IM-53 MISSOURI TRANSITIONING TO FEDERALLY FACILITATED MARKETPLACE (FFM) DETERMINATION STATE

Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri

TO:  ALL FAMILY SUPPORT OFFICES

FROM: KIM EVANS, DIRECTOR

SUBJECT: MISSOURI TRANSITIONING TO FEDERALLY FACILITATED MARKETPLACE (FFM) DETERMINATION STATE

 

DISCUSSION:

Effective October 1, 2024, Missouri is transitioning from a Temporary determination (FFM-Temp D) state to a Determination (FFM-D) state. Family Support Division (FSD) will accept fully verified Federally Facilitated Marketplace (FFM) Family MO HealthNet (MAGI) based determinations of eligibility for Medicaid and/or CHIP as final determinations.

Individuals who disagree with eligibility determinations made by the FFM have the option to have their fair hearing conducted by the Federal Marketplace Appeals Entity or the Department of Social Services (DSS). The adverse action notice will include the option for the participant to appeal to either entity.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/kl