IM-71 INTRODUCING THE SIGNATURE REQUEST FORM (IM-2SR)

FROM: KIM EVANS, DIRECTOR

SUBJECT: INTRODUCING THE SIGNATURE REQUEST FORM
(IM-2SR)

MANUAL REVISION #
0105.010.00
0203.020.05
1120.010.00
1802.020.05

FORM REVISION #
IM-2SR
IM-2SR Spanish
Signature Request Letter obsolete
Signature Request Letter (Spanish) obsolete

DISCUSSION:

The Signature Request Form (IM-2SR) and Signature Request Form Spanish (IM-2SR Spanish) have replaced the English and Spanish versions of the Signature Request Letter, which are now obsolete. The IM-2SR has fewer fillable fields, one return address for all program types, and is available in the internal forms manual.

The following manual sections were updated to include a link to the IM-2SR:

• General Information Manual Section 0105.010.00 Signing the Application
• Temporary Assistance/Case Management Manual Section 0203.020.05 Application with No Signature
• Supplemental Nutrition Assistance Program (SNAP) Manual Section 1120.010.00 Applications Received by the Agency
• Family MO HealthNet (MAGI) Manual Section 1802.020.05 Application with No Signature

When registering an application, be sure to review for a signature.

• If there is no signature, follow the Unsigned Applications instructions located in ECM Resources.
• Do not register the application.
• Return all pages of the original unsigned application with the IM-2SR to the participant within three business days.
• If staff find an unsigned application has been scanned to the Electronic Content Management (ECM) system, submit a ticket to have the unsigned application removed.
o The ECM team will reach out to the individual that scanned the paper unsigned application and they will be instructed to return all pages of the original application to the participant along with the IM-2SR.

If the document was received digitally (e.g., by FSD Upload Portal or by email), the staff member that has encountered the unsigned application must print and return all pages of the unsigned application to the participant along with the
IM-2SR.

NECESSARY ACTION:
• Review this memorandum with appropriate staff.
• Use the new forms immediately and discard all previous versions.

KE/sh

IM-70 FAMILY MO HEALTHNET (MAGI) APPLICATIONS, FORMS AND NOTICES UPDATED TO REPLACE FSD.DOCUMENTS WITH MYDSSUPLOAD.MO.GOV

FROM: KIM EVANS, DIRECTOR

SUBJECT: FAMILY MO HEALTHNET (MAGI) APPLICATIONS, FORMS AND NOTICES UPDATED TO REPLACE FSD.DOCUMENTS WITH MYDSSUPLOAD.MO.GOV

FORM REVISION #
IM-1REQ
IM-1SSL
IM-1SSL Ongoing
IM-1U
IM-5
IM-7
IM-10
IM-13
IM-31A
IM-39
IM-108
IM-FTI

 

DISCUSSION:

Effective May 29, 2022 MAGI applications, forms and notices have been updated to replace references to the FSD.Documents email address with mydssupload.mo.gov (FSD Upload Portal). MAGI forms located in the internal and public forms manuals and system generated documents have been updated to reflect the change.

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.

Additional form and notice updates to replace the email address with the upload portal information are forthcoming.

NECESSARY ACTION:
• Review this memorandum with appropriate staff.

KE/bl

 

IM-69 FORM USED FOR INCARCERATED PARTICIPANTS WHO HAVE AN INPATIENT EVENT (IM-151) REVISED AND RENAMED

FROM: KIM EVANS, DIRECTOR

SUBJECT: FORM USED FOR INCARCERATED PARTICIPANTS WHO HAVE AN INPATIENT EVENT (IM-151) REVISED AND RENAMED

FORM REVISION #
IM-151

DISCUSSION:

Revisions were made to the IM-151 to allow incarcerated applicants and suspended participants to use the form for an inpatient event. The form was renamed Inpatient Coverage for Incarcerated Participants (IM-151).

New applicants should submit the IM-151 at the same time as their application. Suspended participants who were receiving MO HealthNet prior to incarceration should submit the IM-151 within 10 days of the end of the inpatient event.

