IM-93 REPLACEMENT OF MO HEALTHNET ELIGIBILITY CODES (ME) FOR CERTAIN SHOW ME HEALTHY BABIES (SMHB) NEWBORNS

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  REPLACEMENT OF MO HEALTHNET ELIGIBILITY CODES (ME) FOR CERTAIN SHOW ME HEALTHY BABIES (SMHB) NEWBORNS

MANUAL REVISION #
1855.030.05

 

DISCUSSION:

To simplify funding procedures for the SMHB program, the following ME codes for SMHB Newborns are updated, effective July 1, 2022:

  • ME 62 with a Federal Grant Indicator (FGI) of 8 is replaced with ME 6S.
  • ME 74 and 75 with an FGI of 8 are replaced with ME 9S.

SMHB Newborn eligibility requirements have not changed. These ME code changes apply to SMHB levels of care only.

Non-SMHB levels of care, including MHK Under 1 (ME 62) and CHIP Premium Groups 74 and 75 (ME 74 and 75), are not affected. ME 97, the ME code for SMHB Newborns born to mothers denied MO HealthNet for Pregnant Women (MPW) due to excess income, is not replaced or affected.

Appendix H is updated with this change.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/ers

IM-92 SIGNATURE REQUEST FORM (IM-2SR) AND SIGNATURE REQUEST FORM SPANISH (IM-2SR SPANISH) ADDRESS CORRECTION

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  SIGNATURE REQUEST FORM (IM-2SR) AND SIGNATURE REQUEST FORM SPANISH (IM-2SR SPANISH) ADDRESS CORRECTION

FORM REVISION #
IM-2SR
IM-2SR Spanish

 

DISCUSSION:

An address correction has been made on the IM-2SR and IM-2SR Spanish. Both forms are available in the public and internal forms manuals.

When returning the IM-2SR or the IM-2SR Spanish to the Family Support Division, the correct address is:

Family Support Division
615 E. 13th St, Room G-9
Kansas City, MO 64106

 

NECESSARY ACTION:

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

 

KE/sh

IM-91 MILITARY STATUS QUESTIONS ADDED TO SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) DOCUMENTS

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  MILITARY STATUS QUESTIONS ADDED TO SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) DOCUMENTS

 

DISCUSSION:

Two questions related to service in the U.S. Armed Forces have been added to the forms listed below.

  • SNAP application (FS-1)
  • Online SNAP application
  • SNAP Mid-Certification Review/Report Form (FA-546)

These questions 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?

Further details about the information and how it will be made available to military households will be provided in a future memorandum.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/vb

IM-90 NEW HEARINGS FLYER (IM-4 HEARINGS) AND OBSOLETE HEARINGS BROCHURE

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  NEW HEARINGS FLYER (IM-4 HEARINGS) AND OBSOLETE HEARINGS BROCHURE

FORM REVISION #
IM-4 HEARINGS
IM-4 HEARINGS (SPANISH)

 

DISCUSSION:

A new IM-4 Hearings flyer has been created to update information, increase readability, and change from a brochure format to a flyer. The new flyer is also available in Spanish, IM-4 Hearings (Spanish).

The IM-4 Hearings flyer should be available to participants and community partners in Resource Centers and sent to participants as requested or required.

The IM-4 Hearings flyer is available to print in the public and internal forms manuals, and will be available for authorized staff to order from the E-store.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using the IM-4 Hearings flyer immediately.
  • The IM-4 Hearings brochure is obsolete and should be discarded.

 

KE/cj

IM-89 ALL PROGRAM UPDATE TO POLICY WHEN NO DATA IS SHOWN ON IMES AND “NO DATA” DEFINITION

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  ALL PROGRAM UPDATE TO POLICY WHEN NO DATA IS SHOWN ON IMES AND “NO DATA” DEFINITION

MANUAL REVISION #
0110.025.05
0110.025.10
1805.030.05

 

DISCUSSION:

Policy for all programs is updated to explain necessary actions when an Income Maintenance and Employment Security interface (IMES) returns “no data.” The General Information Manual and Family MO HealthNet (MAGI) Manual policy are revised with this change; content in policy manuals for programs other than MO HealthNet does not require an update at this time.

IMES Used to Support an Income Determination

IMES is required in the record if it is accessed to review income information and reflects something other than “no data”. An IMES is considered to contain “no data” when the IMES:

  • is completely blank

or

  • has no earned income data for the last 12 months, and displays no unemployment compensation received for the last 12 months

When IMES displays “no data”, document in the eligibility system the date the IMES was viewed and why the IMES was not considered useful in an income determination.

