Category: IM Memo

IM-03 DISQUALIFICATION PENALTIES UPDATE IN THE SUPPLMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL AND UPDATES TO ADMINISTRATIVE DISQUALIFICATION HEARING FORMS IM-160, IM-161, AND IM-161A AND INSTRUCTIONS

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FROM: KIM EVANS, DIRECTOR

SUBJECT: DISQUALIFICATION PENALTIES UPDATE IN THE SUPPLMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL AND UPDATES TO ADMINISTRATIVE DISQUALIFICATION HEARING FORMS IM-160, IM-161, AND IM-161A AND INSTRUCTIONS

MANUAL REVISION #
1145.010.10
1145.010.25
1145.015.00

FORM REVISION #
IM-160
IM-161
IM-161A

 

DISCUSSION:

1145.010.10 WIU Recommends Administrative Disqualification SNAP policy was updated to reflect the current Administrative Disqualification Hearing (ADH) procedure. It also aligns with SNAP policy 1145.010.20.20 IM-161 Waiver Offered – Accepted, which allows five (5) business days for the individual to withdraw the waiver by signing the IM-161A Withdrawal of Waiver of Administrative Disqualification Hearing Consent Agreement, and an additional five (5) business days for mailing time for the IM-161A.

1145.010.25 Administrative Disqualification Hearing Procedure policy was updated to reflect the current ADH procedures.

1145.015.00 Disqualification Penalties was updated to:

  • remove “after August 22, 1996” from the second violation and
  • clarify the first violation after August 22, 1996 is 12 months, the second violation is 24 months and the third violation is permanent.

The Waiver of Administrative Disqualification Hearing Consent Agreement (IM-161) and The Withdrawal of Waiver of Administrative Hearing Disqualification Consent Agreement (IM-161A) form names were changed to match with the Advance Notice of Your Administrative Disqualification Hearing (IM-160) form name. Instructions for all three forms were updated as well.

The IM-160 and IM-161 were updated to clarify:

  • The second and third intentional program violation penalties language by removing “after 8/22/96” as well as a grammatical change;
  • The IM-161’s acronym for Intentional Program Violation was corrected.

The statements now read:

  • for 24 MONTHS because it is your second violation.
  • PERMANENTLY because it is your third violation.
  • (IM-161 only) The claim is a result of an over issuance due to an alleged Intentional Program Violation (IPV) that occurred in the month(s) of _________.

Food Stamp Program Overview was made obsolete.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Destroy all IM-160, IM-161, IM-161A form and instruction versions 10/2021 and older.

 

 

 

KE/se

IM-02 ADDITIONAL SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AUTHORIZED REPRESENTATIVE MANUAL SECTIONS UPDATED

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FROM: KIM EVANS, DIRECTOR

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

MANUAL REVISION #
1120.025.10
1135.005.15.05
1135.005.25.05

 

DISCUSSION:

Sections 1120.025.10 Disqualified Authorized Representative, 1135.005.15.05 Eligibility Determination, and 1135.005.25.05 Eligibility Determination of the SNAP manual were updated with current terms and to remove references to FAMIS. The Representative (FMMP) screen is no longer used to record authorized representative information, and obsolete instructions concerning entering information on the FMMP screen were removed.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/mks

IM-01 ENDING OF THE GATEWAY TO BETTER HEALTH (GTBH) PROGRAM AND OBSOLETING THE GTBH MANUAL

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FROM: KIM EVANS, DIRECTOR

SUBJECT: ENDING OF THE GATEWAY TO BETTER HEALTH (GTBH) PROGRAM AND OBSOLETING THE GTBH MANUAL

MANUAL REVISION #

0130.020.70.25 1600.010.15.05 obsolete 1600.010.45 obsolete
0840.010.00 1600.010.15.10 obsolete 1600.015.00 obsolete
1600.000.00 obsolete 1600.010.15.15 obsolete 1600.020.00 obsolete
1600.005.00 obsolete 1600.010.20 obsolete 1600.025.00 obsolete
1600.010.00 obsolete 1600.010.25 obsolete 1600.030.00 obsolete
1600.010.05 obsolete 1600.010.30 obsolete 1600.030.05 obsolete
1600.010.10 obsolete 1600.010.35 obsolete 1855.020.70
1600.010.15 obsolete 1600.010.40 obsolete 1900.020.00

 

DISCUSSION:

Effective December 31, 2022, the GTBH program is discontinued. Centers for Medicare & Medicaid Services (CMS) determined that the demonstration would not be renewed as Missouri voters approved to expand MO HealthNet to low-income adults across the state.

