FROM: KIM EVANS, DIRECTOR
SUBJECT: CORRECTION TO APPENDICES A AND D IN THE FAMILY MO HEALTHNET (MAGI) MANUAL
MANUAL REVISION #
APPENDIX A
APPENDIX D
Appendices A and D in the MAGI manual are updated to correct a typographical error on the 153% Federal Poverty Level (FPL) row.
• Review this memorandum with appropriate staff.
KE/ers
FROM: KIM EVANS, DIRECTOR
SUBJECT: UPDATES TO SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MID-CERTIFICATION REVIEWS POLICY
MANUAL REVISION #
1140.020.00
FORM REVISION #
IM-2MCR
SNAP Manual section 1140.020.00 Mid-Certification Reviews is updated to clarify that a Mid-Certification Review/Report Form (MCR/FA-546) must have all questions answered and must be signed to be considered received by the agency. An incomplete or unsigned MCR must be returned to the participant for completion/signature.
To advise the participant why the MCR is being returned, a new Mid-Certification Review Request (IM-2MCR) form was created for use when returning an incomplete or unsigned MCR to a participant. If an MCR is received with pages missing, those pages should be reprinted and sent to the participant when returning the form.
The IM-2MCR requires staff to enter the following information as it appears on the first page of the participant’s MCR:
• Case Name,
• Case DCN,
• Due date from the original MCR, and
• Family Support Division (FSD) return address from the original MCR.
There is a drop-down box to select the reason the form is being returned, along with a text entry box which should be used to tell the participant what is missing from the MCR, and if the form is being returned for multiple reasons. Staff should enter the date the form is being returned in the date field at the top right of the form.
Normal office procedures should be followed for printing and reprinting documents.
• Review this memorandum with appropriate staff.
• Effective with the release of this memo, all incomplete/unsigned MCRs must be returned to the participant using the IM-2MCR.
KE/tl
FROM: KIM EVANS, DIRECTOR
SUBJECT: YOUR RIGHTS AS A FOOD STAMP APPLICANT/PARTICIPANT (IM-31B) FORM UPDATED
FORM REVISION #
IM-31B
Your Rights as a Food Stamp Applicant/Participant (IM-31B) form has been renamed to Your Rights and Responsibilities as a Supplemental Nutrition Assistance Program (SNAP) Household (IM-31B). The form has been redesigned to be easier to review with a participant. SNAP household responsibilities and SNAP household reporting requirements were added.
Reviewing the IM-31B with an applicant during a SNAP interview will meet the requirements in SNAP manual section 1120.005.10 Explanation of Rights and Responsibilities. The IM-31B has been added to the internal and public forms manual.
• Review this memorandum with appropriate staff.
KE/tl
FROM: KIM EVANS, DIRECTOR
SUBJECT: CHILD CARE (CC) POLICY REVISION TO ALLOW 23 FULL TIME (FT) UNITS OF CARE FOR CHILDREN 4 AND UNDER
MANUAL REVISION #
2020.005.00
Effective August 1, 2022, Child Care policy 2020.005.00 AUTHORIZATIONS is updated to allow all children four (4) years old and under to be authorized for 23 full-time day units of care as long as the applicant has a valid need for child care and meets all other eligibility factors.
• Review this memorandum with appropriate staff.
KE/hd
FROM: KIM EVANS, DIRECTOR
SUBJECT: ELECTRONIC SIGNATURE ADDED TO REPLACEMENT REQUEST FORM IM-110 FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)
FORM REVISION #
IM-110
The Replacement Request (IM-110) was updated with language to allow for an electronic signature. All SNAP replacement requests must be signed by an adult member of the household or an authorized representative to be considered valid.
In the Signature Section of the IM-110, there are new Electronic Signature Terms and Conditions with a check box for the participant to click and agree to sign the form digitally. If a participant chooses to submit the form without printing, the box under Electronic Signature Terms and Conditions must be checked and a name typed into the signature line for the signature to be valid. If the form is printed and submitted with a typed signature, the box above the signature line must be checked for the form to be considered signed.
The instructions on the back of the form have been updated with guidelines for Electronic Signatures. The IM-110 can still be printed, physically signed, and submitted by upload, fax or mail. This form is available in the public and internal forms manuals; however, it has been removed from the e-store.
• Review this memorandum with appropriate staff.
• Destroy all older (04/2022) versions of this form and begin using (7/2022) version immediately.
KE/tl
FROM: KIM EVANS, DIRECTOR
SUBJECT: MILEAGE REIMBURSEMENT RATE INCREASE FOR ALL INCOME MAINTANENCE (IM) PROGRAMS
FORM REVISION #
APPENDIX J
The state mileage rate used to calculate expenses for all IM programs increased from $.49 per mile to $.55 per mile effective 07/01/2022. Use the rate of $.55 per mile when calculating mileage expenses.
Effective 7/25/2022, the eligibility system has been updated to reflect the rate increase. Appendix J of the MO HealthNet for the Aged, Blind and Disabled manual has been updated to reflect the change.
Note: Final approval for the increased rate was received after July benefits were created. Affected cases have been adjusted to reflect this change for July 2022 and notices will be generated.
• Review this memorandum with appropriate staff.
KE/nw
FROM: KIM EVANS, DIRECTOR
SUBJECT: UKRAINIAN HUMANITARIAN PAROLEE GUIDANCE FOR ALL PROGRAMS
Due to section 401 of the Additional Ukraine Supplemental Appropriations Act, 2022 (Public Law 117-128), Ukrainian individuals issued an immigration status of Humanitarian Parolee between February 24, 2022 and September 30, 2023 are considered Qualified Immigrants.
