Category: IM Memo

IM-06 JANUARY 2024 – QUARTERLY FORMS UPDATE

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: JANUARY 2024 – QUARTERLY FORMS UPDATE

 

DISCUSSION:

Income Maintenance forms and documents are reviewed and revised quarterly, and as necessary. New forms and documents are created as required or requested.

All new and revised IM forms show a revision date of 01/2024, unless otherwise stated. Revised IM forms with older revisions dates are now obsolete. Family Support Division (FSD) will accept obsolete forms until 03/31/2024.

Note: Child Care program information was removed from many FSD forms and documents as Department of Elementary & Secondary Education (DESE) systems are used for eligibility (2023 Memo IM-103).

Participants may access the Application for Child Care Subsidy for Children and Families (MO 500-3469) and additional information from the Child Care Subsidy Information for Families webpage on the DESE website.

New and Revised Forms available in the public and internal forms manuals:

Form Number Form Name New or Revision: 
IM-4Finding Help
IM-4Finding Help (Spanish)		 Finding Help brochure Revision –removed the Child Care program information. Revision date (12/2023)
IM-4 Employment Impacts Benefits
IM-4 Employment Impacts Benefits (Spanish)		 How Employment Impacts Your Benefits flyer Revision – removed the Child Care program information.
IM-4Spend Down
IM-4Spend Down (Spanish)		 Spend Down flyer Revision – added information about paying online using the My MOHealthNet Portal, corrected the link to the Spend Down Frequently Asked Questions.
IM-6AR
IM-6AR (Spanish)
IM-6AR (Large Print)		 Appointing an Authorized Representative Revision – removed references to Child Care program, added instructions for returning the completed form to FSD.
IM-31B (Spanish) Your Rights and Responsibilities as a Supplemental Nutrition Assistance Program (SNAP) Household New – Spanish translation of IM-31B (8/2023)
IM-31V Allowed Verification Revision – removed references to Child Care program.
IM-63HWR
IM-63HWR (Spanish)		 MO HealthNet Undue Hardship Waiver Request Revision – updated language and formatting, moved form to public forms manual from internal forms manual
IM-100RWC
IM-100RWC (Spanish)		 Request to Withdraw or Close Revision – removed Child Care Program, added MO HealthNet Children’s Insurance Program (CHIP), reformatted program list

 

New and Revised Online Forms

Form Name New or Revision
Replacement Request Revision – updated to match IM-110 (9/2023) by updating non-discrimination language.

 

New and Revised Forms available only to FSD staff in the internal forms manual:

Form Number Form Name New or Revision
IM-32 MAGI (Spanish) MO HealthNet Approval Notice Revision – Spanish translation of IM-32 MAGI (12/2023)
IM-33 MAGI
IM-33 MAGI (Spanish)		 Notice of Case Action Revision – updated formatting, updated legal references, updated hearing and report changes language
IM-63HWD
IM-63HWD (Spanish)		 MO HealthNet Undue Hardship Waiver Decision Revision – updated language
IM-63HWN
IM-63HWN (Spanish)		 MO HealthNet Undue Hardship Waiver Notice Revision – changed form name, updated hearings and report changes language

 

Obsolete forms should no longer be used by FSD staff. These forms are no longer in use with current FSD processes. In addition to forms listed above with older revision dates, the following forms are also obsolete:

Form Number Form Name
IM-1CC
IM-1CC (Spanish)
IM-1CC (Large Print)

Child Care Application
IM-4CC
IM-4CC (Spanish)		 Child Care Subsidy Brochure
  Child Care Fraud Brochure
IM-30 UCCW Units of Care Calculation Worksheet

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using revised forms immediately.
  • Discard and recycle blank obsolete forms.
  • Share with community partners.

