IM-17 REVISION TO APPLICATION REQUEST (IM-1REQ) LETTER FOR FAMILY SUPPORT DIVISION (FSD) APPLICATIONS

FROM: KIM EVANS, DIRECTOR

SUBJECT: REVISION TO APPLICATION REQUEST (IM-1REQ) LETTER FOR FAMILY SUPPORT DIVISION (FSD) APPLICATIONS

FORM REVISION #
IM-1REQ

 

DISCUSSION:

The Application Request (IM-1REQ) form has been updated and now includes information for applications mailed to participants when an obsolete application was submitted. The form was also updated to be used for Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance (TA) in addition to MO HealthNet (MHN). This letter will continue to be used when a participant requests a paper application be mailed to them.

Older revisions of applications may be determined obsolete when there are significant revisions. The FSD Memorandum announcing the revision(s) will provide details about whether older versions of the applications are obsolete and provide information about the grace period for accepting obsolete forms.

FSD cannot accept obsolete applications to request benefits after the defined grace period. Applications that have been revised and obsoleted recently include:

  • Application for Healthcare & Help Paying Costs (IM-1SSL) was revised and has a revision date of 9/2023. The grace period for accepting obsolete forms ended 12/31/23.
  • Application for Temporary Assistance (IM-1TA) was revised and has a revision date of 2/2024. The grace period for accepting obsolete forms will end 5/31/24.

Note: The Application for Supplemental Nutrition Assistance Program (SNAP) was revised in 9/2023, but older versions were NOT OBSOLETED as the changes were not significant.

When an obsolete application is received outside of the grace period, FSD staff will mail the IM-1REQ and a valid application to the participant. The letter provides information for the participant to complete an application online, by paper application, or by phone (for MO HealthNet only) to allow FSD to explore benefits. FSD staff will also return the obsolete application and any attached verification to the applicant.

The revised IM-1REQ is available for staff in the internal forms manual.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Discard old revisions and begin using the IM-1REQ (3/2024) revision immediately.
  • Additional guidance on obsolete applications is available to staff in the ECM Guide, Document Screening and Triage.

 

 

 

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IM-16 2024 MO HEALTHNET OUTREACH PROJECT WITH DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION, LICENSED CHILDCARE PROVIDERS, AND FAMILY SUPPORT DIVISION

FROM: KIM EVANS, DIRECTOR

SUBJECT: 2024 MO HEALTHNET OUTREACH PROJECT WITH DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION, LICENSED CHILDCARE PROVIDERS, AND FAMILY SUPPORT DIVISION

 

DISCUSSION:

Senate Bill 583 (2010) requires the Department of Social Services (DSS) to collaborate with the Department of Elementary and Secondary Education (DESE) and licensed childcare providers in an effort to reach the uninsured children of Missouri.

Each year, to comply with Senate Bill 583, the Family Support Division (FSD) provides DESE and licensed childcare providers with a flyer that informs parents how to apply for MO HealthNet (MHN) as follows:

  • Online at mydss.mo.gov/healthcare. Please send an email to Cole.MHNPolicy@dss.mo.gov with subject line “SCHOOL” or “FACILITY OUTREACH” to let us know to watch for your application. Include the parent’s name, child’s name, and child’s date of birth.
  • By telephone at 1-855-373-9994. When speaking with a representative please tell them this is a “School Application” or “Facility Outreach Application”.
  • Request an application from 1-855-FSD-INFO (1-855-373-4636). Please write “SCHOOL” or “FACILITY OUTREACH” at the top of the application.
  • Print an application online at https://dssmanuals.mo.gov/wp-content/uploads/2020/09/IM-1SSL-Fillable-Secured-6-24-21.pdf. Please write “SCHOOL” or “FACILITY OUTREACH” at the top of the application.

The attached flyers below will be distributed to schools and childcare facilities:

  • Two for DESE – one in English and one in Spanish
  • Two for Childcare Facilities – one in English and one in Spanish

FSD is required to track these applications for reporting. Each Resource Center and Customer Service Center is asked to document the receipt of these applications on the attached spreadsheets. School and Facility Outreach spreadsheets should be kept separate. Management should enter all information on the appropriate spreadsheet and submit monthly to Cole.MHNPolicy@dss.mo.gov.

