IM-141 REVISED BREAST AND CERVICAL CANCER TREATMENT MO HEALTHNET APPLICATION (IM-1BC)

FROM: KIM EVANS, DIRECTOR

SUBJECT: REVISED BREAST AND CERVICAL CANCER TREATMENT MO HEALTHNET APPLICATION (IM-1BC)

FORM REVISION #
IM-1BC

 

DISCUSSION:

The IM-1BC is used by Show Me Healthy Women providers to assist participants applying for Breast and Cervical Cancer Treatment coverage.

The IM-1BC was revised to use updated terms and remove outdated information. The IM-1BC has a revision date of 10/2022. Providers should begin using the updated form with a 10/2022 revision date immediately, but outdated forms may still be accepted as valid applications through 1/31/2023.

The IM-1BC is available in the public and internal forms manuals.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using the revised form (10/2022) immediately.
  • Discard outdated forms.
  • Provide updated form to community partners.

 

 

 

KE/cj

 

IM-140 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AUTHORIZED REPRESENTATIVE MANUAL SECTION UPDATED

FROM: KIM EVANS, DIRECTOR

SUBJECT: SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AUTHORIZED REPRESENTATIVE MANUAL SECTION UPDATED

MANUAL REVISION #
1120.025.05

 

DISCUSSION:

The 1120.025.05 Authorized Representative section of the SNAP manual was updated with current terms and to remove references to FAMIS. Obsolete instructions concerning entering information on the Representative (FMMP) screen were removed. The FMMP screen is no longer used to record authorized representative information.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/vb

IM-139 CRYPTOCURRENCY AND DIGITAL CURRENCIES FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AND MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD)

FROM: KIM EVANS, DIRECTOR

SUBJECT: CRYPTOCURRENCY AND DIGITAL CURRENCIES FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AND MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD)

MANUAL REVISION #
1030.015.10
1110.000.00
1110.025.00

 

DISCUSSION:

Policy for cryptocurrency and digital currencies has been added to the SNAP and December 1973 Eligibility Requirements Manuals. These currencies should always be explored when discussing income and/or liquid resources. A Request for Clearance (IM-14) should be submitted for case-specific clarification for Temporary Assistance and/or other combination cases.

Cryptocurrencies and digital currencies should be valued using the U.S. Dollars (USD) price listed on the exchange where the currency is stored or traded. The rate listed on the exchange is for one unit of crypto currency/digital currency and will need to be multiplied by the total units held.

  • If Bitcoin (or any other digital currency) is purchased or held on the “Coinbase” exchange, use the rate listed on that exchange provided by the participant.
  • If the digital currency is not held on an exchange, staff should utilize Coinranking.com and use the 30 day average of the currency’s value for the resource amount.

 

 

Example: Hillari owns 10 units of XRP digital currency. The above screen from Coinranking.com gives the USD conversion over a 30 day time period for one unit of XRP as $0.3910, making the calculations as follows:

    • 10 XRP units x $.03910/unit = $0.39 total units held value

 

When verifying these liquid resources:

  • Document the website used to determine the value of the cryptocurrency/digital currency;
  • Note the exact exchange rate at the time of the interview or the calculations used to get a 30 day average;
  • Document the amount of cryptocurrency and/or digital currency the household owns; and
  • If obtainable, submit a screenshot of the exchange site the participant is using to the Electronic Content Management (ECM) system.

If the participant is able to show digital currency amounts through a digital currency ledger, submit a copy (if able) to the (ECM. Self-attestation may be permitted if unable to show an account ledger.

When entering in the eligibility system, code as a liquid resource on the Select Financial Resource (SELFRES/FMWB) screen. Use savings as the type and add a comment explaining the findings.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

KE/se

IM-137 INTRODUCING A NEW FORM AND REVISED FORMS FOR MO HEALTHNET (MHN) PARTICIPANTS WHO ARE INCARCERATED AND SUSPENDED

FROM: KIM EVANS, DIRECTOR

SUBJECT: INTRODUCING A NEW FORM AND REVISED FORMS FOR MO HEALTHNET (MHN) PARTICIPANTS WHO ARE INCARCERATED AND SUSPENDED

FORM REVISION #
IM-150
IM-151
IM-152
IM-153

 

DISCUSSION:

When MHN participants are incarcerated, benefits must be suspended. If an incarcerated participant goes to the hospital or other medical facility where they are admitted for an inpatient period of more than 24 hours, the suspended benefits are restored. When an incarcerated participant is released, the suspended benefits are redetermined and restored.

Family Support Division (FSD) has several existing forms that are used in the course of work for suspended participants. These forms have been revised as explained below:

  • Suspending Incarcerated Participants (IM-150)
    • Revised form name
    • Provided new email address for submitting the form
    • Added fields:
      • to indicate that a new application was submitted
      • for DOC/Offender ID
      • for reporter’s contact information details.
  • Inpatient Coverage for Incarcerated Participants (IM-151)
    • Updated the email address for submitting the form
    • Added fields to indicate that a new application was submitted
  • Restoring a Suspended Participant Change Report (IM-152)
    • Revised form name
    • Provided new email address for submitting the form
    • Added fields for:
      • DOC/Offender ID
      • Additional contact information
      • Additional pregnancy details
      • The report’s contact information details.

A new form, Applying for Incarcerated Participants in Department of Corrections (IM-153) was created specifically for new applicants who are being assisted by Department of Corrections (DOC) staff and/or their medical provider, Centurion. Participants assisted by DOC or Centurion are managed by a specialized unit and the coversheet is used to identify these participants.

