Category: Food Stamp Home

IM-84 FORMS FOR MULTIPLE PROGRAMS TRANSLATED INTO SPANISH

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  FORMS FOR MULTIPLE PROGRAMS TRANSLATED INTO SPANISH

DISCUSSION:

The following forms have been translated into Spanish and the Spanish versions have been added to the Forms Manual:

FORM NUMBER

FORM NAME

IM-1MA

Medicaid Application/Eligibility Statement

IM-1MAC

Addendum to MO HealthNet Application:  Request for Optional Cash Benefit

IM-1U MAGI

MAGI Annual Review

IM-1 QMB-SLMB

Application for Medicare Savings for Qualified Beneficiaries or Specified Low-Income Beneficiaries

IM-6ARR

IM Authorized Representative Revocation

IM-6NF

Nursing Facility Authorization Form

IM-12

Employment Information Request

IM-12A

New Employee Information Request

IM-31A SMHB

Request for Information-SMHB

IM-32SMHB

Action Notice SMHB

IM-33

Notice of Case Action

IM-33MAGI

MAGI Notice of Case Action

IM-33MHF

MO HealthNet for Families Notice of Action

IM-55A

Transitional Medicaid Quarterly Report-1st Quarter

IM-55B

Transitional Medicaid Quarterly Report-2nd Quarter

IM-55C

Transitional Medicaid Quarterly Report-3rd Quarter

IM-58

Transitional MO HealthNet Suspension Notice

650-2616

(HIPAA) Authorization for Disclosure of Consumer Medical/Health Information

IM-63HWN

MO HealthNet Undue Hardship Waiver Letter

IM-64HWR

MO HealthNet Undue Hardship Waiver Request

IM-78

Declaration of Assessment of Assets

IM-80

Adverse Action Notice

IM-80PRE

Pre-Closing Notice

IM-80 TMH

Adverse Action Notice

IM-87

Application for State Hearing

IM-90

Withdrawal of Request for Hearing

IM-90A

Agency Action Rescinded

IM-90B

Agency Action Withdrawn Participant Notification

IM-99

Burial Fund Resource Designation (IM-99)

 

REQUEST TO WITHDRAW OR CLOSE

CS-201

Referral/Information for Child Support Services

 

SSI/SSDI TRANSITION LETTER

 

SIGNATURE REQUEST LETTER

 

Utilize these forms as needed for participants who indicate a preference for written material in Spanish.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

RM/ams/ers

IM-77 COVID-19 MID-CERTIFICATION REVIEWS RESUME FOR THE FOOD STAMP PROGRAM

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  COVID-19 MID-CERTIFICATION REVIEWS RESUME FOR THE FOOD STAMP PROGRAM

DISCUSSION:

The purpose of this memorandum is to inform staff that Food Stamp

Mid-certification Reviews (MCRs) will be generated the weekend of June 6-7, 2020, for cases having an MCR due in July 2020. 

MCRs due in March, April, May, and June were not mailed to participants as part of the Food Stamp Recertification Waiver that expires in June 2020.  Staff should be aware that resuming MCRs may result in an increase in phone calls and questions from participants.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/rw

IM-75 COVID-19 PANDEMIC ELECTRONIC BENEFIT TRANSFER PROGRAM (P-EBT)

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  COVID-19 PANDEMIC ELECTRONIC BENEFIT TRANSFER PROGRAM (P-EBT)

MANUAL REVISION #35

1170.000.00

1170.005.00

1170.005.05

1170.010.00

1170.015.00

1170.015.05

DISCUSSION:

The Families First Coronavirus Response Act allows supplemental benefits to be issued to eligible school-age children who would receive free or reduced price meals if school were in session. The Family Support Division (FSD) will issue these benefits as the P-EBT program.