The GTBH Manual and all subsections are now obsolete. Policy sections referencing GTBH in the following Family Support Division (FSD) manuals have been revised:

Hearings Manual

MO HealthNet for the Aged, Blind, and Disabled (MHABD) Manual

Family MO HealthNet (MAGI) Manual

Presumptive Eligibility (PE) Programs Manual

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/cj

IM-151 2023 AFFORDABLE INSURANCE QUOTES UPDATED ON FAMILY MO HEALTHNET (MAGI) APPENDIX F AND G

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FROM: KIM EVANS, DIRECTOR

SUBJECT: 2023 AFFORDABLE INSURANCE QUOTES UPDATED ON FAMILY MO HEALTHNET (MAGI) APPENDIX F AND G

MANUAL REVISION #
APPENDIX F
APPENDIX G

 

DISCUSSION:

The CHIP Affordability Test Calculator, Appendix G, has been updated with 2023 insurance quotes from the Federally Facilitated Marketplace (FFM) as well as including insurance quotes for married couples. Affordable insurance determinations for Children’s Health Insurance Program (CHIP) premium children must still be completed. The CHIP Affordability Test Calculator Instructions, Appendix F, are updated to include instructions for couples.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using the updated CHIP Affordability Test Calculator Instructions (MAGI Appendix F) and CHIP Calculator (MAGI Appendix G) January 1, 2023.

 

 

KE/kg

IM-150 PRESUMPTIVE ELIGIBILITY (PE) MANUAL UPDATED WITH NEW QUALIFIED ENTITIES (QE), REMOVAL OF ESTIMATED DUE DATE FOR TEMP, AND PROGRESSION OF PE DETERMINATIONS

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FROM: KIM EVANS, DIRECTOR

SUBJECT: PRESUMPTIVE ELIGIBILITY (PE) MANUAL UPDATED WITH NEW QUALIFIED ENTITIES (QE), REMOVAL OF ESTIMATED DUE DATE FOR TEMP, AND PROGRESSION OF PE DETERMINATIONS

MANUAL REVISION #
1900.020.10
1900.020.40
1900.020.60
1900.020.80
1900.030.00
1900.030.10

FORM REVISION #
PE-1SSL
PE-2 Worksheet
PE-3
PE-3PW

 

DISCUSSION:

The PE Manual has been updated to add the following facilities as QEs:

  • Community Mental Health Centers (CMHCs); and
  • Comprehensive Substance Treatment and Rehabilitation (CSTAR) facilities.

CMHCs and CSTARS, along with Federally Qualified Health Centers (FQHCs) and Rural Health Centers (RHCs), can begin making PE determinations once the Family Support Division (FSD) has received a new executed Memorandum of Agreement (MOA) and QE staff have completed the revised training. These facilities are now allowed to determine PE for all PE programs, with the exception of BCCT-PE.

When determining PE for adults, the following order must be followed when screening:

  1. PE for Pregnant Women (TEMP or SMHB-PE),
  2. PE for Parents/Caretaker Relatives (MHF-PE),
  3. PE for Former Foster Care Youth (FFCY-PE), and
  4. PE for Adult Expansion Group (AEG-PE).

For Temporary MO HealthNet During Pregnancy (TEMP) coverage, estimated due date is no longer required.

PE policy and forms have been updated to show the new QE facilities, the progression of PE determinations, and removal of the estimated due date.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/bl

IM-149 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) SHELTER EXPENSE CHANGES NOT REPORTED WITH ADDRESS CHANGE MANUAL UPDATE

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FROM: KIM EVANS, DIRECTOR

SUBJECT: SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) SHELTER EXPENSE CHANGES NOT REPORTED WITH ADDRESS CHANGE MANUAL UPDATE

MANUAL REVISION #
1105.005.00
1115.035.25.20

 

 

DISCUSSION:

When a SNAP household reports a new address, if the new shelter expense information was not reported with the address change the agency must investigate changes in the shelter costs. Manual Section 1115.035.25.20 Utility Decision Period has been updated to reflect this requirement.

Manual section 1140.005.50 Address Changes was previously updated in regards to this as announced in memo IM-64 dated May 24, 2022. Refer to that memo for the steps that are to be taken when new shelter expense information was not provided with the new address.