IMES Used to Support Non-Financial Eligibility Requirements

Retain a copy in the case record if IMES is used to confirm non-financial information, such as, but not limited to:

  • Application status for other benefits such as unemployment compensation
  • Missouri residency or address information

FAMIS Resources guides are updated to include this information.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/ers

IM-88 UPDATE TO CLARIFY MO HEALTHNET FOR FAMILIES (MHF) ELIGIBILITY FOR 18-YEAR-OLDS

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  UPDATE TO CLARIFY MO HEALTHNET FOR FAMILIES (MHF) ELIGIBILITY FOR 18-YEAR-OLDS

MANUAL REVISION #
1810.020.20.20

 

DISCUSSION:

Family MO HealthNet (MAGI) Manual section 1810.020.20.20 Eligibility for 18-Year-Olds is updated to clarify educational requirements for children who have reached the age of 18, but have not reached the age of 19.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/ams

IM-87 REVISIONS TO NOTICE OF ELIGIBILITY FOR NURSING FACILITY AND OTHER VENDOR SERVICES (IM-62)

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  REVISIONS TO NOTICE OF ELIGIBILITY FOR NURSING FACILITY AND OTHER VENDOR SERVICES (IM-62)

FORM REVISION #
IM-62
IM-62 (Spanish)

 

DISCUSSION:

The IM-62 and IM-62 (Spanish) were updated to add the participant’s Managed Care Health Plan. Other changes were made for participant clarity and to remove information no longer utilized by staff.

The Managed Care Health Plan information in the middle of the form allows staff to enter the managed care name and date of enrollment for easy identification by vendors.

The IM-62 shows a revision date of 6/2022 and is available in the internal forms manual.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using the revised IM-62 immediately.

 

KE/sh

IM-86 GATEWAY TO BETTER HEALTH (GTBH) PARTICIPANTS TO TRANSITION TO MO HEALTHNET ADULT EXPANSION GROUP (AEG)

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  GATEWAY TO BETTER HEALTH (GTBH) PARTICIPANTS TO TRANSITION TO MO HEALTHNET ADULT EXPANSION GROUP (AEG)

 

DISCUSSION:

In May 2022, FSD requested a waiver from Centers for Medicare & Medicaid Services (CMS) under 1902(e)(14)(A) of the Social Security Act. CMS approved the waiver until October 31, 2022. This waiver allows FSD to use the most recent non-MAGI GTBH eligibility determination to determine eligibility for AEG, a MAGI based program, without requiring additional information or verification from the participant.

From now until October 31, 2022, FSD will take action to move all GTBH participants to AEG using available information. FSD will utilize information provided by the participant at the last application, review, or change of circumstance. Once found eligible, participants will receive an approval notice for AEG benefits, and a separate closing notice for GTBH benefits.

Due to the COVID-19 Public Health Emergency (PHE), some current MO HealthNet (MHN) participants may not be eligible for any MHN program, but continue to receive benefits due to the continuous coverage requirement. GTBH participants who are not eligible for AEG (or any other MHN program) will remain on GTBH until they are found eligible for another MHN program, the end of the PHE, or the expiration of the GTBH program, whichever occurs first.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/cj

IM-85 LOTTERY OR GAMBLING WINNINGS AMOUNT FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) FORMS UPDATED

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  LOTTERY OR GAMBLING WINNINGS AMOUNT FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) FORMS UPDATED

FORM REVISION #
FA520
FA544
FA546

 

DISCUSSION:

Updates were made to show the increased Lottery or Gambling Winnings reporting threshold of $3750 on the following forms and notices:

  • Food Stamp Expiration Notice (FA520)
  • Food Stamp Change Report Form (FA544)
  • Food Stamp Mid Certification Review (FA546)

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/vb

IM-84 UPDATED FORMS FOR APPOINTING AN AUTHORIZED REPRESENTATIVE (IM-6AR)

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  UPDATED FORMS FOR APPOINTING AN AUTHORIZED REPRESENTATIVE (IM-6AR)

FORM REVISION #
IM-6AR
IM-6AR (Spanish)
IM-6AR (Large Print)

 

DISCUSSION:

The IM-6AR has been updated and is to be used for all Family Support Division (FSD) programs.

Changes to the IM-6AR include:

  • Allowing a signed IM-6AR to be submitted within 90 days of the signature date according to MO HealthNet (MHN) policy
  • A new option for an authorized representative to apply for MHN with no ongoing authorized representative rights or responsibilities
  • Updated language for participant’s authorization to be represented
  • Updated language to allow the participant and the authorized representative to attest that an electronic signature has the same legal effect as a written signature
  • A new field for an authorized representative to provide an email address

The IM-6AR with a revision date of 11/2019 is now obsolete. FSD will accept the obsolete form until 9/30/2022. After 9/30/2022, all new authorized representatives must use the form with a revision date of 4/2022.

The updated IM-6AR is available in large print (IM-6AR-LP) and Spanish (IM-6AR (Spanish)) for participant and staff use. The IM-6AR, IM-6AR-LP, and IM-6AR (Spanish) have been updated in the public forms manual and the internal forms manual.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Discard and destroy blank IM-6AR forms with 11/2019 (or older) revision date.
  • Begin using IM-6AR with 4/2022 revision date immediately.
  • Share with community partners and contacts.

 

KE/cj

 

Correction (issued June 17, 2022): An earlier version of this memo stated “The IM-6AR can be ordered by designated staff from the E-store”. The IM-6AR (4/2022) cannot be ordered from the E-store. FSD staff and offices should print the updated versions from the public forms manual.