Author: Patrick Ellison

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  UPDATES TO THE MO HEALTHNET (MHN) ADD A PERSON FORM (IM-1ADP)

FORM REVISION #

IM-1ADP
IM-1ADP (Spanish)

DISCUSSION:

Updates have been made to the English and Spanish versions of the IM-1ADP. This form is for use when the head of household would like to add a person to an active MHN case. An application is not needed to add a person.

Updates include the following:

• Instructions for assistance in obtaining Social Security Numbers have been added;
• Military-service related questions have been added; and
• Language has been updated to clarify what the form is used for.

Begin using the updated IM-1ADP effective immediately when the head of household makes an add-a-person request.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.
• Access and print IM-1ADP forms from the DSS Forms Manual.
• Use forms with the revision date of 11/2021.
• Discard any forms with older revision dates.

KE/kg

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  ADULT EXPANSION GROUP (AEG) APPLICATION TIMEFRAMES AND PROGRAM DESCRIPTION ADDED

MANUAL REVISION #

1802.050.00
Appendix I

DISCUSSION:

Adult Expansion Group (AEG) has been added to 1802.050.00 Application Timeframes. The timeframe to complete AEG applications is no later than the 30th day after the application date. Family Healthcare Program Descriptions, Appendix I of the Family MO HealthNet (MAGI) Manual, has been updated to include an AEG program description.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

KE/bl

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  TERMINOLOGY UPDATE TO THE ELIGIBILITY SYSTEM AND MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAM MANUALS

MANUAL REVISION #

0525.010.05
0525.010.10
0630.015.25
0805.020.05
0810.035.10
0815.000.10
0815.020.10
0815.025.00
0815.040.00
0815.065.00
0815.075.10
0815.075.10.05
0815.075.10.10
0815.075.15
0955.020.00
1015.010.05

DISCUSSION:

Effective November 28, 2021, MHABD program manuals and the eligibility system will reflect the proper terminology when referencing Individuals with Intellectual Disabilities (IID). The eligibility system and MHABD policy manuals will no longer reference Mental Retardation or Institute for Mental Retardation.

Eligibility system changes

• The MHABD interview driver question will now to be read as:

“Is any applicant in a Skilled Nursing Facility, Intermediate Care Facility, Residential Care Facility, Intermediate Care Facility for Individuals with Intellectual Disabilities, Mental Health Center, Psychiatric Hospital or State Rehab Center?”

• The Facility and Placement Information Details (FMJ5) screen now has the following codes:
  • Type Code: IMR- ICF for Indivs w/Intellectual Disabilities
  • Type of Bed Code: IMR- ICF for Indivs w/Intellectual Disabilities
  • DA-124A/B Level of Care: IMR- ICF for Indivs w/Intellectual Disabilities

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

KE/nw

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  EMERGENCY MO HEALTHNET FOR INELIGIBLE ALIENS (EMCIA) FORMS UPDATE

FORM REVISION #

IM-365
IM-365D

DISCUSSION:

Updates have been made to forms used for EMCIA determinations.

The Emergency MO HealthNet for Ineligible Aliens (IM-365) form was updated to add MO HealthNet Adult Expansion Group (AEG), update contact information for the Medical Review Team (MRT) Processing Center, allow additional dates of service (up to 6), and change to PDF format.

The Emergency MO HealthNet for Ineligible Aliens Determination (IM-365D) was created to document the MRT physician’s determination of qualified coverage dates for EMCIA emergency medical conditions as outlined in Section 1903(v) of the Social Security Act.

These forms are available for staff use in the FSD Intranet Income Maintenance (IM) Forms Manual.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.
• Use the forms with the revision date of 10/2021.
• Discard any forms with older revision dates.

KE/cj

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  PRIOR QUARTER (PQ) UPDATES TO THE FAMILY MO HEALTHNET (MAGI) AND MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAM MANUALS

MANUAL REVISION #

0420.000.00
0515.005.00
0620.005.00
0810.015.00
0810.015.05
0810.015.10
0815.045.00
0815.050.05
1030.035.40
1810.030.10
1830.020.00
1850.030.00
1865.030.10

DISCUSSION:

Updated policy information regarding PQ requests have been made to the MAGI and MHABD program manuals. Individuals may apply or reapply for PQ for up to one year after the application date. They may apply for PQ in person, by telephone, or in writing.

The PQ months must be the three consecutive months prior to the date of application.

EXAMPLE: Ms. B applied and was approved for MHABD in May 2021. In August 2021, Ms. B contacted FSD stating she had outstanding medical bills from March 2021. Ms. B can apply for PQ because it has not been over a year since she submitted her initial application for MHABD.

Note: Adult Expansion Group (AEG) PQ coverage shall not start prior to the implementation month of July 2021.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

KE/kg

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  APPENDIX B UPDATED TO INCLUDE ADULT EXPANSION GROUP (AEG)

MANUAL REVISION #
APPENDIX B

DISCUSSION:

Appendix B of the Family MO HealthNet (MAGI) Manual has been updated to include the AEG program.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

KE/al