  • Food Stamps (SNAP) households who received benefits in March 2020 do not need to apply for P-EBT, and will automatically receive the full benefit of $302. The new/additional benefit will be automatically added to their existing Electronic Benefit Transfer (EBT) card.
  • Resource Parents— formerly known as Foster Parents— need to include all children in the household (including their own) on the application. They are eligible for the months they provided care for a Foster Care child and were income eligible.
  • All households who wish to have eligibility explored for this benefit will need to apply before June 30, 2020. They will receive benefits for the months they were income eligible.
    • Households can submit an application online at: https://www.emergencymealsurvey.com/MO
    • Households may submit a completed paper application to:

      DESE Food and Nutrition Services
      205 Jefferson Street
      P.O. Box 480
      Jefferson City, MO 65102

    • Households may scan a completed paper application to foodandnutritionservices@dese.mo.gov

    • DESE will certify the household is eligible for free or reduced price meals and forward the information to FSD for processing.

  •  

The amount a household may qualify in P-EBT benefits is up to 53 days for the time frame of March 18th through May 31st. The reimbursement rate is $5.70 per day at a total amount up to $302 per eligible child.

The benefits include:

  • $57 for March
  • $125 for April
  • $120 for May

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/jl/mks

 

IM-73 COVID-19 EXTENSION OF STATEWIDE FOOD STAMP INTERVIEW WAIVER

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT:  COVID-19 EXTENSION OF STATEWIDE FOOD STAMP INTERVIEW WAIVER

DISCUSSION:

The Food and Nutrition Service (FNS) has approved an extension of Missouri’s Statewide Food Stamp Interview Waiver through June 30, 2020.  This waiver allows temporary changes to the Food Stamp Program in order to help keep Missourians safe and healthy during the COVID-19 health crisis.

Continued changes are as follows:

  • Households are not required to complete an interview prior to approval as long as the applicant’s identity has been verified and all other mandatory verifications have been completed.
  • Family Support Division (FSD) is not required to offer or grant a request for a face-to-face interview to any household at application or recertification.

Staff must make every attempt to verify household circumstances through available electronic resources and must contact the household if any information on the application is questionable and cannot be verified.

Note:  It is important to make a comment referencing COVID-19 on each case in which an interview has been waived.

System changes have been made to the FSINTRVW (FM1B) screen as shown in the screenshots below.

Note:  Staff must enter “Y” in the “Do you need to schedule an interview?” field and choose the COVID-19 codes shown below to allow FSD to track waived interview cases for federal reporting requirements.

Screenshot of COVID-19 Codes

Screenshot of COVID-19 Codes

Screenshot of COVID-19 Codes

Screenshot of COVID-19 Codes

NECESSARY ACTION:

Review this memorandum with appropriate staff

KE/rw

IM-67 MANUAL UPDATE AND IMES CLARIFICATION FOR ALL INCOME MAINTENANCE (IM) PROGRAMS

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  MANUAL UPDATE AND IMES CLARIFICATION FOR ALL INCOME MAINTENANCE (IM) PROGRAMS

MANUAL REVISION #29

0110.025.05

DISCUSSION:

The purpose of this memorandum is to clarify when to utilize Income Maintenance and Employment Security interface (IMES) information and to inform staff of an update to the General Info Manual.  In section 0110.025.05 Earned Income the age to utilize IMES has been updated to age 16 for MO HealthNet and Cash Assistance Programs.   

IMES is a tool that can be used to give an indication of income and income changes.  It is only necessary to view and scan IMES to the Virtual File Room (VFR) once during the application, recertification, mid-certification (MCR) or annual review process.  An exception can be made for cases in which IMES shows potential Unemployment Compensation (UC), Trade Adjustment Assistance (TAA) or Trade Readjustment Assistance (TRA) approval. 

When IMES has been scanned to the VFR during the application process and subsequent views show no changes, record a comment in the eligibility system regarding IMES.

If IMES shows employment during the previous work quarter, make a comment about all conversations with the participant regarding previous employment in the eligibility system. 

NOTE: For MAGI cases, refer to Reasonable Compatibility guidelines.  For all other IM programs, pursue verification of income when required by policy.