Medical facility staff, jail/prison staff, or the participant (or their representative) may submit the IM-151 to Family Support Division (FSD) by email to FSD.inmatehospapp@dss.mo.gov.

FSD reviews the information provided and makes a determination if the inpatient event qualifies for MO HealthNet coverage. FSD will notify MO HealthNet Division (MHD), the participant, and their authorized representative (if applicable) of the eligibility decision.

Department of Corrections (DOC) may also receive information regarding eligibility during an inpatient event as allowed by agreements between DOC, FSD, and MHD.

Policy revised to reflect the updated name of the form:

• MO HealthNet for the Aged, Blind, and Disabled (MHABD) Manual section 0840.020.00 Suspending Incarcerated Participants
• Family MO HealthNet (MAGI) Manual section 1802.010.80.15 MO HealthNet Applications for Incarcerated Individuals

The IM-151 was updated in the public and internal forms manuals.

NECESSARY ACTION:
• Review this memorandum with staff.
• Begin using the updated form immediately.
• Share with any relevant community partners and stakeholders.

KE/cj

 

IM-68 NEW HEARING REQUEST AND CANCEL HEARING REQUEST FORMS DEVELOPED FOR PUBLIC USE

FROM: KIM EVANS, DIRECTOR

SUBJECT: NEW HEARING REQUEST AND CANCEL HEARING REQUEST FORMS DEVELOPED FOR PUBLIC USE

FORM REVISION #
IM-85
IM-85 Instructions
IM-86
IM-86 Instructions

DISCUSSION:

The Online Hearing Request (IM-85) and Online Cancel Hearing Request (IM-86) forms are now available online to request a hearing or cancel a previously requested hearing. There are also instructions available for each form.

The forms and instructions are available on myDSS.mo.gov website for participants and their authorized representatives by using the quick links: Know Your Rights and Resources for Providers.

NOTE: When the Family Support Division receives a hearing request form, staff must follow the Hearing E-Referral Hand-Off process (see IM Email Memorandum #22 dated 4/29/21).

IM-85 and IM-86 are also available in the public forms manual and internal forms manual.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.
KE/bh

IM-67 UPDATES TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) KNOW YOUR RIGHTS FLYER

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATES TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) KNOW YOUR RIGHTS FLYER

FORM REVISION #
IM-4 Know Your Rights
IM-4 Know Your Rights (Spanish)

DISCUSSION:

The SNAP Know Your Rights flyer (IM-4 Know Your Rights) has been updated to introduce a Spanish version and add the following rights:

• Not be discriminated against because of age, sex, race, color, disability, religious creed, national origin or political beliefs
• Be told in advance if the SNAP office is going to reduce or end your benefits during your certification period because of a change in your situation that you did not report in writing
• Look at your own case file and copy of SNAP rules

The update also enhanced the overall appearance, replaced “Food Stamps” with “SNAP”, replaced the Family Support Division (FSD) logo with the Missouri Department of Social Services (DSS) logo, and linked sections for Food Assistance and Know Your Rights.

The updated versions will be available for order through the E-Store. This flyer is available through the internal and external forms manual.

NECESSARY ACTION:
• Review this memorandum with appropriate staff.
• Destroy older (7/16) versions of this flyer.
• Display new version in FSD offices and resource centers as required.

KE/tl

IM-66 REVISION OF FAMILY MO HEALTHNET (MAGI) POLICY MANUAL SECTIONS REGARDING SIGNING THE APPLICATION

FROM: KIM EVANS, DIRECTOR

SUBJECT: REVISION OF FAMILY MO HEALTHNET (MAGI) POLICY MANUAL SECTIONS REGARDING SIGNING THE APPLICATION

MANUAL REVISION #
1802.020.00
1802.020.10
1802.020.35
1802.020.40
1802.020.45

DISCUSSION:

The MAGI Policy Manual has been updated in several sections to update language and Family Support Division (FSD) terminology to be inclusive of all MO HealthNet programs.

