IM-11 NON-MAGI FEDERAL POVERTY LEVEL ADJUSTMENT

FROM: KIM EVANS, DIRECTOR

SUBJECT: NON-MAGI FEDERAL POVERTY LEVEL ADJUSTMENT

MANUAL REVISION #
Appendix J
Appendix K

 

DISCUSSION:

Effective April 1, 2024, the Federal Poverty Level (FPL) income guidelines increase for the following programs:

  • MO HealthNet Non-Spend Down (MHNS)
  • MO HealthNet Spend Down (MHSD)
  • Ticket to Work Health Assurance (TWHA)
  • Qualified Medicare Beneficiary (QMB)
  • Specified Low Income Medicare Beneficiary (SLMB and SLMB2)
  • Qualified Disabled Working Individuals (QDWI)
  • MO HealthNet for Disabled Children (MHDC)
  • Blind Pension (BP)

The weekend of March 9, 2024, programs with income eligibility based on the federal poverty level will be adjusted in the eligibility system.

Note: All MO HealthNet cases will be adjusted based on the new FPL income guidelines. However, due to the continuous enrollment condition, participants will not have coverage reduced to a lower level of care or cases closed until after their annual renewal is completed.

Premium Refunds
Premiums paid for April coverage will be refunded to the participant if the FPL causes the case to become eligible as a non-premium case. The refund process will take approximately 8 weeks to complete.

Program Descriptions
Appendix K in the Non-MAGI Policy Manual is updated to include the change in FPL income limits.

Income Standards
Appendix J in the Non-MAGI policy Manual is updated with the updated FPL income limits.

All FPL income guidelines are effective from April 1, 2024 through March 31, 2025. These standards may be referenced as needed for historical purposes.

MHABD income standards

Assistance Group Size Non-Spend Down OAA/PTD (85% FPL) Non-Spend Down AB (100% FPL)
1 $1067 $1255
2 $1448 $1704

 

QDWI income standards

Assistance Group Size QDWI (200% of FPL)
1 $2510
2 $3407

 

Medicare Savings Programs income standards

Assistance Group Size QMB (100% FPL) SLMB1 (120% FPL)  SLMB2 (135% FPL) 
1 $1255 $1506 $1695
2 $1704 $2044 $2300
3 $2152 $2582 $2905

 

Blind Pension sighted spouse monthly income maximum

Sighted Spouse (500% FPL)  $8517

 

TWHA Income Standards and Premiums

Percent of FPL Type of Case Monthly Income Premium Amount
Less than 100% FPL Single $1255.00 or less non premium
  Couple $1704.00 or less non premium
100% FPL up to but not including 150% FPL Single $1255.01-1822.99 $42
  Couple $1704.01-2554.99 $56
150% FPL up to but not including 200% Single $1883.00-2509.99 $62
  Couple $2555.00-3406.99 $85
200% FPL up to but not including 250% FPL Single $2510.00-3137.99 $104
  Couple $3407.00-4258.99 $141
250% FPL up to 300% FPL Single $3138.00-3765.00 $156
  Couple $429.00-5110.00 $211

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using the new FPL income guidelines for eligibility determinations effective April 2024 and ongoing.
  • Follow the staff user guides in FAMIS Resources to resolve conflicting actions related to FPL.
  • Review this memorandum with appropriate staff.

KE/st

IM-10 TEMPORARY ASSISTANCE (TA) VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, SEXUAL HARASSMENT, OR STALKING AND APPLICATION FOR TA (IM-1TA) AND REINVESTIGATION FORM UPDATES

FROM: KIM EVANS, DIRECTOR

SUBJECT: TEMPORARY ASSISTANCE (TA) VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, SEXUAL HARASSMENT, OR STALKING AND APPLICATION FOR TA (IM-1TA) AND REINVESTIGATION FORM UPDATES

MANUAL REVISION #
0204.000.00
0204.010.000

FORM REVISION #
IM-1TA
IM-1TA-SPANISH
IM-1TA-DARI
IM-1TA-PASHTO
FA-202

 

DISCUSSION:

Manual Update:

The Consolidated Appropriations Act establishes standards and procedures for TA applicants, potential TA applicants, and TA participants who are victims of domestic violence, sexual assault, or stalking. New manual sections, 0204.000.00 Victims of Domestic Violence, Sexual Assault, Sexual Harassment, or Stalking and 0204.010.000 Identifying at Application are now added to the TA manual.

