Category: 2019

FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  IM-54A HOME AND COMMUNITY BASED SERVICES REFERRAL FORM REVISION

FORM REVISION #18

IM-54A

DISCUSSION:

The purpose of this memorandum is to introduce a revision to the Home and Community Based Services Referral form (IM-54A). 

The IM-54A has been revised to include a new email address for staff to use when sending referrals to the HCB Processing Center.  The new email address is FSD.HCBinformation@dss.mo.gov. 

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

ATTACHMENTS:

IM 54A Home and Community Based Services Referral

PL/mc

FROM:   PATRICK LUEBBERING, DIRECTOR
SUBJECT:  IM-4 TWHA TICKET TO WORK HEALTH ASSURANCE PROGRAM BROCHURE UPDATE              
FORMS MANUAL REVISION – # 1
IM-4 TWHA BROCHURE

DISCUSSION:

The purpose of this memorandum is to introduce a revised brochure for the Ticket to Work Health Assurance Program (TWHA). The IM-4 TWHA brochure will better assist staff in explaining TWHA to potential customers and help employed people with a disability understand what TWHA, MO HealthNet (Medicaid) coverage is when their earnings put them above the usual MO HealthNet (Medicaid) income limits.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.
• IM-4 TWHA Brochure

PL/stb

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

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                                            

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                                                       

FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  SIGNATURE REQUEST LETTER UPDATED FOR MO HEALTHNET APPLICATIONS AND REVIEWS

FORM REVISION #13

SIGNATURE REQUEST LETTER

DISCUSSION:

The Signature request letter has been updated so that it can be used with unsigned applications or unsigned reviews received for MO HealthNet for the Aged, Blind, and Disabled or MAGI Programs.  This form can be located alphabetically in the Forms Manual. Discontinue using the IM-1SSL Signature Request Letter.

Application or Review for Closed Case

If the returned form is an application or a review for a case that closed less than 90 days ago, check the top box in the lower shaded section.  Return the original form with the Signature Request Letter and an FSD addressed envelope to the participant within three business days.

Review Case Closed over 90 Days

If the returned form is an unsigned FA-402 for a case that closed more than 90 days ago, send the FA-402 Letter. If the returned form is an unsigned IM-1U, send the IM-1Us Returned After 90 Days Letter.

Review for an Open Case

If the returned form is an unsigned review for a case that has not closed , check the bottom box.  Enter the last date the case will be open if the signed form is not returned.  Send the original unsigned application or review with the Signature Request Letter and an FSD addressed envelope to the participant within three business days.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

PL/ers

FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  SHOW ME HEALTHY BABIES (SMHB) COVERAGE FOR THE CHILD AFTER BIRTH

MANUAL REVISION #39

1855.030.05

DISCUSSION:

The purpose of this memorandum is to advise the 1855.030.05 Coverage for the Child After Birth section of the Family MO HealthNet (MAGI) manual has been updated.

Updates include:

• Removing manual processes to add the child
• Removing ME code 73 from the list of appropriate levels of care
• Correcting a spacing typo

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

PL/al

FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  CORRECTION OF TYPO IN TMH MANUAL

MANUAL REVISION #38

1820.050.40

DISCUSSION:

The purpose of this memorandum is to correct a typo previously in TMH Manual section 1820.050.40. 

The manual previously stated that “if the third quarterly report is not returned by the 21^st of the 10^th month the parents/caretaker relatives should be suspended on the 22^nd day of the 7^th month”.   The correction now reads “the 22^nd day of the 10^th month”.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

PL/df