IM-72 REVISION TO AUTOMATIC WITHDRAWAL AUTHORIZATION FORMS FOR MO HEALTHNET (MHN) PROGRAMS

FROM: KIM EVANS, DIRECTOR

SUBJECT: REVISION TO AUTOMATIC WITHDRAWAL AUTHORIZATION FORMS FOR MO HEALTHNET (MHN) PROGRAMS

FORM REVISION #
2575-055
2575-056
2575-057

 

DISCUSSION:

MO HealthNet Division (MHD) has revised the Automatic Withdrawal Authorization forms to update contact information and change the form numbers. Participants must use the revised forms to start, change, or cancel an automatic withdrawal from their bank account to pay MHN Children’s Health Insurance Programs (CHIP) premiums, MHN Ticket to Work premiums, or MHN Spend Down pay-in.

The forms are located in the public forms manual and the internal forms manual. The forms all have an August 2023 revision date.

Form Number Form Name
2575-055 MO HealthNet for Kids Insurance Premium Payments Automatic Withdrawal Authorization
2575-056 Spend Down Pay-In Automatic Withdrawal Authorization
2575-057 Ticket to Work Health Assurance Withdrawal Authorization

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Share with community partners.

 

 

 

KE/cj

IM-71 CHANGES TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) ABLE-BODIED ADULTS WITHOUT DEPENDENTS (ABAWD) AGE LIMIT AND EXEMPTIONS

FROM: KIM EVANS, DIRECTOR

SUBJECT: CHANGES TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) ABLE-BODIED ADULTS WITHOUT DEPENDENTS (ABAWD) AGE LIMIT AND EXEMPTIONS

MANUAL REVISION #

1105.000.00 1105.035.05 1115.035.10.05
1105.015.10 1105.035.15 1115.035.25.25 
1105.015.10.25 1105.035.20 1115.070.00
1105.015.10.25.05 1105.035.30 1120.005.05
1105.025.00 1105.035.35 1120.045.00
1105.025.05.05  1105.035.40 1125.010.05
1105.025.05.15 1105.035.45 1130.020.00
1105.025.15 1105.037.00 – OBSOLETE 1135.025.05 
1105.025.50.05 1110.010.00 1140.000.00
1105.035.00 1115.010.00 1140.005.45

 

DISCUSSION:

The Fiscal Responsibility Act (FRA) of 2023 adds three new exemptions to the ABAWD Work Requirement and gradually increases the upper age limit from 49 years old to 54 years old. These changes are effective 9/1/2023.

New Exemptions

Three new Employment Assessment coding options have been created for the new exemptions:

  • 40—Aged out of Foster Care, Under 25 years old:
    • This exemption is for an applicant/participant who is 24 or younger and aged out of the foster care system of any state, district, territory, or tribal organization at age 18 or older.
    • Verification is required.

Note: Exemption will be automatically ended, coding changed to non-exempt (code 22), and non-work months added (if applicable) when participant turns 25 years old.

  • 41—Veteran:
    • This exemption is for any participant who served in any branch of the United States Armed Forces, including Reserves/Guard, regardless of the conditions of their discharge or release.
    • Verification is required.
  • 42—Homeless:
    • There has been no change to the definition of homeless. Refer to 1100.010.00 Definitions
    • Status code: EXE
    • Verification is not required.

Note: Code 15 is no longer to be used for homelessness. All participants currently coded 15 will be updated to 42. Coding will need to be reassessed at next mid-certification review, recertification, or reported change.

When a household member is eligible for more than one exemption, staff must select the exemption that is most beneficial to the participant for the duration of certification.

New Employment Assessment Statuses

In order to allow for verification to be requested and for the participant to be exempted from ABAWD requirements but still referred to SkillUP, two new statuses were created for use with the Aged Out of Foster Care and Veteran exemptions:

  • AEX – ABAWD-Only Exemption
    • Exemption verified
  • PEN – Pending Assessment
    • Pends the case for verification

Once verified, eligibility for the Foster Care or Veteran exemption does not need to be re-verified for subsequent applications or recertifications. When verification is received and the status updated to AEX, a comment must be entered on the Employment Assessment (EMPLOY/FMMS) screen to document how the exemption was verified.

Note: If verification is not provided then the eligibility system will update the coding to non-exempt (code 22) and, if applicable, either add non-work months or reject the member if they have already used their 3 non-work months.

  • If a SkillUP exemption applies then a case should not be pended for verification on an ABAWD-only exemption.

Age Limit Increases

The age limit for the ABAWD work requirement will increase as follows:

  • 18 – 50 years of age, effective 9/1/2023
  • 18 – 52 years of age, effective 10/1/2023
  • 18 – 54 years of age, effective 10/1/2024

The age limit increases apply at application/recertification, mid-certification review, and when adding a household member. Non-work months will not be automatically added for active participants. A participant’s work assessment code must be reviewed at every mid-certification review, recertification, or when the participant reports work activities or an exemption.

