Category: IM Memo

FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  IM-4 MO HEALTHNET HEALTH CARE BROCHURE

FORMS MANUAL UPDATE: #9

DISCUSSION:

This memo introduces the new IM-4 MO HealthNet Health Care brochure.  The brochure is available in English and Spanish, and is located in the Forms Manual (VOLUME 1).   The IM-4 MO HealthNet Health Care brochure is also available in the E-store to order.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.
• Order the appropriate supply for Resource Centers

ATTACHMENTS:

• IM-4 MO HealthNet Health Care (English)
• IM-4 MO HealthNet Health Care (Spanish)

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FROM:    PATRICK LUEBBERING, DIRECTOR

SUBJECT:    UPDATED HEALTH INSURANCE PREMIUM PAYMENT PROGRAM FORMS (HIPP)

FORMS MANUAL REVISION #8

HIPP-1

HIPP-A

DISCUSSION:

The purpose of this memorandum is to replace the outdated Application for Health Insurance Premium Payment Program form (HIPP-1) in the Forms Manual and to add a second version, HIPP-A, which is used for HIV and AIDS participants.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.
• Begin using these forms immediately

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FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  UNABLE TO LOCATE WILL NOT CLOSE INITIAL TMH 

MANUAL REVISION #26

1820.030.30

DISCUSSION:

The purpose of the memorandum is to clarify the 1820.030.30 Ineligibility in the First Six Months section of the Family Healthcare Manual – MAGI. 

The Transitional MO HealthNet (TMH) section of the MAGI manual has been updated to clarify that unable to locate will not cause close of TMH in the initial six months. 

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

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FROM: PATRICK LUEBBERING, DIRECTOR

SUBJECT: CLARIFICATION OF ELIGIBILTY FOR THE INITIAL SIX MONTHS FOR TRANSITIONAL MO HEALTHNET (TMH)

MANUAL REVISION #
1820.030.00

DISCUSSION:
The purpose of this memorandum is to clarify the 1820.030.00 Eligibility For Initial Six Months section of the Family Healthcare Manual- MAGI.

The Transitional MO HealthNet (TMH) section of the MAGI manual has been updated to clarify that when a parent or caretaker relative who has earned income is added to the household and puts the household over the limit to stay on MO HealthNet for Families (MHF), that the original MHF household is allowed to move to TMH as long as the other eligibility factors to initially qualify for TMH are met.

NECESSARY ACTION:
• Review this memorandum with appropriate staff.

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FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  CLARIFICATION ON WHO MAY APPOINT AN AUTHORIZED REPRESENTATIVE FOR MAGI APPLICATIONS

MANUAL REVISION #23

1802.020.30

DISCUSSION:

The purpose of this memorandum is to clarify the 1802.020.30 Signing by an Authorized Representative section of the Family Healthcare Manual – MAGI. 

The  Signing by an Authorized Representative section of the MAGI manual has been updated to clarify who may appoint an authorized representative:

• An applicant age 19 or older
• An applicant younger than 19 meeting the criteria to apply on their own behalf, which includes the following conditions:
• The minor is pregnant;
• The minor has been lawfully married;
• The minor is a parent;
• The minor is homeless, as defined by section 167.020.1, RSMo 2015, or a victim of domestic violence, as defined by section 455.010.5, RSMo 2015, and meets all the criteria in section 431.056.1, RSMo 2014; or
• The minor is legally emancipated.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.
• Immediately allow minors who meet the criteria to apply on their own behalf appoint an authorized representative if requested.

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TO:  ALL FAMILY SUPPORT OFFICES

FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  REVISION OF LINKS IN BCCT MANUAL

MANUAL REVISION #22

1305.005.00

1305.010.00

1305.015.00

DISCUSSION:

The purpose of this memorandum is announce that the Breast and Cervical Cancer Treatment (BCCT) manual is updated with links to eligibility criteria in the Family MO HealthNet (MAGI) Manual.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

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TO:  ALL FAMILY SUPPORT OFFICES

FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  SUBMITTING GOOD CAUSE DOCUMENTATION TO CHILD SUPPORT

 MANUAL REVISION #21

1805.040.10.15.05

DISCUSSION:

The purpose of this memorandum is to clarify where to submit Child Support Good Cause documentation.

When Family Support Division receives documentation and determines that an individual should be given good cause for not completing the Referral/Information for Child Support Services (CS-201) form, a Communication Transmittal (IM-16) must be completed and submitted to Child Support.  Section 1805.040.10.15.05 (2) (e) of the Family Healthcare Manual – MAGI has been revised with email, fax, and mailing information.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.
• Begin using these submittal methods immediately.

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TO:  ALL FAMILY SUPPORT OFFICES

FROM: PATRICK LUEBBERING, DIRECTOR

SUBJECT:  MANAGED CARE AND MEDICARE

MANUAL REVISION #20

1805.060.00

DISCUSSION:

The purpose of this memorandum is to clarify eligibility for individuals enrolled in Medicare. Individuals enrolled in Medicare cannot also receive Managed Care.  If someone receiving Medicare requests coverage under a Family MO HealthNet program, they will not be allowed to enroll in managed care. The individual will be automatically opted out and placed under fee-for-service.

This issue should be discussed with the individual requesting the coverage.  Some medical professionals will not accept fee-for-service patients.  If individuals need assistance finding fee-for-service providers, refer them to the MO HealthNet Fee-For-Service Provider Search engine. 

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

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FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  CLARIFICATION OF TRANSITIONAL MO HEALTHNET MANUAL SECTION REGARDING UNTIMELY AGENCY ACTION

MANUAL REVISION #19

1820.030.50

DISCUSSION:

The purpose of this memorandum is to announce a Transitional MO HealthNet (TMH) clarification.  The clarification aligns the time limits allowed when Family Support Division does not enter income changes timely and the household should have previously been moved to TMH.  The participant should be sent any quarterly reports they would have received by the date the error was discovered and allowed 20 days to return the completed document(s).

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

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