Procedures are in place for the following:

  1. Applicants and potential applicants will be informed of assistance available by the state to victims of sexual harassment and survivors of domestic violence, sexual assault, and stalking.
    1. A link to the MO Coalition Against Domestic & Sexual Violence website (https://www.mocadsv.org/) is available on the MyDSS website.
  2. All Family Support Division (FSD) staff will receive training regarding sexual harassment, domestic violence, sexual assault, and stalking.
    1. Training will be for any staff member who administers the TA program including but not limited to Benefit Program Associates (BPA), Benefit Program Technicians (BPT), Administrative Office Support Assistants (AOSA), Senior Office Support Assistants (SOSA), Benefit Program Specialists (BPS) (including Missouri Work Assistance (MWA) BPS), Program Specialists, Benefit Program Supervisors, Program Coordinators, and Program Managers.
    2. This training has been developed and the memo will be released with instructions on how to complete this training.
  3. To ensure compliance with the Domestic Violence Act already in effect, all applications will be screened for potential victims of domestic violence, sexual assault, stalking, and sexual harassment. Participants will continue to receive services while active in the TA program. These questions do not affect eligibility and should not hold up processing an application.
    1. Three questions are being added to the TA application (IM-1TA) to assist with the screening process:
      1. Are you or a member of your immediate household currently being physically or emotionally harmed by a family member or current or former intimate partner?
      2. Have you or a member of your immediate household currently or ever been forced to have sex or perform sexual acts when you said no or did not want to?
      3. Have you or a member of your immediate household ever been or are currently being followed around from place to place or being harassed by an individual or group?
    2. Identified victims of domestic violence, sexual assault, sexual harassment, or stalking will be placed in the confidential load FAMIS load 4613.
      1. FSD staff registering the application will be responsible for reviewing the screening questions and placing applications into the confidential load.
      2. Interview/processing will be completed by the staff who cover this load.
    3. MWA staff will refer applicants/participants to local resources for assistance with their current situations while unable to do traditional work activities.
    4. Every 90 days, MWA staff will review identified active cases. The case will be evaluated for the need of continued special assistance and or if the household is ready for traditional MWA work activities.

Form Updates:

The following questions have been added to the IM-1TA to help identify individuals who are victims of domestic violence, sexual assault, and stalking victims:

  • Are you or a member of your immediate household currently being physically or emotionally harmed by a family member or current or former intimate partner?
  • Have you or a member of your immediate household currently or ever been forced to have sex or perform sexual acts when you said no or did not want to?
  • Have you or a member of your immediate household ever been or are currently being followed around from place to place or being harassed by an individual or group?

The Civil Rights section on the IM-1TA has been updated with the full joint Nondiscrimination Statement (NDS) as well as information on Civil Rights complaints.

Child Care information is updated to direct applicants to the Department of Elementary and Secondary Education (DESE) website.

Questions related to service in the U.S. Armed Forces have been added to the following forms:

  • TANF application (IM-1TA)
  • TANF Reinvestigation (FA-202)

The questions below are designed to gather information to allow the Family Support Division (FSD) to provide useful information to veterans and their families. These questions will not affect eligibility and if left unanswered must not cause a case to be rejected, closed, or delayed.

  • Question 1: Have you or an immediate family member ever served in the U.S. Armed Forces?
  • Question 2: If yes, would you like information about military-related services in Missouri?

The revised IM-1TA form has a revision date of 02/2024. All other IM-1TA forms are obsolete. FSD will accept the obsolete applications until 05/31/2024.

Additional instructions will be provided regarding obsolete applications received after 05/31/2024.

Forms are available in the public forms manual and the internal forms manual.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using revised IM-1TA 02/2024 immediately.
  • Discard and recycle blank obsolete IM-1TA forms.
  • Share with community partners.

 

 

 

KE/hd

 

IM-09 CLARIFICATION ADDED TO MID-CERTIFICATION REVIEW (MCR) POLICY FOR RETURNING INCOMPLETE OR UNSIGNED REVIEWS

FROM: KIM EVANS, DIRECTOR

SUBJECT: CLARIFICATION ADDED TO MID-CERTIFICATION REVIEW (MCR) POLICY FOR RETURNING INCOMPLETE OR UNSIGNED REVIEWS

MANUAL REVISION #
1140.020.00

 

DISCUSSION:

A note specifying to allow the household 10 days to return an incomplete or unsigned review was added to 1140.020.00 Mid-Certification Reviews.