SNAP Manual Revisions

Updates were made to the manual sections listed in the Manual Revision section of this memo to remove references to the ABAWD age range, update links to re-named sections, update formatting, and to reflect current policy, procedures and terminology.

Additional updates were made to the manual sections below:

ABAWD Policy Updated:

Title Changes

System generated forms and notices have been updated to reflect these changes.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

KE/mn

IM-70 INTRODUCING INCARCERATION MATCHES FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)

FROM: KIM EVANS, DIRECTOR

SUBJECT: INTRODUCING INCARCERATION MATCHES FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)

MANUAL REVISION #
1141.010.10

 

DISCUSSION:

Per federal regulations, the Family Support Division (FSD) must compare SNAP household member data to information received from all Federal, State, and/or local detention or correctional institutions to ensure incarcerated individuals do not receive SNAP benefits. When a match is found, a Notice of Match Result (NOMR/FA-601) is sent by the eligibility system advising the household of the match.

The NOMR allows 10 days for the SNAP household to respond and/or dispute the match. After 10 days, if the household does not respond to the NOMR, or if the household responds, but fails to provide enough information to clarify the circumstances, a Notice of Adverse Action (NOAA) is system generated. At the end of the adverse action period, the matched individual will be removed from the household and benefits will be adjusted accordingly, or the case could close.

The Match Notice field will display “Y” on Select Interface (INTRFACE/FMK0) screen in FAMIS if an individual is matched as potentially incarcerated and an entry with source type of SMP will be displayed.

 

 

Note: SMP stands for SNAP Match Prison on Select Interface

 

If a participant is not incarcerated or has been recently released, the Match Notice field should be updated to “N” once the household has provided verification. If an adverse action or closing action was already initiated, it will also need to be voided once the participant provides proof that the household member is not incarcerated.

Only cases with active SNAP participation will display the Match Notice Indicator and be sent a NOMR. All other programs will only show the SMP and Match Notice Indicator on INTRFACE when the matched participant is also active on a SNAP case. For Non-MAGI MO HealthNet and Child Care, no action will be taken by the system even if the matched individual is also active on SNAP; however, Temporary Assistance cases will begin an adverse action at the same time as SNAP if the match is not resolved.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/tl

IM-69 INTRODUCING SYSTEM-GENERATED AGED, BLIND, AND DISABLED SUPPLEMENT FORM FOR NON-MAGI APPLICATIONS

FROM: KIM EVANS, DIRECTOR

SUBJECT: INTRODUCING SYSTEM-GENERATED AGED, BLIND, AND DISABLED SUPPLEMENT FORM FOR NON-MAGI APPLICATIONS

 

DISCUSSION:

The Aged, Blind, and Disabled Supplement (FAABD) is a new system-generated version of the Aged, Blind, and Disabled Supplement (IM-1ABDS).

Effective August 12, 2023, FAMIS will allow Family Support Division (FSD) staff to send an FAABD to any participant that has indicated that they are over the age of 65, blind, or disabled. If the supplement information is not provided, then the application will systematically reject for “failure to provide supplemental information” and a notice will be sent to the participant.

FSD staff cannot complete a Non-MAGI eligibility decision with only information provided on the MO HealthNet online application, or the Application for Health Coverage & Help Paying Costs (IM-1SSL). The FAABD and IM-1ABDS are used to collect the additional information required to determine eligibility for Non-MAGI programs such as:

  • MO HealthNet for Aged, Blind, and Disabled
  • Blind Pension
  • Supplemental Aid to the Blind
  • Supplemental Nursing Care

Note: If FSD is able to collect the required information by calling the participant or during a Supplemental Nutrition Assistance Program (SNAP) interview, a call to the FSD Information Center at 855-373-4636, or during any phone or in person interaction with FSD staff and certain contracted vendors, then a supplement form is not required for Non-MAGI applications.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Staff must review revised FAMIS Resources training materials regarding registering applications.

 

 

 

KE/cj

IM-68 NEED FOR FAMILY PLANNING IS NO LONGER REQUIRED FOR UNINSURED/EXTENDED WOMEN’S HEALTH SERVICES (UWHS/EWHS)

FROM: KIM EVANS, DIRECTOR

SUBJECT: NEED FOR FAMILY PLANNING IS NO LONGER REQUIRED FOR UNINSURED/EXTENDED WOMEN’S HEALTH SERVICES (UWHS/EWHS)

MANUAL REVISION #
1850.040.40
1850.040.40.20 obsolete
1870.000.00
1870.005.00
1870.015.00

 

DISCUSSION:

Effective 8/1/2023, women who are aged 18-55, with family income at or below 201% FPL and who are not eligible for other MO HealthNet programs must be screened for UWHS regardless of the need for family planning services.