 

 

 

KE/cj

IM-05 UPDATES TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) RECONCILIATION – COVERED EARNINGS SECTION

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATES TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) RECONCILIATION – COVERED EARNINGS SECTION

MANUAL REVISION #
1105.098.20

 

DISCUSSION:

Some immigrants must have 40 qualifying quarters of coverage under Title II of the Social Security Act or be credited with such quarters to be eligible for SNAP. 1105.098.20 Reconciliation – Covered Earnings of the SNAP manual was updated to match Social Security’s processes and form changes when qualifying quarter discrepancies are reported and to clarify copies of IIVEs cannot be stored in the case record.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/se

IM-04 REVISION TO MO HEALTHNET (MHN) POLICY ALLOWING ACTIVE PARTICIPANTS TO MOVE FROM ONE MHN PROGRAM TO ANOTHER

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: REVISION TO MO HEALTHNET (MHN) POLICY ALLOWING ACTIVE PARTICIPANTS TO MOVE FROM ONE MHN PROGRAM TO ANOTHER

MANUAL REVISION #
0840.010.00
0840.015.05
1890.000.00
1890.010.00
1890.010.10
1890.010.20

 

DISCUSSION:

MHN policy is updated with requirements for active participants moving from one program to another when a change in circumstance occurs, or upon request from the participant.

An active MHN participant does NOT require a new application to move from one program to another, as long as they remain in the same household. All actions should be completed ex parte (which means without contacting the participant), if possible.

Note: This policy does NOT change the existing policy for an active participant or applicant who is requesting a cash benefit. See 0804.025.00 MO HealthNet Application Concurrent With MHABD Cash Programs.

Policy updates shown below should be reviewed by all staff:

Non-MAGI Policy Manual

MAGI Policy Manual

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/cj

IM-03 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) APPLICATION, FS-1, UPDATED

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) APPLICATION, FS-1, UPDATED

FORM REVISION #

FS-1 FS-1 (Dari)
FS-1 (Spanish) FS-1 (Pashto)
FS-1 (Large Print)  

 

DISCUSSION:

The SNAP Application (FS-1) has been updated with the following changes:

  • Instructions to return the form were added,
  • New Able-Bodied Adults without Dependents (ABAWD) ages were added,
  • New ABAWD exemptions were added, and
  • Automated calls and texts opt out options were updated.

The revised FS-1 is available in English, Spanish, Dari, Pashto, and Large print. The Online application is also updated with these changes.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using the FS-1 with the revision date of 09/2023 at the release of this memo.

 

 

 

KE/cs

IM-02 2024 AFFORDABLE INSURANCE QUOTES UPDATED ON FAMILY MO HEALTHNET (MAGI) APPENDIX G

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: 2024 AFFORDABLE INSURANCE QUOTES UPDATED ON FAMILY MO HEALTHNET (MAGI) APPENDIX G

MANUAL REVISION #
APPENDIX G

 

DISCUSSION:

The CHIP Affordability Test Calculator, Appendix G, has been updated with 2024 insurance quotes from the Federally Facilitated Marketplace (FFM). Affordable insurance determinations for Children’s Health Insurance Program (CHIP) premium children must still be completed.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using the updated CHIP Calculator (MAGI Appendix G) January 1, 2024.

 

 

 

KE/bl

IM-01 NATIONAL ACCURACY CLEARINGHOUSE (NAC) PILOT WITH LEXISNEXIS EXPIRATION

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: NATIONAL ACCURACY CLEARINGHOUSE (NAC) PILOT WITH LEXISNEXIS EXPIRATION

FORM REVISION #
IM-39DPP obsolete
IM-39DPR obsolete

 

DISCUSSION:

The Family Support Division’s (FSD) participation in the NAC Pilot with LexisNexis ends on December 31, 2023, and access to the NAC Pilot portal will be revoked.

Continue to follow policy 1105.015.15 Duplicate Participation to prevent and eliminate duplicate Supplemental Nutrition Assistance Program (SNAP) participation using the National Directory of Contacts to verify participation, closings, and Able Bodied Adults Without Dependents (ABAWD) non-work months in other states.

