Category: 2023

IM-16 UPDATING TERMINOLOGY USED FOR MO HEALTHNET (MHN) PROGRAMS

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATING TERMINOLOGY USED FOR MO HEALTHNET (MHN) PROGRAMS

 

DISCUSSION:

Programs that use Modified Adjusted Gross Income (MAGI) to determine eligibility for MHN are MAGI Programs. Policy that applies to MAGI Programs is listed on the Missouri Department of Social Services Manuals & Memos webpage under MAGI Manuals.

These programs include:

  • MO HealthNet for Families
    • MO HealthNet for Families (MHF Adult, MHF Child)
    • MO HealthNet for Pregnant Women (MPW)
    • Show-Me Healthy Babies (SMHB)
    • MO HealthNet for Kids (MHK)
  • Children’s Health Insurance Program (CHIP)
  • Uninsured Women’s Health Services (UWHS)
  • MO HealthNet Adult Expansion Group (AEG)
  • Presumptive Eligibility (PE)

Programs that use other income counting methods to determine eligibility for MHN are Non-MAGI Programs. All Non-MAGI policy manuals are listed on the Missouri Department of Social Services Manuals & Memos webpage under Non-MAGI Manuals.

These programs include:

  • MO HealthNet for the Aged, Blind, and Disabled Programs
    • MO HealthNet Non-Spend Down (MHNS)
    • MO HealthNet Spend Down (MHSD)
    • MO HealthNet Vendor (VENDOR)
    • Home and Community Based Waiver Services (HCB)
    • MO HealthNet for Disabled Children (MHDC)
    • Missouri’s Children with Developmental Disabilities Services Waiver Services (MOCDD)
    • Ticket to Work Health Assurance (TWHA)
    • Qualified Disabled Working Individuals (QDWI)
  • Medicare Savings Programs (MSP)
    • Qualified Medicare Beneficiaries (QMB)
    • Specified Low-Income Medicare Beneficiaries (SLMB1)
    • Qualified Individuals (QI), also known as SLMB2
  • Blind Pension (BP)
  • Supplemental Aid to the Blind (SAB)
  • Supplemental Nursing Care (SNC)
  • Breast or Cervical Cancer Treatment (BCCT)

Some MO HealthNet programs follow guidelines in both and may be referenced by their program names, without regard to MAGI or Non-MAGI. These programs include:

 

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/cj

 

 

IM-15 REVISION TO MAGI APPLICATION POLICY SECTIONS FOR ALL MO HEALTHNET (MHN) PROGRAMS

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: REVISION TO MAGI APPLICATION POLICY SECTIONS FOR ALL MO HEALTHNET (MHN) PROGRAMS

MANUAL REVISION #

0804.000.00 1802.010.40 obsolete
1802.000.00 1802.010.50 obsolete
1802.010.00 1802.010.60 obsolete
1802.010.10 obsolete 1802.010.70 obsolete
1802.010.20 obsolete 1802.020.25 obsolete
1802.010.30 obsolete 1802.040.00 obsolete

 

DISCUSSION:

MHN applications submitted through the online application portal or through the Federally Facilitated Marketplace (FFM) are received as of the date they are submitted, regardless of whether the application is submitted outside of regular Family Support Division (FSD) business hours. This policy is located in the MAGI Family MO HealthNet Manual section, 1802.010.00 Requests for Benefits.

There has been no change to application date policy for MHN applications submitted in person, by mail, drop-off, or other electronic processes (myDSS Upload, email, or fax). Applications submitted by these methods use an application date of the date FSD received them. Applications submitted to FSD outside of regular business hours (after 5:00 PM, on weekends, or on holidays) use an application date of the next business day.

Revisions to additional MAGI manual sections simplified MHN application process policy.