Effective May 21, 2022 these individuals are not subject to the five-year waiting period for MO HealthNet (MHN), Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance (TA) and Child Care (CC). If an individual was paroled and entered the United States between February 24, 2022 and May 21, 2022, their date of eligibility for MHN is February 24, 2022 and for SNAP, TA, and CC it is May 21, 2022. If they entered the United States after May 21, 2022, their date of eligibility is their date of humanitarian parole but they are eligible for prior quarter for MHN. Ukrainian parolees who previously applied and were denied benefits may reapply with eligibility determined from the date of reapplication or the corresponding prior quarter dates for MHN.
Ukrainian Humanitarian Parolees are treated like refugees and should be coded in eligibility systems as refugees. The following documentation and codes indicate that an immigrant is a Ukrainian Humanitarian Parolee:
• A form I-94 noting Humanitarian Parolee;
• Foreign passport with Department of Homeland Security / U.S. Customs and Borders (DHS/CBP) admission stamp noting Uniting for Ukraine (U4U);
• Foreign passport with DHS/CBP with a stamp admitting them as a Ukrainian Humanitarian Parolee (UHP);
• Foreign passport with DHS/CBP admission stamp noting Parolee (DT);
• A Form I-765 Employment Authorization Document (EAD) with code C11;
• A Form I-766 EAD with code C11; or
• A non-Ukrainian immigrant who last resided in the Ukraine, can be eligible if they provide one of the above documents AND documentation of their last habitual residence in Ukraine.
NOTE: Applications received for Humanitarian Parolees from the Ukraine must be sent to the FSD Refugee Unit at: FSDREFUGEE@ip.sp.mo.gov. Special entry is required to allow this population to be coded correctly. Do not process these applications.
• Review this memorandum with appropriate staff.
KE/hrp
FROM: KIM EVANS, DIRECTOR
SUBJECT: CORONAVIRUS DISEASE 2019 (COVID-19) PUBLIC HEALTH EMERGENCY (PHE) AND UNWINDING THE COVID-19 PHE MANUAL SECTIONS ADDED TO THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) AND FAMILY MO HEALTHNET (MAGI) MANUALS
MANUAL REVISION #
0890.000.00
0890.005.00
1895.000.00
1895.005.00
The MHABD and MAGI Manuals have been updated to add sections regarding the COVID-19 PHE and Unwinding the COVID-19 PHE. The COVID-19 PHE manual sections house links to related COVID-19 memos. Memos related to the COVID-19 unwinding period will be placed in the unwinding the COVID-19 PHE manual sections.
The following manual sections have been added:
KE/sh
FROM: KIM EVANS, DIRECTOR
SUBJECT: FLEXIBILITIES APPROVED FOR FAMILY MO HEALTHNET (MAGI) APPLICATION PROCESSING
Effective immediately, the Centers for Medicare and Medicaid Services (CMS) has approved Missouri Department of Social Services’ request (DSS) to utilize the following flexibilities to simplify the processing of MO HealthNet (MHN) applications for MAGI programs.
These flexibilities are for MHN applications, including pending applications, received through the end of the public health emergency (PHE) unwinding period. Specific dates for the unwinding period will be determined once the PHE has ended.
1. Enrolling Parents Into Medicaid Based on Children’s Income Eligibility
Parents who have submitted an application for MHN will be considered income eligible for MAGI without further verification of income if:
• They have a child enrolled in MHN;
• The last determination of household income for the child is at or below 133% of the federal poverty level (FPL);
• The parent is in the child’s household; and
• The parent meets all other eligibility requirements for MAGI including but not limited to:
o Under age 65;
o Not pregnant;
o Not eligible for Medicare; and
o Meets Citizenship/Identity requirements (refer to MAGI manual section 1805.020.00 Citizenship and Immigrant Status).
2. Targeted Enrollment SNAP Strategy
Supplemental Nutrition Assistance Program (SNAP) participants who have submitted an application for MHN will be considered income-eligible for MAGI without further verification of income if:
• The participant is under 65;
• The participant’s gross income as determined by SNAP is under the applicable MAGI income standard; and
• The participant meets all other eligibility factors including but not limited to Citizenship/Identity requirements.
NOTE: Additional information regarding application processing with the flexibilities listed above will be released to staff in a separate email.
• Review this memorandum with appropriate staff.
• Review 1805.020.00 Citizenship and Immigrant Status on allowable documentation to verify citizenship and identity.
KE/sh
FROM: KIM EVANS, DIRECTOR
SUBJECT: APPLICATION DATE WHEN REGISTERING A MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) APPLICATION
DISCUSSION:
When a MO HealthNet (MHN) participant reports they are disabled, an application for MHABD must be registered to explore if the participant is eligible for a mandatory MHN program.
A participant may report they are disabled by answering yes to any of the disability screening questions on a MHN online, phone, or paper application.
A participant may also report they are disabled on an annual review, change report, by returning an Aged, Blind, and Disabled Supplement form (IM-1ABDS), by telling FSD staff they are disabled during any interaction, or by an active participant requesting MHABD benefits.
When a participant reports that they are disabled, an MHABD application must be registered in Family Assistance Management Information System (FAMIS). The application date used in FAMIS is determined by when the request is received:
• If the participant is active on a Family MO HealthNet (MAGI) program:
o An MHABD application should be registered using an application date as of the date that disability is reported.
• If an MHN application was submitted and is pending, and the participant or authorized representative later reports a disability:
o An MHABD application is registered using the pending application’s date.
• If an MHN application with NO DISABILITY indicator is rejected for MAGI, but the participant contacts FSD after they receive the rejection letter:
o If within 90 days of initial application (still within application processing timeframes), register an MHABD application using the initial application date.
o If not within 90 days of initial application, the participant must reapply.
NECESSARY ACTION:
• Review this memorandum with appropriate staff.
KE/cj