FROM: REGINALD E. McELHANNON, INTERIM DIRECTOR
SUBJECT: INTRODUCTION OF IM-29 MAGI FORM
FORM#36
IM 29 MAGI
The purpose of this memorandum is to introduce the IM-29 MAGI form. This form will be sent manually when participants have duplicate DCNs that have been merged in MEDES.
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FROM: REGINALD E. McELHANNON, INTERIM DIRECTOR
SUBJECT: MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED FOR PATIENTS IN PRIVATE INSTITUTIONS
MANUAL REVISION #115
1020.015.00
In the past individuals were ineligible for MO HealthNet for the Aged, Blind, and Disabled because they were residing in a private institution and receiving care:
Missouri 13 CSR 40-2.080 has been amended. Individuals are no longer ineligible for these reasons. The manual has been updated to remove these restrictions.
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FROM: REGINALD E. McELHANNON, INTERIM DIRECTOR
SUBJECT: MO HEALTHNET SPEND DOWN PROVIDER FORM REVISION
FORM REVISION #35
MO HealthNet Spend Down Provider Form
The MO HealthNet Spend Down Provider form has been revised. A fillable box has been added to the signature line.
A typed signature is allowed on the MO HealthNet Spend Down Provider Form only if the typed signature can be authenticated using either:
NOTE: A typed signature is not allowed on other FSD forms. These instructions are specific to the MO HealthNet Spend Down Provider form.
For additional information regarding submitting Spend Down charges, please refer to MHABD manual section 0810.010.15.01 Documentation of Incurred Medical Expenses.
MO HealthNet Spend Down Provider form
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FROM: REGINALD E. McELHANNON, INTERIM DIRECTOR
SUBJECT: CERTIFICATION OF NEED FOR PSYCHIATRIC SERVICES (IM-71) REVISED AND ADDED TO FORMS MANUAL
FORM REVISION #34
IM-71
The IM-71 Certification of Need for Psychiatric Services has been revised and added to the Forms Manual. Revisions include:
Note: “Joint Commission” is the current name for the agency formerly known as JCAH or JCAHO (short for Joint Commission on Accreditation of Healthcare Organizations). References in policy to JCAH or JCAHO will be corrected in future policy releases.
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FROM: REGINALD E. McELHANNON, INTERIM DIRECTOR
SUBJECT: MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) AUTHORIZED REPRESENTATIVE FAMIS ENHANCEMENT
This is the fifth in a series of enhancements to FAMIS to provide current information to the Authorized Representative (AR) as well as the MHABD participant.
IM-77 November 14, 2016 introduced the first notices to be automatically sent to the MHABD AR.
IM-35 April 24, 2017 introduced the next notices to be automatically sent to the MHABD AR.
2017 IM Memorandum #89 dated July 11, 2017 introduced more notices to be automatically sent to the MHABD AR.
IM-165 December 27, 2017 introduced additional notices to the AR.
Effective September 2, 2019 FAMIS will introduce two new screens. These screens will be used for MHABD authorized representatives only, and will allow for the entry of an AR for the head of household (HOH) and/or other eligibility unit (EU) members.
NOTE: Authorized representatives for Food Stamp (FS), Child Care (CC), and Temporary Assistance (TA) cases will continue to be entered and updated on Representative List (FMJ1/AUTHREP) and Representative Detail (FMJG).
FMNH and FMNG will allow the collection of more specific information about who the participant wants to represent them and in what manner. Participants will be able to choose a Primary Authorized Representative. Notices will only be mailed to the primary AR.
MHABD ARs will now be designated for the individual, not the entire eligibility unit (EU). Each spouse may select his/her own AR.
Notices will now be sent to the AR for couple cases, IF they share the same primary AR, or if only the individual requesting or receiving benefits designates an AR.
NOTE: Protected Health Information (PHI) Permission response of N will not prevent notices being mailed to an AR coded as primary.
ARs previously entered on the Representative List (AUTHREP/FMJ1) screen will be converted to the new FMNH and FMNG screens September 1, 2019. Information will be moved for all open ARs to the HOH only. Primary role will be assigned based on the hierarchy previously developed, see IM-165 December 27, 2017. At each contact and the annual reinvestigation, review converted ARs to ensure information is correct. Converted ARs coded with a role of APP (application only) must be ended. These can be re-entered with their correct role if they were not intended to be application only ARs. Converted ARs may be updated to indicate they are primary, or not, etc. Type and Role may not be updated once entered or converted. Closed ARs will not be converted to the new screen, and will remain on the AUTHREP screen.
NOTE: Updating a converted AR to shared Y will NOT create a copy for the spouse. It is necessary to end the converted AR, and re-enter as shared. Do not enter the same AR for the spouse without ending the converted AR. FAMIS will treat this as 2 separate ARs, not a single shared AR.
It may be necessary to:
When an application is registered and FSD staff indicates on the Application Detail screen that an AR has signed the MHABD application, the FMNG screen will appear immediately following Eligibility Unit Member Role (FM3Z/EUMEMROL) in the controlled flow. If there is also a FS, CC, or TA application AUTHREP will follow FMNG. If the same AR is listed for MHABD and another program the AR must be entered on both screens.