The following forms are now obsolete:

  • Duplicate Participation Prevention Notice (IM-39DPP)
  • Duplicate Participation Response Notice (IM-39DPR)

FSD will transition to the post pilot version of the NAC approximately February 2024. Additional information will be provided when available.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Discontinue use of IM-39DPP and IM-39DPR

 

 

 

KE/rnr

IM-106 POLICY UPDATES FOR THE TICKET TO WORK HEALTH ASSURANCE (TWHA) PROGRAM

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: POLICY UPDATES FOR THE TICKET TO WORK HEALTH ASSURANCE (TWHA) PROGRAM

MANUAL REVISION #

0855.000.00 0855.005.45
0855.005.00 0855.005.45.05
0855.005.35 0855.010.05 Obsolete
0855.005.40 0855.020.00
0855.005.40.01 Appendix K
0855.005.40.05 Obsolete  
0855.005.40.10 Obsolete       

 

DISCUSSION:

Senate Bill 106 requires changes to Missouri’s TWHA program. Missouri’s State Plan Amendment (SPA) for these changes was approved by the Centers for Medicare and Medicaid Services (CMS) on December 20, 2023. The following policy changes to the TWHA program are effective on January 1, 2024:

  • Changes to the asset limit calculations to exclude the value of all retirement accounts,
  • Modified the income calculations by broadening the definition to now consider the income of disabled participants up to 250% FPL, and
  • Changes to the earned income that is disregarded for the non-TWHA Spouse.

The MO HealthNet (MHN) policy sections and appendix listed above are updated to reflect changes made to the TWHA program.

The IM-4 TWHA Brochure is available to assist staff in explaining the purpose of the TWHA program to participants and provide an understanding of TWHA coverage.

Processing information to be used until system updates are complete will be released in an upcoming email memorandum.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/mm

IM-105 MO HEALTHNET (MHN) POLICY CHANGES TO EXTEND POSTPARTUM COVERAGE TO 12 MONTHS

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: MO HEALTHNET (MHN) POLICY CHANGES TO EXTEND POSTPARTUM COVERAGE TO 12 MONTHS

0810.045.00 1850.040.20.10
0810.045.05 1850.040.30 obsolete
1850.000.00 1850.040.40 obsolete
1850.010.00 1850.040.40.10 obsolete
1850.020.00 1850.040.40.30 obsolete
1850.030.00 1850.050.00
1850.040.10 1855.030.15
1850.040.20 1890.000.00
APPENDIX I  

 

FORM REVISION #

IM-32MAGI

 

DISCUSSION:

Senate Bills 45 and 106, signed by Governor Parson on July 7, 2023 extend postpartum coverage to 12 months for women who have active Medicaid (including prior quarter) or Children’s Health Insurance Programs (CHIP) coverage when their pregnancy ends. The manual sections listed above are updated to reflect these changes. The changes included in this memorandum were effective July 7, 2023. Missouri’s State Plan Amendment (SPA) to implement these changes was approved by the Centers for Medicare and Medicaid Services (CMS) on November 14, 2023.

Note: This change to postpartum coverage does not apply to state funded programs such as Blind Pension (BP), Emergency MHN for Ineligible Aliens (EMCIA), Show-Me Healthy Babies (SMHB) individuals denied MO HealthNet for Pregnant Women (MPW) coverage due to an ineligible immigration status, and Uninsured Women’s Health Services (UWHS).

The following Family MO HealthNet (MAGI) manual sections are now obsolete:

  • 1850.040.30 Coverage When Application Is Made After the Birth
  • 1805.040.40 Extended Women’s Health Services
  • 1850.040.40.10 Eligibility for Other MO HealthNet Programs
  • 1850.040.40.30 Notification of Ineligibility for Extension Due to Insurance

The following sections have been added to the MO HealthNet for the Aged, Blind, and Disabled (MHABD) Manual:

Appendix I and the IM-32MAGI have been updated to reflect a 12 month postpartum period.

Non-Pregnancy Levels of Care

Individuals receiving coverage under a non-pregnancy MHN level of care will not be moved to a pregnancy level of care unless they request that Family Support Division (FSD) do so.

Postpartum coverage for these individuals is granted within the MHN program they were on the date their pregnancy ended.

  • Non-MAGI Spend Down and Ticket to Work Health Assurance (TWHA) – A pregnant individual under these programs will have continuous coverage from the first day they meet their Spend Down or pay their premium while pregnant through the end of the 12 month postpartum period.
  • CHIP children – If it is not reported that a CHIP child is pregnant until after the pregnancy ends, the child will continue to be covered on the CHIP level of care they had on the date the pregnancy ended through their 12 month postpartum period. Pregnant and postpartum CHIP individuals are not required to pay a premium. However, if it is reported that a CHIP child is pregnant, they will be transitioned to MPW or SMHB for the remainder of their pregnancy through the end of the 12 month postpartum period.

