Category: IM Memo

IM-43 UPDATE TO THE DOCUMENTATION OF INCURRED MEDICAL EXPENSES IN THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATE TO THE DOCUMENTATION OF INCURRED MEDICAL EXPENSES IN THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL

MANUAL REVISION #
0810.010.15.01

 

DISCUSSION:

MHABD Manual section 0810.010.15.01 Documentation of Incurred Medical Expenses is revised to state:

FSD processes documentation of medical expenses in a timely manner to ensure correct coverage and sends a Spend Down Notice to notify the participant:

  • When the spend down liability was met;
  • When documentation of incurred medical expenses did not meet the spend down liability; and
  • When the documentation of incurred medical expenses was not allowed to meet the spend down and why the documentation was insufficient.

 

NECESSARY ACTION:

  •  Review this memorandum with appropriate staff.

 

 

 

KE/sh

IM-42 INTRODUCING THE SPANISH MISSOURI SUN BUCKS APPLICATION

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FROM: KIM EVANS, DIRECTOR

SUBJECT: INTRODUCING THE SPANISH MISSOURI SUN BUCKS APPLICATION

FORM REVISION #
MOSB-1 (Spanish)

 

DISCUSSION:

The Missouri SuN Bucks application, also known as Summer Electronic Benefits Transfer (SEBT), has been translated to Spanish. Participants can find this form in the Forms Manual at MOSB-1 (Spanish).

Households with multiple children only need to complete one application. Applications received after August 31, 2024, will be used to determine eligibility for Summer 2025 benefits only.

For more information on who must submit an application in order to receive SuN Bucks refer to IM-41 Introducing the Missouri Sun Bucks Application

 

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

KE/my

IM-41 INTRODUCING THE MISSOURI SUN BUCKS APPLICATION

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: INTRODUCING THE MISSOURI SUN BUCKS APPLICATION

FORM REVISION #
MOSB-1

 

DISCUSSION:

Applications for Missouri SuN Bucks, also known as Summer Electronic Benefits Transfer (SEBT) are now available. Online applications can be found:

Households with multiple children only need to complete one application.
Applications received after August 31, 2024, will be used to determine eligibility for Summer 2025 benefits only.

Who Must Apply

Children who must complete an application to be eligible for SuN Bucks are:

  • Children who attend a Community Eligibility Provision (CEP) school which is a school that provides free breakfast or lunch for all kids.
  • Children who have not applied for National School Lunch Program (NSLP)/School Breakfast Program (SBP) at their school, and think they are income eligible. NSLP/SBP income standards are under 185% FPL.

Children Eligible Without an Application

Students will be automatically approved for 2024 SuN Bucks if during the school year they were:

  • School-aged (ages 7-17) and are categorically eligible — meaning they receive Supplemental Nutrition Assistance Program (SNAP) or Temporary Assistance (TA), are in foster care, or are identified by their school as a migrant, homeless, or runaway child.
    OR
  • They applied and were approved for free or reduced-price meals through the NSLP or SBP.

These students do not need to apply to be eligible for SuN Bucks.

Additional information regarding the SuN Bucks program will be released soon.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/pm

 

 

IM-40 REQUIRED DOCUMENTATION FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) CASES

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FROM: KIM EVANS, DIRECTOR

SUBJECT: REQUIRED DOCUMENTATION FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) CASES

 

DISCUSSION:

A Food and Nutrition Service (FNS) review finding determined that staff must verbally review the SNAP Work Requirement Consolidated notice (FA-601) and properly explain when a referral to SkillUP is made. Staff must comment in the case record about the discussion with the participant. Staff are required to discuss the following:

  • General work requirements
  • Exemptions to work requirements, and
  • Appropriateness of participants to be referred to SkillUP

When screening for general work requirement assessment, it is important to understand SkillUP is a voluntary program. If the participant is an ABAWD (meaning time limited to three months of SNAP benefits) and mandatory to meet work requirements, being referred to SkillUP is one way to help the participant meet the work requirement, but they are not required to be referred to SkillUP,

There are several ways participants may meet the work requirements such as:

  • Working
  • Volunteering
  • Participating in other qualified training programs, or
  • A combination of the above

The participant must understand the SkillUP program and expectations and want to be referred.

For more information on the SkillUP program please review https://mydss.mo.gov/skillup-program

NOTE: The Consolidated notice referenced in this memo is from the MEDES eligibility system. Both the FAMIS and MEDES version contain the same information so either may be used when discussing with participants.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/cs

IM-39 UPDATED GUIDANCE FOR UKRAINIAN HUMANITARIAN PAROLEES

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATED GUIDANCE FOR UKRAINIAN HUMANITARIAN PAROLEES

 

DISCUSSION:

Due to the passing of the Ukraine Security Supplemental Appropriations Act of 2024, Ukrainian Humanitarian Parolees who entered the United States between October 1, 2023 and September 30, 2024 are eligible to receive MO HealthNet (MHN), Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance (TA) effective April 24, 2024.