Refer to the Comment Quick Reference Guide for specific instructions for recording comments.

During the Application and Recertification process:  View, scan to the VFR and comment/record regarding IMES on each eligibility unit (EU) member/household member age 16 and over. If an interview is required, use the information on IMES to review past and present employment history with the EU/household during the interactive interview.  Discuss any new or questionable IMES information with the applicant and comment/record.

NOTE: For MO HealthNet applications in which prior quarter (PQ) was requested, make a note in the eligibility system of any income received in the PQ.  Reference the date(s) the IMES indicates the income was received.

During the MCR and Annual Review/Renewal process:  View and scan IMES to the VFR for any individual age 16 or over.  Comment/record regarding IMES information in the eligibility system.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/rw/cs/ers/hrp

 

IM-66 COVID-19 UPDATE TO MEMO #30 POSTED 04/04/2020 – TEMPORARY UPDATES TO THE TEMPORARY ASSISTANCE (TA) PROGRAM (EXTENDING THROUGH JUNE 2020)

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  COVID-19 UPDATE TO MEMO #30 POSTED 04/04/2020 – TEMPORARY UPDATES TO THE TEMPORARY ASSISTANCE (TA) PROGRAM (EXTENDING THROUGH JUNE 2020)

DISCUSSION:

On April 04, 2020 IM Memo #30 was posted. This memo included temporary updates to the Temporary Assistance Program due to the Proclamation on Declaring a National Health Emergency Concerning the Novel Coronavirus Disease (COVID-19) Outbreak which was issued on March 13, 2020 in response to COVID-19. These updates have been extended through the month of June 2020.

45 Month Lifetime Limit Extension

Note: Please review the instructions for FSD Staff as these have been updated.

FSD is extending TA benefits for up to Forty Nine (49) months through Hardship Extensions. Any participant that is due to close for meeting the Forty Five (45) month Lifetime Limit and do not qualify for any exemptions during the months of March, April, May and June 2020 will receive the Hardship Extension.

Hardship Extensions were completed through system updates for all active participants that reached their 45-month lifetime limit in the months of March, April, and May 2020. The COMPACT screen was updated to show these participants as J-“Hardship extension referred to MWA” in the “Work Req Ind” field and 25-“Family Crisis” in the “Extension Rsn” field. These have a re-evaluation date of 05/15/20 and will be updated to 06/12/20. The Work Requirement History (WKREQHIS) screen will show User ID COVID19 for cases that were updated automatically.

FSD staff processing TA applications received March 1 – Jun 30, 2020 will follow these procedures in referring these to Group E when a client may be eligible for this hardship extension:

  • FSD staff will enter codes J-“Hardship extension referred to MWA” and code 26 in the “Work Reg Ind” field to refer this to Group E to be processed as normal. Enter a re-evaluation date of 3 days following the date the case is taken through CONFLOWS. (Refer to the CRG under Lifetime Limit for current process).
  • When completing the IM-2EH for this hardship extension you will mark Family Crisis and enter in the explanation: COVID19, client has reached their 45-month lifetime limit.
  • All requests for an extension will continue by emailing the TA/CC processing center at GROUP E, FSD. Only those who are currently responsible for determining extension eligibility will enter the information on the COMPACT screen regarding the COVID 19 extension and will enter a comment about the action using COVID19 in the title for the comment.
  • For FSD staff information purposes – the codes being entered on the COMPACT screen by Group E for approving these Hardship Extensions are:
    • J-“Hardship extension referred to MWA” in the “Work Req Ind” field
    • Code 25-“Family Crisis” in the “extension rsn” field and
    • 06/12/2020 as the “re-evaluation Date
    • Comment – will contain COVID19 in the title to alert you that the case was approved for this extension.