1802.000.00 Applications, was updated to provide brief explanations and links to the other application policy sections.

1802.010.00 Requests for Benefits now includes policy information from the following obsoleted sections:

  • 1802.010.10 Requests in Person
  • 1802.010.20 Request by Mail
  • 1802.010.30 On-line Application
  • 1802.010.40 Request by Telephone
  • 1802.010.50 Request for In Home Application
  • 1802.010.60 Request Received Through Third Party
  • 1802.010.70 MO HealthNet Requests at Federally Qualified Healthcare Centers (FQHC) and Disproportionate Share Hospitals (DSH)
  • 1802.020.25 Main-in or Drop-off Application
  • 1802.040.00 Dating the Application

Revisions were made to existing policy in MO HealthNet for the Aged, Blind, and Disabled (MHABD) Manual, section 0804.000.00 Application Processing to delete references to obsolete policies.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/cj

IM-14 UPDATED CHANGE REPORT (IM-145)

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATED CHANGE REPORT (IM-145)

FORM REVISION #
IM-145
IM-145B obsolete

 

DISCUSSION:

The IM-145 has been updated and is to be used for all Family Support Division (FSD) programs.

Changes to the IM-145 include:

  • Clearer fields for participant information.
  • New fields for participants to close any FSD case for the household, or to remove a participant from an active case.
  • Clearer field for participants to add a person to an active case.
  • A new field for participants with an active MO HealthNet (MHN) case to request new or different MHN coverage.
  • Clearer fields to report changes in child support expenses, dependent care expenses, and health insurance expenses.
  • Updated language to allow the participant to sign with an electronic signature.

The revised IM-145 shows a revision date of 1/2023. All versions of the IM-145 with a different revision date are now obsolete. The obsolete forms may still be accepted as valid, but staff should begin using the revised form and encourage community partners to do the same.

Report a Change, online form on myDSS.mo.gov has been updated to reflect the revisions.

The IM-145 is updated in the public forms manual and the internal forms manual.

The Change Report (Income only) (IM-145B) form is now obsolete. Participants reporting change of income should use the IM-145 and only complete the necessary sections.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using IM-145 with 1/2023 revision date immediately.
  • Discard and destroy blank IM-145 forms with older revision dates.
  • Discard and destroy blank IM-145B forms.
  • Share with community partners and contacts.

 

 

 

KE/cj

 

 

IM-13 OBSOLETE FORMS USED TO TRANSITION GATEWAY TO BETTER HEALTH (GTBH) TO OTHER PROGRAMS

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: OBSOLETE FORMS USED TO TRANSITION GATEWAY TO BETTER HEALTH (GTBH) TO OTHER PROGRAMS

FORM REVISION #
IM-1U – obsolete
GTBH Transition Letter – obsolete

 

DISCUSSION:

The IM-1U and GTBH Transition Letter were created to transition GTBH participants to other MO HealthNet programs and are no longer to be used.

These forms were removed from the public and internal forms manuals:

  • MO HealthNet Eligibility Review Form (IM-1U)
  • Gateway to Better Health Transition Letter (GTBH Transition Letter)

Note: The MO HealthNet Review Form (IM-1U MAGI) and the MO HealthNet Eligibility Review Information (FA-402) are still valid forms and can be used by participants when a system generated form is not available.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Discard and recycle any obsolete forms.

 

 

 

KE/cj

IM-12 TEMPORARY ASSISTANCE (TA) MANUAL UPDATE TO UPDATE THE EMAIL ADDRESS FOR MISSOURI WORK ASSISTANCE (MWA) EXCLUSION DOCUMENT

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: TEMPORARY ASSISTANCE (TA) MANUAL UPDATE TO UPDATE THE EMAIL ADDRESS FOR MISSOURI WORK ASSISTANCE (MWA) EXCLUSION DOCUMENT

MANUAL REVISION #

0255.010.00
0285.005.05
0285.005.10

 

DISCUSSION:

Effective December 1, 2022, staff should no longer use FSD.MWAExclude@dss.mo.gov to share information about TA participants’ temporary exclusions with the MWA unit.

The following sections are revised and replace all previously released policy and memorandums:

FSD staff should send MWA exclusion documentation or additional correspondence to MWAPERSONAL@dss.mo.gov.

