshold amount Social Security uses to measure gross earnings for potential 1619 beneficiaries in Missouri as of January 1, 2018 is $37,188 and changes annually. These individuals continue to meet the SSI disability requirements, and their earnings are excluded for MO HealthNet if all other MO HealthNet 1619 eligibility requirements are met.
There are three distinct eligibility requirements. A MO HealthNet recipient must:
- be approved for 1619 status by Social Security,
- fall below the Section 1619 resource maximum, and
- the participant must have received MO HealthNet in the month prior to being approved for 1619 status by the Social Security Administration.
1619 cases are no longer processed in Legacy. The revised manual sections have been updated to remove Legacy system processes, and provide clarification to current policy. The new Section 1619 Eligibility Guide will be helpful when completing eligibility determinations for MO HealthNet 1619.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.
PL/vm