IM-058 – REVISED MO HEALTHNET REVIEW INFORMATION FORM (FA402)

FROM:  PATRICK LUEBBERING, DIRECTOR
SUBJECT:  REVISED MO HEALTHNET REVIEW INFORMATION FORM (FA402)
FORM REVISION #15 – FA-402

 

DISCUSSION:

The FA402 generated by FAMIS and the paper version have been updated to include questions and declaration statements related to the changes made due to House Bill 2171, as described in IM-58 dated Sept. 28, 2018.

Questions added include:

  • Do any household members, who are receiving Blind Pension benefits, have a valid driver license in any state or U.S. Territory? Date of issue:
  • Has any household member operated a motor vehicle while receiving Blind Pension? Who:  Date:

Declaration statements added:

  • I/we understand that if I/we obtain or renew a driver license while receiving Blind Pension benefits I/we will be sanctioned from the Blind Pension program for 2 years, 4 years, or permanently.
  • I/we understand that if I/we operate a motor vehicle while receiving Blind Pension benefits I/we will be sanctioned from the Blind Pension program for 2 years, 4 years, or permanently.

The new FA402 has a revision date of 8/18.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

PL/vb

IM-057 – UPDATE TO THE GATEWAY TO BETTER HEALTH APPLICATION

FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:   UPDATE TO THE GATEWAY TO BETTER HEALTH APPLICATION
FORM REVISION #14
Gateway to Better Health Application (IM-1MAGW)                  

 

DISCUSSION:

The MO HealthNet Gateway to Better Health Application/ Eligibility Statement has been updated to reflect the current Substantial Gainful Activity (SGA) income maximum of $1220.00. 

Use this updated version effective immediately and discard all previous versions. 

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

PL/mc                                            

IM-056 – MO HEALTHNET FOR THE AGED, BLIND AND DISABLED MANUAL UPDATES REGARDING PERSONS AGED 22-64 IN STATE MENTAL HOSPITALS

FROM:PATRICK LUEBBERING, DIRECTOR

SUBJECT:MO HEALTHNET FOR THE AGED, BLIND AND DISABLED MANUAL UPDATES REGARDING PERSONS AGED 22-64 IN STATE MENTAL HOSPITALS

MANUAL REVISION #40

0815.020.00
0815.060.00

 

DISCUSSION:

The purpose of this memorandum is to notify staff of updated policy regarding individuals aged 22-64 who reside in state mental hospitals.  Medical Assistance for the Aged, Blind, and Disabled manual sections 0815.020.00 Initial Assessment and Medical Certification and 0815.060.00 APPLICANTS OR PARTICIPANTS BETWEEN THE AGES OF 21 AND 65 IN STATE MENTAL HOSPITAL have been updated to reflect the following:

  • Individuals aged 22-64 who reside in state mental hospitals are not eligible for MO HealthNet for the Aged, Blind or Disabled (MHABD) coverage.
  • Individuals of ANY age who reside in state mental hospitals may receive Qualified Medicare Beneficiary (QMB) or Specified Low-Income Medicare Beneficiaries (SLMB) coverage if they are otherwise eligible.

Staff should disregard previous direction to approve individuals aged 22-64 who reside in state mental hospitals for MHABD Non-Spend Down/Spend Down, Vendor, or Mental Health Care (MHC) coverage.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

PL/kp                                                       

IM-023 – UPDATE TO THE DISABILITY APPLICANT COVER LETTER

FROM:  PATRICK LUEBBERING, DIRECTOR
SUBJECT:  UPDATE TO THE DISABILITY APPLICANT COVER LETTER

FORM REVISION #7
Disability Applicant Cover Letter

DISCUSSION:

When sending the Disability Applicant Cover Letter to applicants for MO HealthNet for Aged, Blind or Disabled individuals who are under 65 years old and not receiving Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) as mentioned in the Income Maintenance Memorandum IM-44 Required Documentation and Procedures for the Medical Review Team-Processing Center dated September 04, 2014.

Updates reflect the following changes:

  • Governor and Department Director names
  • Removal of references to the Medical Review Team Specialist.

Use this updated version as of 5 pm, September 1, 2018. Do not use the previous versions after that time.