Drug Testing and Drug Treatment Referrals

FSD will continue to suspend all mandatory drug testing and treatment referrals through June 30, 2020. (Refer to 2020 Memo IM-30 April 4, 2020 for additional information)

 

MWA Work Requirements

FSD will continue to suspend MWA work requirements for TA participants and waive the completion of the TA Orientation and Personal Responsibility Plan (PRP) through June 15, 2020. Any actions to reduce benefits or close for WR5 or WRF sanctions have been put on hold during the suspension. FSD referrals will continue to be sent and MWA contractors will still attempt to engage the participants. (Refer to Memo #30 04/04/20 for additional information)

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Follow above instructions starting immediately.

 

KE/plh

IM-65 COVID-19 SECOND EXTENSION OF PANDEMIC SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (P-SNAP) EMERGENCY ALLOTMENTS

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  COVID-19 SECOND EXTENSION OF PANDEMIC SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (P-SNAP) EMERGENCY ALLOTMENTS

DISCUSSION:

The Families First Coronavirus Response Act (FFCRA) allows for Emergency Allotments (EA) of supplemental benefits for the Supplemental Nutrition Assistance Program (SNAP/Food Stamps) to be issued to eligible SNAP households.  The P-SNAP program raises a household’s Food Stamp allotment to the maximum amount for the household size. 

Supplemental benefits have been issued by the Family Support Division (FSD) for March, April, and May 2020 as part of the P-SNAP program.  P-SNAP has been extended through June 2020.  Beyond June 2020, participation in P-SNAP will be decided on a month to month basis during the COVID-19 health crisis.

SNAP households do not need to apply for P-SNAP.  The supplemental benefit will be automatically added to the Electronic Benefit Transfer (EBT) card.

Note:  Households that already receive the maximum allotment for their household size will not have a benefit increase.

 

NECESSARY ACTION:

Review this memorandum with appropriate staff.

KE/rw

IM-61 UPDATE TO MID-CERTIFICATION REVIEW (MCR) FORM (FA-546) FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  UPDATE TO MID-CERTIFICATION REVIEW (MCR) FORM (FA-546) FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)

DISCUSSION:

The purpose of this memo is to update the wording of the MCR (FA-546) to include in the return information that it can be returned by mail to the return address or to any local Family Support Division (FSD) Resource Center. 

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/ja

IM-59 FOOD STAMP PROGRAM FORM IM-109 IN-HOME SERVICE PROVIDER AND DIVISION OF AGING PARTICIPANT EBT FOOD STAMP AGREEMENT

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:   FOOD STAMP PROGRAM FORM IM-109 IN-HOME SERVICE PROVIDER AND DIVISION OF AGING PARTICIPANT EBT FOOD STAMP AGREEMENT

FORM REVISION #13

IM-6AR 

DISCUSSION:

This memorandum is to notify staff, effective immediately, form IM-109 IN-HOME SERVICE PROVIDER AND DIVISION OF AGING PARTICIPANT EBT FOOD STAMP AGREEMENT is obsolete.

Participants wishing to appoint someone to make Food Stamp purchases on their behalf must complete the IM Authorized Representative (AR) form IM-6AR found in the IM Forms Manual Volume I. 

Staff encountering cases where an AR was entered using the IM-109, should end date the AR entry and notify the participant that an AR form must be completed to allow someone else to access their benefits.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Destroy unused copies of this form and instructions.

 

KE/mks

IM-56 FOOD STAMP MANUAL UPDATE FOR UNCERTAIN/ IRREGULAR INCOME

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  FOOD STAMP MANUAL UPDATE FOR UNCERTAIN/IRREGULAR INCOME

MANUAL REVISION #25

1115.015.20 Uncertain/Irregular Income

DISCUSSION:

The purpose of this memo is to inform staff of the updates made to the Food Stamp policy 1115.015.20 Uncertain/Irregular Income.  This update includes definitions of excluded, uncertain income such as overtime, bonuses or commission that is not received regularly and it is uncertain if the income will continue.  Income that is not anticipated to continue should be excluded. 

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/cs