Please refer to IM-#109 UKRAINIAN HUMANITARIAN PAROLEE UPDATES FOR ALL PROGRAMS dated July 22,2022 for all other information regarding processing applications for Ukrainian Humanitarian Parolees.

Note: Applications received for Humanitarian Parolees from the Ukraine must be sent to the FSD Refugee Unit: FSDREFUGEE@ip.sp.mo.gov. Special entry is required to allow this population to be coded correctly. Do not process these applications.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/hrp

IM-38 INTRODUCING NEW WEBPAGE RESOURCE FOR BLIND AND VISUALLY IMPAIRED FINANCIAL ASSISTANCE

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FROM: KIM EVANS, DIRECTOR

SUBJECT: INTRODUCING NEW WEBPAGE RESOURCE FOR BLIND AND VISUALLY IMPAIRED FINANCIAL ASSISTANCE

 

DISCUSSION:

Blind and Visually Impaired Financial Assistance is a new webpage available on the myDSS.mo.gov website. This page provides eligibility and application information for the Blind Pension (BP) and Supplemental Aid to the Blind (SAB) programs.

Staff can direct participants to this page for eligibility questions or information about how to apply for these programs.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/cj

IM-37 HEARINGS MANUAL AND IM-90B NOTIFICATION UPDATE

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FROM: KIM EVANS, DIRECTOR
SUBJECT: HEARINGS MANUAL AND IM-90B NOTIFICATION UPDATE

MANUAL REVISION #
0130.020.70.15

 

DISCUSSION:

Hearings Manual section 0130.020.70.15 EU Withdraws Hearing Request and Agency Action Withdrawn Participant Notification IM-90B have been updated due to an FNS (Food and Nutrition Service) finding.

When a participant voluntarily withdraws from a hearing, the Agency Action Withdrawn Participant Notification (IM-90B) must be completed with information about the participant withdrawal of the hearing and allow them 10 days for the participant to reinstate the hearing if they choose.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

KE/cs

IM-36 UPDATED USE OF ELECTRONIC VERIFICATION SYSTEM (EVS) SOURCES

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATED USE OF ELECTRONIC VERIFICATION SYSTEM (EVS) SOURCES

MANUAL REVISION #
0110.060.10

 

DISCUSSION:

EVS Manual section 0110.060.10 Use of Electronic Verification System Sources is updated to clarify when to use the National Accuracy Clearinghouse (NAC).

Data Source:  Use for the following programs:
National Accuracy Clearinghouse – Provides information regarding duplicate Supplemental Nutrition Assistance Program (SNAP) participation in other states

SNAP Only applications, recertifications, and add a person requests.

Submit matches for all SNAP household members.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/rnr                                              

IM-35 2024 MO HEALTHNET CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) PREMIUM ADJUSTMENT

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: 2024 MO HEALTHNET CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) PREMIUM ADJUSTMENT

MANUAL REVISION #
Appendix A
Appendix E

 

DISCUSSION:

CHIP premiums will be adjusted July 1, 2024. Premiums are required for families with income above 150% of the Federal Poverty Level (FPL). Each year, as required by state statute, the MO HealthNet Division (MHD) establishes the new premium amounts. The new premiums range from a minimum of $18 to a maximum based on family size and gross income, not to exceed 5% of the family’s gross income. A premium chart with an effective date of July 1, 2024 is attached.

For CHIP cases active prior to July 1, 2024

The MHD Premium Collections Unit is including an advance notice of the upcoming change to premiums with invoices mailed July 2024 to all eligible premium group families. Premiums paid in June for July coverage will not change. Premiums invoiced in July for August coverage will reflect the new premiums.

For CHIP cases starting on or after July 1, 2024

Premiums for CHIP cases beginning on or after July 1, 2024 will immediately reflect the new amounts.

Questions about premiums

Refer any questions concerning premiums to the Premium Collections Unit at (877) 888-2811.

Hearing Requests

Hearings requested as a result of the premium change will be conducted by the MO HealthNet Division (MHD) using normal hearing procedures. Refer participants to the MHD Participant Services number: (800) 392-2161.

Hearings requested as a result of a change in income or household composition that affect the premium will be conducted by the Family Support Division (FSD). Reference Email Memo #22 dated 04/29/2021 for guidance on submitting a hearing request.

Evidence presented at the hearing must include a copy of the invoice from the Premium Collections Unit, a copy of the budget used to arrive at the monthly gross income, and the IM-4(PRM) reflecting the premium amounts based on income.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

ATTACHMENTS

IM-4(PRM)

 

 

 

KE/rc

IM-34 REVISIONS TO TICKET TO WORK HEALTH ASSURANCE (TWHA) FLYER

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: REVISIONS TO TICKET TO WORK HEALTH ASSURANCE (TWHA) FLYER

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

 

DISCUSSION:

The IM-4TWHA was updated to provide information for how participants eligible for the TWHA program can make their premium payments.

The flyer has been updated in English and Spanish and is available in the public and internal forms manuals.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/cj