When returning an incomplete or unsigned MCR, the date in the field for “Failure to return this form by ______ may result in a loss of benefits” on the IM-2MCR form should allow 10 days for the participant to complete, sign, and/or return the form.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/tl

IM-08 UPDATE TO 1619 THRESHOLD

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATE TO 1619 THRESHOLD

MANUAL REVISION #
Appendix J

 

DISCUSSION:

The threshold amount established by the Social Security Administration (SSA) to determine eligibility under Section 1619 of the Social Security Act has decreased to $3,690 effective January 1, 2024. Additional information regarding 1619 eligibility is available in manual section 0850.005.20 Financial Need.

Appendix J of the MO HealthNet for the Aged, Blind, and Disabled (MHABD) Manual was updated to reflect the new threshold.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/cj

IM-07 REVISION TO SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) TYPES OF MEDICAL COSTS ALLOWED

FROM: KIM EVANS, DIRECTOR

SUBJECT: REVISION TO SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) TYPES OF MEDICAL COSTS ALLOWED

MANUAL REVISION #
1115.035.15.10

 

DISCUSSION:

SNAP policy section 1115.035.15.10 Types of Medical Costs Allowed has been renamed to 1115.035.15.10 Types of Medical Expenses Allowed.

Additional changes are listed below:

  • Policy and terminology is expanded, updated and re-formatted.
  • Note regarding budgeting SMI premium until SMI is no longer deducted from the Social Security payment is removed.
    • Buy-ins now occur in 10 days on average and no more than 30 days.
  • Premiums for prescription insurance and prescription discount plans are now listed as allowable medical expense.
  • Cost of building a ramp for a handicapped person is removed and replaced with adaptive equipment in vehicles and homes.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff

 

 

 

KE/ch

IM-06 JANUARY 2024 – QUARTERLY FORMS UPDATE

FROM: KIM EVANS, DIRECTOR

SUBJECT: JANUARY 2024 – QUARTERLY FORMS UPDATE

 

DISCUSSION:

Income Maintenance forms and documents are reviewed and revised quarterly, and as necessary. New forms and documents are created as required or requested.

All new and revised IM forms show a revision date of 01/2024, unless otherwise stated. Revised IM forms with older revisions dates are now obsolete. Family Support Division (FSD) will accept obsolete forms until 03/31/2024.

Note: Child Care program information was removed from many FSD forms and documents as Department of Elementary & Secondary Education (DESE) systems are used for eligibility (2023 Memo IM-103).

Participants may access the Application for Child Care Subsidy for Children and Families (MO 500-3469) and additional information from the Child Care Subsidy Information for Families webpage on the DESE website.

New and Revised Forms available in the public and internal forms manuals:

Form Number Form Name New or Revision: 
IM-4Finding Help
IM-4Finding Help (Spanish)
Finding Help brochure Revision –removed the Child Care program information. Revision date (12/2023)
IM-4 Employment Impacts Benefits
IM-4 Employment Impacts Benefits (Spanish)
How Employment Impacts Your Benefits flyer Revision – removed the Child Care program information.
IM-4Spend Down
IM-4Spend Down (Spanish)
Spend Down flyer Revision – added information about paying online using the My MOHealthNet Portal, corrected the link to the Spend Down Frequently Asked Questions.
IM-6AR
IM-6AR (Spanish)
IM-6AR (Large Print)
Appointing an Authorized Representative Revision – removed references to Child Care program, added instructions for returning the completed form to FSD.
IM-31B (Spanish) Your Rights and Responsibilities as a Supplemental Nutrition Assistance Program (SNAP) Household New – Spanish translation of IM-31B (8/2023)
IM-31V Allowed Verification Revision – removed references to Child Care program.
IM-63HWR
IM-63HWR (Spanish)
MO HealthNet Undue Hardship Waiver Request Revision – updated language and formatting, moved form to public forms manual from internal forms manual
IM-100RWC
IM-100RWC (Spanish)
Request to Withdraw or Close Revision – removed Child Care Program, added MO HealthNet Children’s Insurance Program (CHIP), reformatted program list

 

New and Revised Online Forms

Form Name New or Revision
Replacement Request Revision – updated to match IM-110 (9/2023) by updating non-discrimination language.