NOTE: The AR’s address must not be entered as the mailing address on the Person Detail (PRSNDTL) screen. When the AR’s address is entered, the participant does not receive a copy of notices.
Representatives with Application Only (APO) role
On the FMNG screen the AR role of APO will be used to indicate the AR has been designated to assist with the application process only. An AR coded as APO will be ended by FAMIS upon the completion of the application (approval or rejection). If a hearing is requested the staff member who receives the hearing request must make updates as follows:
When the hearing decision is received:
User guides have been developed to give further instructions for adding an Authorized Representative for MO HealthNet for the Aged, Blind, and Disabled and the hearing requested field.
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FROM: REGINALD E McELHANNON, INTERIM DIRECTOR
SUBJECT: CLARIFICATION FOR UPDATING SSI INCOME FOR MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD) VENDOR PARTICIPANTS
MANUAL REVISION #82
0815.030.05
The purpose of this memorandum is to inform FSD staff of updated policy regarding how SSI income is treated when a participant enters a nursing home facility. MHABD Manual section, 0815.030.05 Determining Adjusted Gross Income has been updated to provide additional clarification.
When a participant enters a vendor facility, his or her SSI benefits will change due to the new living situation. The Social Security Administration reduces SSI benefits, and requires SSI recipients to repay benefits received after the change in living situation occurs. To guarantee the correct surplus for vendor coverage is calculated and the participant has funds to pay SSI recovery and surplus, FSD staff will update the SSI income when notified of vendor placement regardless of whether or not SSI amount has been updated yet on IIVE.
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FROM: REGINALD E MCELHANNON, ACTING DIRECTOR
SUBJECT: NEW IM-1MAC ADDENDUM TO REQUEST CASH BENEFITS FOR MO HEALTHNET FOR THE AGED, BLIND AND DISABLED PARTICIPANTS
FORM REVISION #25
IM-1MAC
The purpose of this memorandum is to inform Family Support Division staff of a new form that has been added to the forms manual. The IM-1MAC ADDENDUM TO MO HEALTHNET APPLICATION: REQUEST FOR OPTIONAL CASH BENEFITS should only be used for MO HealthNet for the Aged, Blind and Disabled (MHABD) program participants who request the following cash benefits in addition to the MHABD benefits they have applied for or are already receiving:
Because the form itself is NOT a stand-alone application, the only individuals who may use this form are participants who:
NOTE: Staff should no longer require an active or application status MHABD participant to complete a new application to have eligibility explored for the SNC, SAB or BP MHABD cash programs.
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FROM: REGINALD E. McELHANNON, ACTING DIRECTOR
SUBJECT: LOSS OF TRANSITIONAL MO HEALTHNET (TMH) ELIGIBILITY AND SUSPENDED TMH UPDATES
MANUAL REVISION #
1820.050.30
1820.050.40
The purpose of this memorandum is to advise staff of updates to sections 1820.050.30 Loss of TMH Eligibility after First Six Months and 1820.050.40 Suspended TMH Eligibility in Second Six Month Period of the Family Healthcare Manual – MAGI.
The following has been updated:
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FROM: REGINALD E. McELHANNON, ACTNG DIRECTOR
SUBJECT: ALLOWABLE DEDUCTIONS AND SPECIFIC TYPES OF INCOME FOR MAGI
MANUAL REVISION #72
The purpose of this memorandum is to address changes to MAGI Allowable Deductions. The 2018 Tax Reform introduced new schedules for the Internal Revenue Service (IRS) form 1040 (U.S. Individual Income Tax Return). The IRS form 1040A and IRS form 1040EZ are no longer in use. The change to the IRS form 1040 are additional schedules (1-6), which detail the allowable deductions for MAGI, as well as, alimony, business income or loss, real estate, royalties, partnerships, S corporations, trusts, farm income, and other income.
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TO: ALL FAMILY SUPPORT OFFICES
FROM: PATRICK LUEBBERING, DIRECTOR
SUBJECT: NEW CANCEL CLOSE/CANCEL REJECT INFORMATION FOR THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAMS
MANUAL REVISION #67
IM Manual sections 0840.015.10 Reopening Closed Cases, and 0820.020.05.10 Cancelling a Rejection have been added to the MHABD policy manual.
MHABD cases may be reopened when the participant provides missing information that caused the closing. Cancel closings may only be completed within 30 days of the date the closing action is complete if ALL missing information is submitted to FSD.
MHABD applications rejected for failure to provide requested information or failure to cooperate, may be cancel rejected if the participant provides All requested information by the application due date.
For more information regarding when to reopen a MHABD case or cancel a rejection, refer to:
IM Memo #158 December 14, 2017 CLARIFICATION OF APPLICATION REJECTION PROCEDURES FOR FAILURE TO COOPERATE OR PROVIDE VERIFICATION AND THE INTRODUCTION OF CANCEL REJECT TIMEFRAME FOR MO HEALTHNET FOR THE AGED, BLIND, OR DISABLED CASES.
Refer to the MHABD Cancel Close/Cancel Reject Chart for the current procedure for reopening MHABD Spend Down, TWHA, and QMB/SLMB cases.
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