 

NECESSARY ACTIONS:

  • Review this memorandum with appropriate staff.
  • Offices should begin tracking immediately and submitting documentation on the first week of each month.

 

ATTACHMENTS:

 

 

 

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IM-15 INTRODUCING THE NATIONAL ACCURACY CLEARINGHOUSE (NAC) MATCHES FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)

FROM: KIM EVANS, DIRECTOR

SUBJECT: INTRODUCING THE NATIONAL ACCURACY CLEARINGHOUSE (NAC) MATCHES FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)

MANUAL REVISION #
1105.015.15
1125.025.00
1141.010.15

 

DISCUSSION:

The NAC is a system developed by the Food and Nutrition Service (FNS) to be used nationwide to compare data between states and prevent duplicate SNAP benefit issuances. It helps states ensure smooth transfers for people who may be moving between states.

The NAC must be searched any time someone applies for SNAP benefits, completes a SNAP recertification, or when a new person is added to the SNAP household. Before checking the NAC, a participant’s social security number, residency, and identity must be verified. If there is a match, the state must inform the household, take action, and inform the other state involved.

If a NAC match is received during a household’s certification period, staff must investigate the information according to SNAP unclear information policy within 10 days of receiving the match and inform the household before taking action. Once a determination has been made, staff must also share the outcome with the other state.

Note: This is a new program from FNS, not all states are currently sharing participant information with the NAC. If a participant reports receiving benefits in another state and a NAC match is not found, staff must still follow the existing procedures for verifying out of state benefits.

Do not disclose any location information to the household. System-generated notices will only communicate the change in household composition, and will not reveal the name of the state matched. If a participant questions a NAC match, staff may provide the following information:

  • Name of the matched individual, and
  • Dates of benefit issuances

This will protect individuals who may be in a vulnerable situation, such as someone staying in a battered women’s shelter or someone who shares information indicating they may be fleeing a dangerous situation.

NAC Web Portal:

All NAC queries for potential SNAP duplicate participation must be completed using the NAC web portal. The NAC web portal will be used to view information on NAC matches at application and to make necessary updates to inform the other state on the status of the match and what action(s) have been taken.

Note: A training will be made available through the Employee Learning Center (ELC) that will provide more details on how to sign up for access to the NAC portal as well as how to conduct searches and make updates.

In order to search the NAC, staff will need the participants’:

  • Name,
  • Date of Birth,
  • Social Security Number,
  • DCN, and
  • Search Reason.
    • Search Reasons include: New Application, New Household Member, Recertification or Other.

When a match is found when searching the NAC portal, the SNAP Participants Search Result section will appear on the bottom of the screen. Clicking on the Match ID will bring up the Match Details screen with more information.

When staff get a new match during a certification, the match notification email will have a Match ID to look up case information. The match notification will indicate the other state, if the participant is a vulnerable individual, and the three most recent month’s benefits issued in the other state.

Note: It is possible to get multiple matches for a single individual; however, at this time, Missouri is one of the first states to join the NAC.

The NAC portal also has fields to update the initial action taken and the final disposition (outcome) on the case. Updating these fields informs the other state of what actions Missouri has taken to resolve the match.

Note: NAC matches on active cases will be tasked in Current. Staff receiving a NAC match Current task will need to login to the NAC portal to review and update the match as necessary.

System Updates:

As of March 18, 2024, the eligibility system was updated with the following:

  • “NAC Y/N” field added to Received Out of State (RECOUTST/FMMW).
  • Two NAC-related verification codes were added:
    • NA—NAC Match Not Verified (Active Case Only)
    • NM—NAC Match Result- Not Living in Missouri
  • A notice of match received (NOMR/FA-601) for NAC Matches.
  • A notice of adverse action (NOAA/FA-510) with NAC match language.