Updated sections:

1802.020.00 Signing the Application
1802.020.10 Signing by Mark
1802.020.35 Signing by a Relative
1802.020.40 Signing by a Legal Guardian or Conservator
1802.020.45 Signing on behalf of a Deceased Participant

 

NECESSARY ACTION:
• Review this memorandum with appropriate staff.
• Any obsolete MAGI policy held in memos or manuals should be disregarded.

KE/cj

 

IM-65 UPDATES TO PROBATION AND PAROLE/COURT COMPLIANCE DRUG CONVICTION EXCEPTION VERIFICATION FORM FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATES TO PROBATION AND PAROLE/COURT COMPLIANCE DRUG CONVICTION EXCEPTION VERIFICATION FORM FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)

FORM REVISION #
IM-367

DISCUSSION:

The Current Probation and Parole/Court Compliance Drug Conviction Exception Verification (IM-367) form for SNAP has been updated to include two new buttons to email the IM-367 to the Missouri Division of Probation and Parole (P&P) and for P&P to return the form to Family Support Division (FSD). Fields have also been added in order to capture:

• a participant’s Department of Corrections Number (DOC ID),
• date form submitted to P&P
• if the participant is currently on probation or parole,
• if the participant has been administered a urinalysis (UA),
• the details of the UA such as date and result, and
• the email address of the person completing the form.

The IM-367 is used when a SNAP participant is currently under the supervision of P&P for a felony drug conviction related to the illegal possession or use of a controlled substance and is seeking an exception to 1105.015.10.35 Disqualified for Felony Drug Conviction manual section. The updated IM-367 may no longer be given directly to a participant for completion; instead, the IM-367 will be submitted directly to P&P via email.

While reviewing the criteria in 1105.015.10.35.10 Exceptions to Felony Drug Conviction Disqualification with a participant, an agency representative should explore using the IM-367 if the participant meets all the other conditions for an exception, is currently on Probation or Parole, and agrees to allow the agency to collect this information on their behalf. If found to be eligible for an exception, the agency representative will complete the Participant Identification portion of the IM-367 and click the “Email to Probation and Parole” button.

Note: If the participant has indicated that they are no longer on probation or parole or the Drug Conviction Exception Determination Worksheet (IM-366) indicates the participant will not meet all other requirements in the manual section 1105.015.10.35.10, do not use the IM-367. For discharged parolees who meet the qualifications for a felony drug exception, the IM-368 should be used.

 Clicking the “Email to Probation and Parole” button will display a warning message to advise that the fillable text in the Participant Identification section cannot be altered once it has been submitted. A Send Email dialogue box will pop up prompting staff to choose an email application. The Default email application (Microsoft Outlook) should be selected, and staff should then click continue.

 

 

A new Outlook message should open with the email address to P&P already populated, and the message is ready to send. Clicking send will forward the form to P&P for completion. The P&P email address is only to be used for this specific form and must not be given to a participant or used for any other communications to P&P.

Once sent, specialized P&P staff will fill out the “To be filled in by Missouri Division of Probation and Parole:” section and return the form to FSD. After it is completed, the form will display a message at the top which reads “This form has been completed and returned by the Missouri Division of Probation and Parole.” in green to easily identify a form which is ready to be added to a participant’s case record.

 

P&P will return the form to the SNAP policy team who will then upload the document to be tasked in Current and worked by field staff. The response received back from P&P should be entered as provided when adding the verification of the drug conviction exception in the eligibility system.

 

NECESSARY ACTION:
• Review this memorandum with appropriate staff.

KE/tl

IM-64 UPDATE TO THE ADDRESS CHANGE POLICY FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATE TO THE ADDRESS CHANGE POLICY FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)

MANUAL REVISION #
1140.005.50

DISCUSSION:

Food and Nutrition Services has updated the address change policy. While a SNAP household is not required to report an address change, it is necessary to obtain the new shelter expense information when a new address is reported if the new shelter expenses are not also reported with the change.