NOTE: CHIP/SMHB individuals in their postpartum period who request to be moved to Title XIX level of coverage will not be able to regain eligibility under postpartum.

Prior Quarter

Individuals who apply for coverage after their pregnancy ends and are found eligible for prior quarter coverage, including the date the pregnancy ended, will be eligible for 12 months of postpartum coverage.

Extended Women’s Health Services (EWHS)

The EWHS program is discontinued with the implementation of 12 month postpartum. The UWHS program remains in place.

Annual Renewals

Annual renewals are not to be completed until the end of the 12 month postpartum period. An ex parte renewal will be attempted prior to sending a pre-populated renewal form to the participant.

System Updates

Updates are in progress in both eligibility systems to systematically grant 12 months of postpartum coverage. Review MEDES Resources, key word “Mitigation” for the manual process to follow on MAGI levels of care. The Non-MAGI manual process will be released in an email memorandum.

 

NECESSARY ACTION:

  • Review MEDES Resources, key word “Mitigation” for the MAGI manual process to follow until system updates can be completed.
  • Review this memorandum with appropriate staff.

 

 

 

KE/rc

IM-104 CONTINUOUS ELIGIBILITY FOR CHILDREN

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: CONTINUOUS ELIGIBILITY FOR CHILDREN

 

DISCUSSION:

Effective January 1, 2024, Missouri is implementing Continuous Eligibility for Children (CEC) as directed in the Consolidated Appropriations Act, 2023. CEC allows continuous eligibility for 12 months for children ages 18 and under.

Eligibility may only be terminated prior to the end of the 12 month period if the child meets one of the following criteria:

  • Turns 19,
  • Ceases to be a resident of the State of Missouri,
  • The child or child’s representative requests a voluntary termination of eligibility,
  • The child dies, or
  • Eligibility is erroneously granted at the most recent determination, redetermination, or renewal due to agency error or fraud, abuse, or perjury attributed to the child or child’s representative.

Policy updates will be released once the Centers for Medicare and Medicaid Services (CMS) has approved Missouri’s State Plan Amendment.

Note: Additional information on processing procedures is forthcoming.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/vh

IM-103 CHILD CARE (CC) SUBSIDY PROGRAM TRANSITIONED TO DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION (DESE) CHILD CARE DATA SYSTEM

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: CHILD CARE (CC) SUBSIDY PROGRAM TRANSITIONED TO DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION (DESE) CHILD CARE DATA SYSTEM

 

DISCUSSION:

Effective Monday December 18, 2023, eligibility for the CC Subsidy program will no longer be worked in FAMIS and will be transitioned to DESE’s Child Care Data System (CCDS). DESE took over administration and policy for the CC subsidy program August 28th, 2021.

  • December 14, 2023, will be the last day work will be done in Family Support Division’s (FSD) eligibility system.
  • The evening of December 15, 2023, all CC cases which are active, pending or in the controlled flow will be transitioned to DESE’s Child Care Data System (CCDS).

FSD staff, excluding the Child Care Unit, will no longer complete the following actions:

  • registering and processing new CC applications
  • cancel rejecting or cancel closing CC cases
  • authorizing children to CC providers
  • reviewing and processing changes in circumstance

Active CC cases that are transferred to CCDS will show in FSD’s eligibility system as closed. Pending CC cases without an eligibility determination will show as rejected. In January 2024, all converted CC cases will show on EULOG as CDS instead of AUC.

Effective December 15th, 2023, FSD staff will scan CC documents or applications received by mail/drop off or electronically to FSD.IM.CHILDCARE@DSS.MO.GOV. Current CC applications will be accepted by DESE, but new applications for CC will be available online at https://dese.mo.gov/childhood/child-care-subsidy/child-care-data-system December 19th, 2023.

If an individual wants to apply for CC or has verification needed for a childcare determination may mail it to:

Missouri Childcare Subsidy Program
PO Box 527
Hillsboro MO. 63050

If individuals call with questions about CC subsidy (eligibility, application, authorizations, changes), direct them to call 573-415-8605. This number will ONLY be active starting December 19th, 2023 and cannot be provided to participants before the go live date.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/ch