NAC match on Initial, Recertification and Add-A-Person applications:

  • If a NAC match is received for an initial, recertification, or add-a-person application:
    • Enter “Y” in the the “NAC Y/N” field,
    • Enter the date the last benefit was received as it appears on the NAC match in the “Last Recd” field, and
    • Leave the verification code blank in order to request verification from the participant.
      • The eligibility system automatically generates and sends the proper NOMR for the NAC match via an overnight batch process.
        • The NOMR gives the participant 10 days to respond to the match, advises what is needed to resolve the match, and warns what the consequences are for the SNAP case if the household fails to respond.
  • If the household fails to respond to the match, the application will reject.
  • If the participant provides the proper verification to prove their out of state SNAP case has closed, enter “HC” (Hard Copy) to approve the case.
  • If the participant confirms the NAC match, is not living in Missouri, and still intends to receive benefits in another state, resolve the match with the following actions:
    • Remove the “Y” from the “NAC Y/N” field and
    • Enter “NM” (NAC Match Result- Not living in Missouri).

NAC match during Certification Period:

The eligibility system automatically shares SNAP participant data with the NAC on a daily basis which is then matched with similar data from other states. Any resulting NAC match received outside of the application period should be treated according to SNAP unclear information policy.

  • If the NAC match is received during the certification period, the RECOUTST screen must be updated.
    • Enter “Y” in the “NAC Y/N” field,
    • Enter the date the last benefit was received as it appears on the NAC match in the “Last Recd” field, and
    • Enter “NA” (NAC Match Not Verified [Active Case Only]) in the “VER” field to generate a NOAA combined with the NAC notice language.
      • The combined NOAA gives the participant 10 days to respond to the match, advises what is needed to resolve the match, and warns what the consequences are for the SNAP case if the household fails to respond.
  • If the household does not respond to the notice, the matched participant will be removed from the SNAP case.
  • If the participant provides the proper verification to prove their out of state SNAP case has closed, enter verification code “HC” (Hard Copy) to approve the case.
  • If the participant confirms the matched individual is not living in Missouri, and is still intending to receive benefits in another state, resolve the match by removing the “Y” from the “NAC Y/N” field and entering “NM” (NAC Match Result- Not living in Missouri) in the “VER” field.

Note: Updates in the eligibility system or Current Tasking system will not automatically update the NAC portal. Once staff complete their system entries, staff must log in and update the NAC portal in order for the information to be communicated to the other state per FNS regulations.

Additional SNAP Manual Updates:

Sections 1105.015.15 Duplicate Participation and 1125.025.00 Steps to Process Expedited Eligible Applications of the SNAP manual were updated to reflect that a NAC match must be resolved prior to the issuance of expedited benefits.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

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IM-14 2024 UPDATE OF POVERTY INCOME GUIDELINES FOR MAGI PROGRAMS

FROM: KIM EVANS, DIRECTOR

SUBJECT: 2024 UPDATE OF POVERTY INCOME GUIDELINES FOR MAGI PROGRAMS

MANUAL REVISION #
1805.030.20.10
APPENDIX A
APPENDIX A (PE)
APPENDIX B
APPENDIX D
APPENDIX E
APPENDIX I

FORM REVISION #
IM-4PRM

 

DISCUSSION:

Effective April 1, 2024, the Federal Poverty Level (FPL) income guidelines increase for all MAGI programs, including Presumptive Eligibility (PE).

MAGI cases were adjusted on March 8, 2024 based on the new FPL income guidelines. Due to the Continuous Eligibility requirement during the Transition Period, cases that have not had an Annual Renewal in the last 12 months will not have coverage closed or reduced to a lower level of care.
Note: Changes in circumstance or applications processed prior to April 1, 2024 will need to be authorized before the FPL change can be viewed.

PREMIUM REFUNDS

Premiums paid for April coverage will be refunded to the participant if the FPL causes the case to:

  • become eligible as a non-premium case;
  • go from CHIP75 to CHIP74; or
  • go from CHIP74 to CHIP73.

The refund process will take approximately 8 weeks to complete.

MAGI MANUAL REVISION, PROGRAM DESCRIPTIONS, AND OTHER RESOURCES

MAGI Manual section 1805.030.20.10 Income Excluded Under MAGI has been updated to reflect an increase in the tax filer threshold for a child for earned income to $13,850 and unearned income to $1,250 based on the 2023 IRS Publication 501.

