Author: Patrick Ellison

FROM: KIM EVANS, DIRECTOR

SUBJECT: INTRODUCING AGED, BLIND, AND DISABLED SUPPLEMENT (IM-1ABDS) AND OBSOLETING APPLICATION FOR MO HEALTHNET (MEDICAID) (IM-1MA)

FORM REVISION #
IM-1ABDS
IM-1ABDS (SPANISH)
IM-1ABDS (LP)

DISCUSSION:

The Aged, Blind, and Disabled Supplement (IM-1ABDS) has been created for use with the Application for Health Coverage & Help Paying Costs (IM-1SSL) which is currently used for Family MO HealthNet (MAGI) programs. The Aged, Blind, and Disabled Supplement (IM-1ABDS) collects program specific information and asset information for the MO HealthNet for the Aged, Blind and Disabled (MHABD) programs. Spanish and Large Print forms are also available. This change simplifies the application process for participants who want to apply for Medicaid benefits and provides Family Support Division (FSD) with the information to explore all potential Medicaid coverage.

Effective July 6, 2021 when a participant applies for MO HealthNet (MHN), they must complete the IM-1SSL to collect address, household members, income, and other basic MHN eligibility information. If the participant is disabled, blind, over the age of 65, or in need of long-term care, then they will also complete the IM-1ABDS to collect information regarding program specific questions, assets, and other expenses required for the MHABD programs.

The IM-1ABDS CANNOT be accepted as an application without the signed IM-1SSL. If an IM-1ABDS is received without a signed application, FSD staff must contact the participant to advise that they did not submit a valid application and provide information about applying online or by phone, or offer to mail an application to the participant. The application date is the date a signed IM-1SSL is received.

Staff should complete the IM-1ABDS if the required information cannot be collected from the participant by phone or in person.

The IM-1ABDS CAN be used by a participant to request a referral for an active MAGI participant who is requesting MHABD benefits. Staff must follow current procedures for exploring MHABD coverage.

As of 7/6/2021, the IM-1MA is obsolete and should not be distributed by FSD staff. Unused applications should be discarded and the IM-1SSL and IM-1ABDS should be used for all MHABD applicants. Staff who work with community partners and other stakeholders should advise of the new application process.

FSD will honor IM-1MA’s received between 7/6/2021 and 12/31/2021 as applications. An IM-1MA received prior to 12/31/2021 MUST be processed as a valid application.

NOTE: If an IM-1MA is received after 12/31/21, FSD staff must send an IM-1SSL and IM-1ABDS to the participant. If the IM-1SSL is returned, the date of application would be the date the IM-1MA was first received.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.
• FSD staff should address any questions or concerns regarding this change through normal supervisory channels.
• FSD staff should order IM-1ABDS forms from the e-store.
• Access and print IM-1SSL and IM-1ABDS form from DSS Forms Manual.
• Discard any unused IM-1MA forms.

KE/cj

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  2021 PRESUMPTIVE ELIGIBILITY (PE) INCOME GUIDELINES CONTINUED

MANUAL REVISION #
APPENDIX A (1900.000.00)

DISCUSSION:

The PE Appendix A which posted April 1, 2021 has been extended through March 31, 2022. The attached Appendix A, found in the Presumptive Eligibility Manual, is effective from July 1, 2021 through March 31, 2022.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

KE/df

FROM: KIM EVANS, DIRECTOR

SUBJECT: RESTRICTED ACCOUNTS SECTION ADDED TO THE DECEMBER 1973 ELIGIBILITY REQUIREMENTS MANUAL

MANUAL REVISION #
1025.015.18

DISCUSSION:

The Restricted Accounts section (1025.015.18) has been added to the December 1973 Eligibility Requirements manual. This section provides guidance to help staff determine whether or not a restricted account must be considered as a resource for MO HealthNet for the Aged, Blind, and Disabled programs.

If after review of this policy, staff are still unclear about how funds in a restricted account are evaluated, please submit for review by Program & Policy before a determination is made. Staff should submit a Request for Interpretation of Policy (IM-14) through normal supervisory channels and include all relevant information with the IM-14.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

KE/vm

FROM: KIM EVANS, DIRECTOR

SUBJECT: FEDERAL NOTICE REQUIREMENT FOR MO HEALTHNET (MHN) PROGRAMS

MANUAL REVISION #
0130.005.05.30 Federal Notice Requirements

FORM REVISION #
IM-4 MULTI LANGUAGE INTERPRETER SERVICES
IM-4 MHN NON-DISCRIMINATION ENGLISH VERSION
IM-4 MHN NON-DISCRIMINATION SPANISH VERSION

DISCUSSION:

The Family Support Division (FSD) is introducing a new policy section, 0130.005.05.30 Federal Notice Requirements . This section is located within the Legal Aspects chapter of the General Info Manual under 0130.005.05 Availability of Information. Two new forms have been created, the IM-4 Multi Language Interpreter Services (IM-4 MLIS) and the IM-4 MHN Non-Discrimination (IM-4 MHND) (in English and Spanish).

Federal Regulation 45CFR 92.101-92.105, requires FSD to provide information about language services available to Medicaid participants. FSD will send the IM-4 Multi Language Interpreter Services (IM-4 MLIS) when notices and forms are sent to the participant in connection with their MO HealthNet eligibility.

Federal Regulation 45 CFR 92.1-92.6, requires FSD to provide information regarding prohibiting discrimination under any health program or activity receiving Federal financial assistance. The IM-4 MHN Non-Discrimination (IM-4 MHND) English and Spanish forms and the IM-4 Multi Language Interpreter Services (IM-4 MLIS) forms were created and are located in the Forms Manual.

Beginning June 1, 2021, FSD will systematically send an informational notice, the IM-4 Multi Language Interpreter Services (IM-4 MLIS), in addition to notices and forms sent from the eligibility systems. Additionally, FSD is systematically adding the Non-Discrimination statement, in both English and Spanish, to all Annual Reviews.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.
• Staff will mail the appropriate form with MO HealthNet Applications, MO HealthNet Reviews, and MO HealthNet notices that are sent outside the system.
• MEDES will NOT show that the IM-4 MLIS or the IM-4 MHND were sent.

KE/mc