NECESSARY ACTION:

Review this memorandum with staff that would be sending out Medical Review Team packets or answering questions regarding the packet or assisting participants in completing the packet.

  • Begin using the updated Disability Applicant Cover Letter with the revision date of September 2018.

ATTACHMENTS:

Disability Applicant Cover Letter

PL/st

IM-022 – OTHER PROPERTY AS AN AVAILABLE RESOURCE FOR MO HEALTHNET FOR THE AGED, BLIND OR DISABLED PROGRAMS

FROM:  PATRICK LUEBBERING, DIRECTOR
SUBJECT:  OTHER PROPERTY AS AN AVAILABLE RESOURCE FOR MO HEALTHNET FOR THE AGED, BLIND OR DISABLED PROGRAMS

DISCUSSION:

New sections regarding the treatment of property as a resource for MHABD programs has been added to the December 1973 Eligibility Requirements manual.

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

PL/kp

 

IM-021 – REVISIONS TO THE MISSOURI’S CHILDREN WITH DEVELOPMENTAL DISABILITIES (MOCDD) SECTION OF THE MEDICAL ASSISTANCE FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL

FROM:  PATRICK LUEBBERING, DIRECTOR
SUBJECT:  REVISIONS TO THE MISSOURI’S CHILDREN WITH DEVELOPMENTAL DISABILITIES (MOCDD) SECTION OF THE MEDICAL ASSISTANCE FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL

MANUAL REVISION #15
0825.020.00
0825.030.30
0825.030.35

DISCUSSION:

This memorandum addresses updates to Application Process 0825.020.00, Medical Need and Authorization for MOCDD Waiver Services 0825.030.30, and Income and Budgeting 0825.030.35. The sections now reflect current referral information and processes.

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

PL/ers

IM-020 – WAIVER OF ADMINISTRATIVE HEARING DISQUALIFICATION CONSENT AGREEMENT

FROM:  PATRICK LUEBBERING, DIRECTOR
SUBJECT:  WAIVER OF ADMINISTRATIVE HEARING DISQUALIFICATION CONSENT AGREEMENT

FORM REVISION #6
IM-161

DISCUSSION:

The IM-161 WAIVER OF ADMINISTRATIVE HEARING DISQUALIFICATION CONSENT AGREEMENT had a typo in the heading that states “IF A OR BE IS CHECKED”; this has been corrected to A or B.

NECESSARY ACTION:

Review this memorandum with staff that would be sending out Medical Review Team packets or answering questions regarding the packet or assisting participants in completing the packet.

PL/st


IM-019 – ADDITIONAL EMAIL ADDRESS FOR MAGI FSD-CS REFERRALS

FROM:  PATRICK LUEBBERING, DIRECTOR
SUBJECT:  ADDITIONAL EMAIL ADDRESS FOR MAGI FSD-CS REFERRALS
MANUAL REVISION #14
1805.040.05

DISCUSSION:

The purpose of this memorandum is to advise the MAGI MO HealthNet Policy manual section 1805.040.05 Referral to FSD-CS has been updated to state the following:

All child support referral forms (CS-201) for MAGI cases where the non-custodial/alleged parent is “unknown,” or not able to be identified should be scanned and emailed to: CS.MEDESLiaison@dss.mo.gov.

Child support referral forms for MAGI cases where all parties are identified can continue to be scanned and emailed to: FSD.IntakeCenter@dss.mo.gov.

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

PL/al

IM-018 – OBSOLETE FAMILY HEALTHCARE (FAMIS) MANUAL SECTION FOR TRANSITIONAL MEDICAL ASSISTANCE

FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  OBSOLETE FAMILY HEALTHCARE (FAMIS) MANUAL SECTION FOR TRANSITIONAL MEDICAL ASSISTANCE

MANUAL REVISION #13
0910.000.00-0910.055.55

DISCUSSION:

The purpose of this memorandum is to announce that manual section 09100.000.00 Transitional Medical Assistance in the Family Healthcare Manual (FAMIS) is now obsolete.  It has been replaced by manual section 1820.000.00 Transitional MO HealthNet in the Family Healthcare Manual (MAGI).

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

PL/df