PRESUMPTIVE ELIGIBILITY

PE Manual Appendix A income standards are updated. These standards are effective from April 1, 2024 through March 31, 2025.

 

NECESSARY ACTION:

  • Use the new FPL income guidelines beginning April 1, 2024
  • Review this memorandum with appropriate staff.

 

 

 

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IM-13 2024 FAMILY MO HEALTHNET (MAGI) COST OF LIVING ADJUSTMENT (COLA) FOR SSA/SSI INCOME

FROM: KIM EVANS, DIRECTOR

SUBJECT: 2024 FAMILY MO HEALTHNET (MAGI) COST OF LIVING ADJUSTMENT (COLA) FOR SSA/SSI INCOME

 

DISCUSSION:

Effective April 1, 2024, MAGI cases will be updated to reflect a 3.2% COLA for Social Security Administration (SSA) and Supplemental Security Income (SSI) participants.

Cases Adjusted

Cases that include income types Social Security Adult (disability or received off disabled/deceased spouse), Social Security Adult (retirement), Social Security Child (disability or received off disabled/deceased parent), and SSI are subject to an automatic increase of 3.2%. The eligibility system will end date the previous income and add a new piece of income evidence that reflects the adjusted income amount.

Cases That Did Not Adjust

Some cases will not adjust during COLA. These cases will require manual intervention from staff to add the increased income amounts. As cases are reviewed, check the income on each case to determine if the current income is entered. Update and verify income as required using established procedures.

Notices
For case updates made as a result of COLA, the eligibility system will finalize the decision(s) and send out the appropriate notices.

Note: Due to the Continuous Eligibility requirement during the Transition Period, no cases will have coverage closed or reduced to a lower level of care until an annual renewal has been completed.

 

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

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IM-12 INCREASE IN AVERAGE PRIVATE PAY NURSING RATE FOR TRANSFER OF PROPERTY PENALTIES

FROM: KIM EVANS, DIRECTOR

SUBJECT: INCREASE IN AVERAGE PRIVATE PAY NURSING RATE FOR TRANSFER OF PROPERTY PENALTIES

MANUAL REVISION #
APPENDIX J
APPENDIX N

 

DISCUSSION:

The average private pay nursing care rate increased to $7,536 per month effective April 1, 2024. For applications taken on or after April 1, 2024, use $7,536 to determine the number of months of ineligibility for vendor level services.

Appendix J of the MO HealthNet for the Aged, Blind, and Disabled (MHABD) Manual lists the current average private pay nursing care rate.

Appendix N of the December 1973 Eligibility Requirements Manual lists the historical values for average private pay nursing care rates.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

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IM-11 NON-MAGI FEDERAL POVERTY LEVEL ADJUSTMENT

FROM: KIM EVANS, DIRECTOR

SUBJECT: NON-MAGI FEDERAL POVERTY LEVEL ADJUSTMENT

MANUAL REVISION #
Appendix J
Appendix K

 

DISCUSSION:

Effective April 1, 2024, the Federal Poverty Level (FPL) income guidelines increase for the following programs:

  • MO HealthNet Non-Spend Down (MHNS)
  • MO HealthNet Spend Down (MHSD)
  • Ticket to Work Health Assurance (TWHA)
  • Qualified Medicare Beneficiary (QMB)
  • Specified Low Income Medicare Beneficiary (SLMB and SLMB2)
  • Qualified Disabled Working Individuals (QDWI)
  • MO HealthNet for Disabled Children (MHDC)
  • Blind Pension (BP)

The weekend of March 9, 2024, programs with income eligibility based on the federal poverty level will be adjusted in the eligibility system.

Note: All MO HealthNet cases will be adjusted based on the new FPL income guidelines. However, due to the continuous enrollment condition, participants will not have coverage reduced to a lower level of care or cases closed until after their annual renewal is completed.

Premium Refunds
Premiums paid for April coverage will be refunded to the participant if the FPL causes the case to become eligible as a non-premium case. The refund process will take approximately 8 weeks to complete.