NOTE: A change of address is not required to be reported by the household.

Manual section 1105.005.00 Residency has been updated to remove the reference to the FAMIS User Guide, updated terminology, and removed FAMIS specific references.

See manual sections 1115.035.25.20 Utility Decision Period and 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-147 BLIND PENSION (BP) MANUAL UPDATES

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FROM: KIM EVANS, DIRECTOR

SUBJECT: BLIND PENSION (BP) MANUAL UPDATES

MANUAL REVISION #
0500.005.00
0505.025.00
0505.025.05
0505.050.00
0505.060.00
0505.060.05
0525.005.00
0530.000.00
0535.000.00 obsolete
0535.005.00 obsolete

 

DISCUSSION:

Multiple sections of the BP Manual were updated to reflect current terminology, replace an incorrectly linked memo, obsolete outdated processes, and remove information that was duplicated from another manual section.

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

The following manual sections are obsolete, the processes described are no longer used for BP case management:

  • 0535.000.00 Location of BP Case Records
  • 0535.005.00 Separation of Spouse Cases

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/sh

IM-146 UPDATES TO THE ALLOWABLE DEDUCTIONS SECTION OF THE FAMILY MO HEALTHNET (MAGI) MANUAL

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FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATES TO THE ALLOWABLE DEDUCTIONS SECTION OF THE FAMILY MO HEALTHNET (MAGI) MANUAL

MANUAL REVISION #
1805.030.20.15

 

DISCUSSION:

MAGI Manual section 1805.030.20.15 Allowable Deductions is revised with the following:

  • The Maximum Annual Health Savings Account (HSA) Contributions chart is updated with 2022 data.
  • Images of IRS form Schedule 1 are updated to the 2021 version.
  • Reference to an incorrect line number was removed.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/kb

IM-145 NON-EMERGENCY MEDICAL TRANSPORTATION (NEMT) PROVIDER CHANGE

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FROM: KIM EVANS, DIRECTOR

SUBJECT: NON-EMERGENCY MEDICAL TRANSPORTATION (NEMT) PROVIDER CHANGE

 

DISCUSSION:

Effective December 1, 2022, Medical Transportation Management (MTM) is the NEMT provider. The reservation phone line and the Where’s My Ride line have not changed.

A postcard was mailed to MO HealthNet Participants informing them of the change and giving them the following information.

Participants can request MTM services by:

  • calling 866-269-5927 (TTY: 711) or
  • visiting the MTM website.

Additional phone numbers for participants:

  • If the ride is late, call 866-269-5944 (TTY: 711).
  • To file a complaint or grievance, call 866-436-0457.
  • To talk to an interpreter, call 888-561-8747.

Important NEMT reminders:

  • All rides must be for a MO HealthNet covered service with a MO HealthNet provider.
  • Participants must have no other way to get to and from their covered service.
  • Participants can schedule a ride Monday through Friday from 7am to 6pm.
  • Participants should call MTM at least 2 days before their appointment if they live in an urban county and 3 days before their appointment if they live in a basic or rural county; hospital discharges or trips to urgent care can be scheduled same day.
  • Participants should have their trip information ready when they call.
  • Participants should be ready at least 15 minutes before their ride is scheduled to arrive.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Information in Email Memo #163 dated November 8, 2005 is now obsolete.
  • Discontinue distributing any material that refers participants to LogistiCare Solutions, LLC or ModivCare Solutions, LLC.

 

 

 

KE/sh

IM-144 REVISIONS TO POLICY SECTIONS TO REPLACE OBSOLETE LINKS

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FROM: KIM EVANS, DIRECTOR

SUBJECT: REVISIONS TO POLICY SECTIONS TO REPLACE OBSOLETE LINKS

MANUAL REVISION #
0110.000.00
0110.060.15
0210.005.05
0815.010.00
0820.020.00
0855.010.00
1020.005.00
1802.020.45.10

 

DISCUSSION:

Several policy sections in various policy manuals have been revised to remove links to obsolete policy sections.

The revisions include corrected links or policy updates to remove outdated processes. Sections were also revised with updated terminology if necessary.

The following sections were updated and replace all other versions of policy previously released:

General Information Manual:

Temporary Assistance Manual

MO HealthNet for the Aged, Blind, and Disabled (MHABD) Manual:

December 1973 Eligibility Requirements Manual

Family MO HealthNet (MAGI) Manual

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/cj