If any of these forms are received by staff, notify the specialized unit by sending an email to FSD.SuspendedDOC@dss.mo.gov. The email should include:

  • Subject line: Incarceration information received
  • The participant’s name
  • The participant’s DCN
  • What was received and when
  • Any other relevant information

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/cj

 

IM-136 UPDATES TO TEMPORARY ASSISTANCE (TA) FORMS

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATES TO TEMPORARY ASSISTANCE (TA) FORMS

FORM REVISION #
FA-202
IM-1TA
IM-1TA-SPANISH

 

DISCUSSION:

TA forms have been updated to replace outdated information.

The TA Eligibility Review Form (FA-202) has been updated as follows:

  • References to the FSD.Documents email address have been replaced with mydssupload.mo.gov (FSD Upload Portal).

The IM-1TA and IM-1TA Spanish application forms have been updated as follows:

  • References to the FSD.Documents email address have been replaced with mydssupload.mo.gov (FSD Upload Portal).
  • Section 34 “Important Information About Your Hearing Rights” of the TA Application has been updated to only give information on the rights, timeframes, requesting a hearing, and the Civil Rights Law.

Individuals can use mydssupload.mo.gov to submit a variety of documents to the Family Support Division including, but not limited to, applications, reviews, changes, or supporting documents.

The following forms in the public dssmanuals.mo.gov and internal forms-manual forms manual have been updated.

  • IM-1TA
  • IM-1TA Spanish

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

KE/hd

 

 

IM-135 UPDATE TO CROWDFUNDING EXAMPLE FOR MODIFIED ADJUSTED GROSS INCOME (MAGI) METHODOLOGY

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATE TO CROWDFUNDING EXAMPLE FOR MODIFIED ADJUSTED GROSS INCOME (MAGI) METHODOLOGY

MANUAL REVISION #
1805.030.20.10

 

DISCUSSION:

MAGI manual section 1805.030.20.10 Income Excluded Under MAGI has updated examples to clarify when the income from a crowdfunding event is considered countable or excluded in the MAGI budget.

 

NECESSARY ACTION:

  •  Review this memorandum with appropriate staff.

 

 

 

KE/ams

IM-134 APPEAL TO FAIR HEARING DECISION FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) CLAIMS

FROM: KIM EVANS, DIRECTOR

SUBJECT: APPEAL TO FAIR HEARING DECISION FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) CLAIMS

MANUAL REVISIONS #
1142.050.00

 

DISCUSSION:

When a fair hearing is requested timely for a claim that has been established, there is no recoupment of SNAP benefits until a hearing decision is made.

Similarly, when an appeal is filed to the Circuit Court for the fair hearing decision, SNAP benefits are not recouped until the Circuit Court renders a judgment.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/se

IM-133 INCREASE IN CHILD CARE INCOME ELIGIBILITY GUIDELINES AND PROVIDER RATE INCREASES

FROM: KIM EVANS, DIRECTOR

SUBJECT: INCREASE IN CHILD CARE INCOME ELIGIBILITY GUIDELINES AND PROVIDER RATE INCREASES

 

DISCUSSION:

Income eligibility limits for the child care subsidy program will be adjusted according to the Federal Poverty Level guidelines on October 15, 2022, and are retroactive back to October 1, 2022. Per House Bill 2 a third level of transitional care was added, which increases the maximum income threshold up to 242% of the Federal Poverty Level.

Percentages of the Federal Poverty Level for income guidelines for all levels of child care are as follows:

  • Traditional Child Care 150%
  • Transitional Child Care 1 (TCC1) 151% – 185%
  • Transitional Child Care 2 (TCC2) 186% – 215%
  • Transitional Child Care 3 (TCC3) 216% – 242%

Participants receiving child care at a transitional level will be responsible for paying the sliding fee as well as the remaining percentage after the Department of Elementary and Secondary Education (DESE) pays their portion.

DESE will be paying the following percentages of the state base rate for TCC:

  • TCC1 80%
  • TCC2 60%
  • TCC3 50%

The new income guidelines and sliding fee chart has been updated and can be found at https://dese.mo.gov/media/pdf/office-childhood-child-care-eligibility-income-guidelines-and-sliding-fee-chart.

New provider rates are in effect October 1, 2022. The data collected from the 2022 Market Rate Survey in conjunction with House Bill 3002 section 2.505 was used to determine the new rates. Approximately 75% of providers will see an increase in their subsidy rates. Rates are posted on the child care subsidy website at https://dese.mo.gov/childhood.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/hd

IM-132 ELIMINATION OF COMMON PERSONAL IDENTIFICATION NUMBERS FOR EBT CARD HOLDERS

FROM: KIM EVANS, DIRECTOR

SUBJECT: ELIMINATION OF COMMON PERSONAL IDENTIFICATION NUMBERS FOR EBT CARD HOLDERS

 

DISCUSSION:

Effective 10/16/2022, ebtEDGE will no longer accept common Personal Identification Numbers (PIN) for Electronic Benefit Transfer (EBT) cards. The system will not allow a common PIN, examples include but are not limited to:

1234, 0000, 0852, 1010, 1111, 1212, 2000, 2222, 2345, 2580,
3333, 3456, 4444, 4567, 5555, 5678, 6666, 7777, 8888, 9999

Participants will receive an error message when they attempt to enter a restricted number.

 

NECESSARY ACTION:

  •  Review this memorandum with appropriate staff.

 

 

 

KE/mks