Program Descriptions
Appendix K in the Non-MAGI Policy Manual is updated to include the change in FPL income limits.

Income Standards
Appendix J in the Non-MAGI policy Manual is updated with the updated FPL income limits.

All FPL income guidelines are effective from April 1, 2024 through March 31, 2025. These standards may be referenced as needed for historical purposes.

MHABD income standards

Assistance Group Size Non-Spend Down OAA/PTD (85% FPL) Non-Spend Down AB (100% FPL)
1 $1067 $1255
2 $1448 $1704

 

QDWI income standards

Assistance Group Size QDWI (200% of FPL)
1 $2510
2 $3407

 

Medicare Savings Programs income standards

Assistance Group Size QMB (100% FPL) SLMB1 (120% FPL)  SLMB2 (135% FPL) 
1 $1255 $1506 $1695
2 $1704 $2044 $2300
3 $2152 $2582 $2905

 

Blind Pension sighted spouse monthly income maximum

Sighted Spouse (500% FPL)  $8517

 

TWHA Income Standards and Premiums

Percent of FPL Type of Case Monthly Income Premium Amount
Less than 100% FPL Single $1255.00 or less non premium
  Couple $1704.00 or less non premium
100% FPL up to but not including 150% FPL Single $1255.01-1822.99 $42
  Couple $1704.01-2554.99 $56
150% FPL up to but not including 200% Single $1883.00-2509.99 $62
  Couple $2555.00-3406.99 $85
200% FPL up to but not including 250% FPL Single $2510.00-3137.99 $104
  Couple $3407.00-4258.99 $141
250% FPL up to 300% FPL Single $3138.00-3765.00 $156
  Couple $429.00-5110.00 $211

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using the new FPL income guidelines for eligibility determinations effective April 2024 and ongoing.
  • Follow the staff user guides in FAMIS Resources to resolve conflicting actions related to FPL.
  • Review this memorandum with appropriate staff.

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IM-10 TEMPORARY ASSISTANCE (TA) VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, SEXUAL HARASSMENT, OR STALKING AND APPLICATION FOR TA (IM-1TA) AND REINVESTIGATION FORM UPDATES

FROM: KIM EVANS, DIRECTOR

SUBJECT: TEMPORARY ASSISTANCE (TA) VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, SEXUAL HARASSMENT, OR STALKING AND APPLICATION FOR TA (IM-1TA) AND REINVESTIGATION FORM UPDATES

MANUAL REVISION #
0204.000.00
0204.010.000

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

 

DISCUSSION:

Manual Update:

The Consolidated Appropriations Act establishes standards and procedures for TA applicants, potential TA applicants, and TA participants who are victims of domestic violence, sexual assault, or stalking. New manual sections, 0204.000.00 Victims of Domestic Violence, Sexual Assault, Sexual Harassment, or Stalking and 0204.010.000 Identifying at Application are now added to the TA manual.

Procedures are in place for the following:

  1. Applicants and potential applicants will be informed of assistance available by the state to victims of sexual harassment and survivors of domestic violence, sexual assault, and stalking.
    1. A link to the MO Coalition Against Domestic & Sexual Violence website (https://www.mocadsv.org/) is available on the MyDSS website.
  2. All Family Support Division (FSD) staff will receive training regarding sexual harassment, domestic violence, sexual assault, and stalking.
    1. Training will be for any staff member who administers the TA program including but not limited to Benefit Program Associates (BPA), Benefit Program Technicians (BPT), Administrative Office Support Assistants (AOSA), Senior Office Support Assistants (SOSA), Benefit Program Specialists (BPS) (including Missouri Work Assistance (MWA) BPS), Program Specialists, Benefit Program Supervisors, Program Coordinators, and Program Managers.
    2. This training has been developed and the memo will be released with instructions on how to complete this training.
  3. To ensure compliance with the Domestic Violence Act already in effect, all applications will be screened for potential victims of domestic violence, sexual assault, stalking, and sexual harassment. Participants will continue to receive services while active in the TA program. These questions do not affect eligibility and should not hold up processing an application.
    1. Three questions are being added to the TA application (IM-1TA) to assist with the screening process:
      1. Are you or a member of your immediate household currently being physically or emotionally harmed by a family member or current or former intimate partner?
      2. Have you or a member of your immediate household currently or ever been forced to have sex or perform sexual acts when you said no or did not want to?
      3. Have you or a member of your immediate household ever been or are currently being followed around from place to place or being harassed by an individual or group?
    2. Identified victims of domestic violence, sexual assault, sexual harassment, or stalking will be placed in the confidential load FAMIS load 4613.
      1. FSD staff registering the application will be responsible for reviewing the screening questions and placing applications into the confidential load.
      2. Interview/processing will be completed by the staff who cover this load.
    3. MWA staff will refer applicants/participants to local resources for assistance with their current situations while unable to do traditional work activities.
    4. Every 90 days, MWA staff will review identified active cases. The case will be evaluated for the need of continued special assistance and or if the household is ready for traditional MWA work activities.