Staff must investigate and take action on potential changes in shelter costs due to the report of the new address. The following steps are to be taken when new shelter expense information was not provided with the new address.

• Staff must contact the household by telephone call to try and obtain the new shelter expense information.
• If the household cannot be reached by telephone contact, pend the case for the shelter expenses by:

o End dating the old shelter expense(s) for the prior month
o Re-entering the shelter expense(s) for the current month with a $0 amount leaving the verification code blank

• Send a request for information form to the household with details regarding the shelter expense information needed, allowing 10 days to provide the information. Staff must make it clear that the household does not need to await its first regular utility or rental/mortgage payment to provide the expense. Participant statement is acceptable verification.
• Make a comment in the eligibility system detailing whether or not the household was reached by phone to obtain the new shelter expense information, or if a request for information form was sent to the household to obtain the new shelter expenses.
• If a household fails to provide information regarding the shelter costs for the new address within 10 days of the request, the eligibility system will send a notice to the household with the new benefit amount explaining that their allotment was recalculated without the shelter deduction.

See manual section 1140.005.50 Address Changes for more information.

NECESSARY ACTION:
• Review this memorandum with appropriate staff.
• Send questions through normal supervisory channels.

KE/lb

IM-63 – REPORTING CHANGES FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) (IM-4FSSR) REVISION

FROM: KIM EVANS, DIRECTOR

SUBJECT: REPORTING CHANGES FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) (IM-4FSSR) REVISION

FORM REVISION #
IM-4 REPORTING CHANGES FOR SNAP PARTICIPANTS

DISCUSSION:

The “Reporting Changes for the Food Stamps Program” (IM-4FSSR) form has been revised and renamed IM-4 Reporting Changes for SNAP Participants.

The flyer can be printed from the public forms manual or internal forms manual.
Staff should make the flyer available to participants in Resource Centers and other public-facing areas.

NECESSARY ACTION:
• Review this memorandum with appropriate staff.
• Discontinue use of the IM-4FSSR.
• Make the IM-4 Reporting Changes for SNAP Participants flyer available in offices.

KE/vb

IM-62 UPDATES TO SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL SECTIONS RELATED TO REPLACEMENT ISSUANCES, AND IM-110 REPLACEMENT REQUEST FORM

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATES TO SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL SECTIONS RELATED TO REPLACEMENT ISSUANCES, AND IM-110 REPLACEMENT REQUEST FORM

MANUAL REVISION #
1150.000.00
1150.005.00
1150.010.00

FORM REVISION #
IM-110
IM-110 Instructions Obsolete

DISCUSSION:

The following SNAP manual sections, 1150.000.00 Replacement Issuances, 1150.005.00 Food Stamp Benefits Lost from an EBT Account, 1150.010.00 Food Purchased with Food Stamp Benefits Lost in an EU Misfortune were updated with the following terminology changes:

• Food Stamps was changed to SNAP,
• EU was changed to household,
• FAMIS was changed to eligibility system.

Two sections were renamed with updated terminology: 1150.005.00 SNAP Benefits Lost from an EBT Account and 1150.010.00 Food Purchased with SNAP Benefits Lost in a Household misfortune.

Also, the Replacement Request (IM-110) was updated with the following changes:

• Food Stamps was replaced with SNAP and EU with household,
• Identification section was moved to the top of the form,
• Notes were added about what verification may be necessary to approve a replacement request,
• Instructions for the completion of the participant sections were incorporated into the document,
• Replacement Determination section to be filled out by FSD was moved to the back of the form, and
• Contact information was added for a participant to return the form to Family Support Division (FSD).

The form name and document number have not changed. The Replacement Request (IM-110) is posted to the internal and external forms manual.

The IM-110 instructions document is obsolete.

NECESSARY ACTION:
• Review this memorandum with appropriate staff,
• Destroy all older (10/2017) versions of the IM-110 form.

KE/tl