There is no change in policy regarding when to send information, only the email address is updated.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/ef/sf

IM-11 UPDATES TO THE PAYMENT AND GRANT AMOUNT AND DIRECT DEPOSIT SECTIONS OF THE TEMPORARY ASSISTANCE (TA) MANUAL

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATES TO THE PAYMENT AND GRANT AMOUNT AND DIRECT DEPOSIT SECTIONS OF THE TEMPORARY ASSISTANCE (TA) MANUAL

MANUAL REVISION #

0150.005.00
0210.020.00

 

DISCUSSION:

A section regarding TA direct deposit has been added to the TA manual under the 0210.020.00 Payment and Grant Amount, Both TA and EBT manual sections were updated to reflect current terminology, update policy regarding the availability of TA funds when using direct deposit, and obsolete outdated processes.
The following sections are revised and replace all previously released policy and memorandums:

 

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/sf

IM-10 AMOUNT OF MEDICAL DEDUCTION SECTION OF THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL UPDATED

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: AMOUNT OF MEDICAL DEDUCTION SECTION OF THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL UPDATED

MANUAL REVISION #
1115.035.15.05

 

DISCUSSION:

The Amount of Medical Deduction section of the SNAP manual was updated to remove a reference to an obsolete procedural guide, which contained outdated and incorrect information. The Excess Medical Deduction, the Medical Expense Standard, and the Standard Medical Deduction as calculated by the eligiblity system policy has been clarified and the examples updated.

Terminology (such as EU, Food Stamps, and references to FAMIS) was also updated throughout the section.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/tl

IM-09 INTRODUCING DECEASED MATCHES SECTION TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: INTRODUCING DECEASED MATCHES SECTION TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL

MANUAL REVISION #
1141.010.05

 

DISCUSSION:

In order to prevent deceased individuals from receiving SNAP benefits, the agency compares SNAP household member data against information received in the Social Security Administration’s (SSA) Master Death File. When a match is found, a Notice of Match Result (NOMR/FA-601) is sent by the eligibility system informing the household of the match.

The NOMR allows 10 days for the SNAP household to respond and/or dispute the match. After 10 days if the household does not respond to the NOMR or if the household responds but fails to provide enough information to clarify the circumstances, death details are populated on the Birth/Death Information (BIRTH/FMAQ) screen in FAMIS and a notice of adverse action (NOAA) is system generated. At the end of the adverse action period, the matched individual will be removed from the household and benefits will be adjusted accordingly.

Note: An entire SNAP case should not be closed for failing to respond to the NOMR unless the individual matched is the only household member or the matched member is the head of the SNAP household.

A new Match Notice field will display “Y” on Select Interface (INTRFACE/FMK0) screen in FAMIS if an individual is matched with the SSA’s Master Death File.

Note: SMN stands for SNAP Match Notice on Select Interface

 

If a mismatch can be proven, the Match Notice field should be updated to “N” once a participant has provided verification. If the date of death has already been entered by the system, it will need to be removed should the participant provide proof that the household member is not deceased and any actions taken by the system will need to be corrected.

The NOMR is only sent and the Match Notice indicator will only show a match for cases with active SNAP participation. Child Care, Temporary Assistance, or MO HealthNet cases will only show the SMN and Match Notice indicator when the matched participant is also active on a SNAP case. For all non-SNAP cases, the eligibility system will populate the death information on BIRTH (FMAQ) screen once a match is found with the SSA’s Master Death File, and the process to close or remove benefits for the individual will begin without the NOMR.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/tl

IM-08 BUDGETING GUIDE SECTION IN THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL UPDATED

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: BUDGETING GUIDE SECTION IN THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL UPDATED

MANUAL REVISION #
1115.035.15.25

 

DISCUSSION:

Section 1115.035.15.25 Budgeting Guide in the SNAP manual was updated to remove a reference to the Budgeting Medical Expenses Guide located in FSD Procedure Guides which is now obsolete as parts are incorrect.

Refer to FAMIS Resources for further instructions regarding entry in the eligibility system and procedures for budgeting medical expenses.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Discontinue use of Budgeting Medical Expenses Guide.

 

 

 

KE/tl

IM-07 APPLICATION FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) (FS-1) UPDATE

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: APPLICATION FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) (FS-1) UPDATE

FORM REVISION #
FS-1
FS-1 (large print)
FS-1 (AEM online application)
FS-1 (Spanish)
FS-1 (Dari)
FS-1 (Pashto)

 

DISCUSSION:

The FS-1 has been updated due to a Food and Nutrition Service (FNS) review finding. Section 6 has been updated with the revised United States Department of Agriculture non-discrimination statement.

The revision date is December 2022.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Discard any old versions of the FS-1 and begin using the new version (12/2022) immediately.

 

 

 

KE/vb