Form Updates:

The following questions have been added to the IM-1TA to help identify individuals who are victims of domestic violence, sexual assault, and stalking victims:

  • Are you or a member of your immediate household currently being physically or emotionally harmed by a family member or current or former intimate partner?
  • Have you or a member of your immediate household currently or ever been forced to have sex or perform sexual acts when you said no or did not want to?
  • Have you or a member of your immediate household ever been or are currently being followed around from place to place or being harassed by an individual or group?

The Civil Rights section on the IM-1TA has been updated with the full joint Nondiscrimination Statement (NDS) as well as information on Civil Rights complaints.

Child Care information is updated to direct applicants to the Department of Elementary and Secondary Education (DESE) website.

Questions related to service in the U.S. Armed Forces have been added to the following forms:

  • TANF application (IM-1TA)
  • TANF Reinvestigation (FA-202)

The questions below are designed to gather information to allow the Family Support Division (FSD) to provide useful information to veterans and their families. These questions will not affect eligibility and if left unanswered must not cause a case to be rejected, closed, or delayed.

  • Question 1: Have you or an immediate family member ever served in the U.S. Armed Forces?
  • Question 2: If yes, would you like information about military-related services in Missouri?

The revised IM-1TA form has a revision date of 02/2024. All other IM-1TA forms are obsolete. FSD will accept the obsolete applications until 05/31/2024.

Additional instructions will be provided regarding obsolete applications received after 05/31/2024.

Forms are available in the public forms manual and the internal forms manual.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using revised IM-1TA 02/2024 immediately.
  • Discard and recycle blank obsolete IM-1TA forms.
  • Share with community partners.

 

 

 

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IM-09 CLARIFICATION ADDED TO MID-CERTIFICATION REVIEW (MCR) POLICY FOR RETURNING INCOMPLETE OR UNSIGNED REVIEWS

FROM: KIM EVANS, DIRECTOR

SUBJECT: CLARIFICATION ADDED TO MID-CERTIFICATION REVIEW (MCR) POLICY FOR RETURNING INCOMPLETE OR UNSIGNED REVIEWS

MANUAL REVISION #
1140.020.00

 

DISCUSSION:

A note specifying to allow the household 10 days to return an incomplete or unsigned review was added to 1140.020.00 Mid-Certification Reviews.

When returning an incomplete or unsigned MCR, the date in the field for “Failure to return this form by ______ may result in a loss of benefits” on the IM-2MCR form should allow 10 days for the participant to complete, sign, and/or return the form.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

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IM-08 UPDATE TO 1619 THRESHOLD

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATE TO 1619 THRESHOLD

MANUAL REVISION #
Appendix J

 

DISCUSSION:

The threshold amount established by the Social Security Administration (SSA) to determine eligibility under Section 1619 of the Social Security Act has decreased to $3,690 effective January 1, 2024. Additional information regarding 1619 eligibility is available in manual section 0850.005.20 Financial Need.

Appendix J of the MO HealthNet for the Aged, Blind, and Disabled (MHABD) Manual was updated to reflect the new threshold.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

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