 

New and Revised Forms available only to FSD staff in the internal forms manual:

Form Number Form Name New or Revision
IM-32 MAGI (Spanish) MO HealthNet Approval Notice Revision – Spanish translation of IM-32 MAGI (12/2023)
IM-33 MAGI
IM-33 MAGI (Spanish)
Notice of Case Action Revision – updated formatting, updated legal references, updated hearing and report changes language
IM-63HWD
IM-63HWD (Spanish)
MO HealthNet Undue Hardship Waiver Decision Revision – updated language
IM-63HWN
IM-63HWN (Spanish)
MO HealthNet Undue Hardship Waiver Notice Revision – changed form name, updated hearings and report changes language

 

Obsolete forms should no longer be used by FSD staff. These forms are no longer in use with current FSD processes. In addition to forms listed above with older revision dates, the following forms are also obsolete:

Form Number Form Name
IM-1CC
IM-1CC (Spanish)
IM-1CC (Large Print)

Child Care Application

IM-4CC
IM-4CC (Spanish)
Child Care Subsidy Brochure
  Child Care Fraud Brochure
IM-30 UCCW Units of Care Calculation Worksheet

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using revised forms immediately.
  • Discard and recycle blank obsolete forms.
  • Share with community partners.

 

 

 

KE/cj

IM-05 UPDATES TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) RECONCILIATION – COVERED EARNINGS SECTION

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATES TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) RECONCILIATION – COVERED EARNINGS SECTION

MANUAL REVISION #
1105.098.20

 

DISCUSSION:

Some immigrants must have 40 qualifying quarters of coverage under Title II of the Social Security Act or be credited with such quarters to be eligible for SNAP. 1105.098.20 Reconciliation – Covered Earnings of the SNAP manual was updated to match Social Security’s processes and form changes when qualifying quarter discrepancies are reported and to clarify copies of IIVEs cannot be stored in the case record.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/se

IM-04 REVISION TO MO HEALTHNET (MHN) POLICY ALLOWING ACTIVE PARTICIPANTS TO MOVE FROM ONE MHN PROGRAM TO ANOTHER

FROM: KIM EVANS, DIRECTOR

SUBJECT: REVISION TO MO HEALTHNET (MHN) POLICY ALLOWING ACTIVE PARTICIPANTS TO MOVE FROM ONE MHN PROGRAM TO ANOTHER

MANUAL REVISION #
0840.010.00
0840.015.05
1890.000.00
1890.010.00
1890.010.10
1890.010.20

 

DISCUSSION:

MHN policy is updated with requirements for active participants moving from one program to another when a change in circumstance occurs, or upon request from the participant.

An active MHN participant does NOT require a new application to move from one program to another, as long as they remain in the same household. All actions should be completed ex parte (which means without contacting the participant), if possible.

Note: This policy does NOT change the existing policy for an active participant or applicant who is requesting a cash benefit. See 0804.025.00 MO HealthNet Application Concurrent With MHABD Cash Programs.

Policy updates shown below should be reviewed by all staff:

Non-MAGI Policy Manual

MAGI Policy Manual

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/cj

IM-03 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) APPLICATION, FS-1, UPDATED

FROM: KIM EVANS, DIRECTOR

SUBJECT: SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) APPLICATION, FS-1, UPDATED

FORM REVISION #

FS-1 FS-1 (Dari)
FS-1 (Spanish) FS-1 (Pashto)
FS-1 (Large Print)  

 

DISCUSSION:

The SNAP Application (FS-1) has been updated with the following changes:

  • Instructions to return the form were added,
  • New Able-Bodied Adults without Dependents (ABAWD) ages were added,
  • New ABAWD exemptions were added, and
  • Automated calls and texts opt out options were updated.

The revised FS-1 is available in English, Spanish, Dari, Pashto, and Large print. The Online application is also updated with these changes.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using the FS-1 with the revision date of 09/2023 at the release of this memo.

 

 

 

KE/cs

IM-02 2024 AFFORDABLE INSURANCE QUOTES UPDATED ON FAMILY MO HEALTHNET (MAGI) APPENDIX G

FROM: KIM EVANS, DIRECTOR

SUBJECT: 2024 AFFORDABLE INSURANCE QUOTES UPDATED ON FAMILY MO HEALTHNET (MAGI) APPENDIX G

MANUAL REVISION #
APPENDIX G

 

DISCUSSION:

The CHIP Affordability Test Calculator, Appendix G, has been updated with 2024 insurance quotes from the Federally Facilitated Marketplace (FFM). Affordable insurance determinations for Children’s Health Insurance Program (CHIP) premium children must still be completed.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using the updated CHIP Calculator (MAGI Appendix G) January 1, 2024.

 

 

 

KE/bl