Uninsured women transitioning from postpartum coverage are eligible for EWHS even if they no longer have a need for family planning. There is no change in the services covered under these programs.

The manual sections listed above are updated to reflect these changes. 1850.040.40.20 No Longer in Need of Family Planning Services is obsolete.

Refer to MEDES Resources for the mitigation to be used until system updates are completed.

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/rc

IM-67 CHANGES TO TRANSITIONAL CHILD CARE (TCC)

FROM: KIM EVANS, DIRECTOR

SUBJECT: CHANGES TO TRANSITIONAL CHILD CARE (TCC)

 

DISCUSSION:

Effective July 1, 2023 the Department of Elementary and Secondary Education (DESE) will no longer pay a percentage of the state base rate for TCC. Participants receiving TCC will now pay a daily sliding fee based on the level of TCC they are receiving:

  • Transitional Child Care 1 (TCC1) – $7.50 per day
  • Transitional Child Care 2 (TCC2) – $8.75 per day
  • Transitional Child Care 3 (TCC3) – $10 per day

This is the sliding fee per day. Full time (FT), half time (HT), and part time (PT) units of care are not considered for TCC.

Note: Any delay implementing this in the eligibility system will not delay payments to the provider.

All participants receiving TCC benefits will receive notice of these changes via Claimant Information Notice (FA601).

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

KE/hd

IM-66 CORRECTIONS MADE TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) UNCLEAR INFORMATION POLICY

FROM: KIM EVANS, DIRECTOR

SUBJECT: CORRECTIONS MADE TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) UNCLEAR INFORMATION POLICY

MANUAL REVISION #
1141.005.00

 

DISCUSSION:

Due to feedback received from the Food and Nutrition Service (FNS), section 1141.005.00 When to Act on Unclear Information of the SNAP policy manual was updated to show unclear information must be:

  • Recent (fewer than 60 days old relative to the current month of participation).

Memo IM-06 posted January 19, 2023, incorrectly stated that unclear information is information that is less than 60 days old from the date of receipt.

Also, while correct in 1141.005.00 of the SNAP manual, the memo should have stated:

For information that is older than 60 days, not required to be reported, or not significantly different than information used for the certification, case notes should be made in the eligibility system and the information must be explored at the next mid-certification review or recertification.

 

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/tl

IM-65 UPDATES TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) CLAIMS DETERMINATION SECTION OF THE SNAP MANUAL

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATES TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) CLAIMS DETERMINATION SECTION OF THE SNAP MANUAL

MANUAL REVISION #

1142.005.00 1142.020.00 1142.030.00
1142.035.00 1142.035.05 1142.035.10
1142.035.10.05 1142.035.10.10 obsolete 1142.040.00
1142.045.00 1142.055.00 1142.055.10
1142.055.15 1142.055.15.05 1142.055.15.10
1142.055.15.15 1142.055.15.20 1142.055.15.30
1142.057.00 1142.060.00 1142.065.00
1142.070.00 1142.080.00 1142.090.00

 

 

DISCUSSION:

The above SNAP Manual sections were revised to reflect current procedures and updated terminology. However, the below manual sections had additional updates made:

1142.035.10.10 Determining the Amount of the Claim for Change Reporting EUs section was made obsolete.

 

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/se

IM-64 UPDATES TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MID-CERTIFICATION REVIEW/REPORT FORM (MCR)

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATES TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MID-CERTIFICATION REVIEW/REPORT FORM (MCR)

FORM REVISION #
FA-546

 

DISCUSSION:

Return instructions were added to the front of the SNAP MCR (FA-546) just below the date the participant should return the form. These instructions were also added below the signature line.

A note was added above the U.S. Department of Agriculture’s (USDA) nondiscrimination statement to specify the address for civil rights complaints should not be used to submit application materials. The link to the USDA Program Discrimination Complaint Form was corrected.

The MCR was also updated with the following changes:

  • Outdated information was removed in the paragraph above question 4,
  • Question 9 was reworded to address changes since the last application,
  • Certain federal regulations were corrected due to typographical errors,
  • Formatting was updated in several places for easier understanding, and
  • Paragraphs under the Penalty Warning were rearranged based on feedback from legal services.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/tl

 

 

IM-63 JULY 2023 – QUARTERLY FORMS UPDATE

FROM: KIM EVANS, DIRECTOR

SUBJECT: JULY 2023 – 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 7/2023, unless otherwise stated. Revised IM forms with older revisions dates are now obsolete. Family Support Division (FSD) will accept obsolete forms until 9/30/2023.

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

Form Number  Form Name New or Revision:
HIPP-1 Application for Health Insurance Premium Payment (HIPP) Program MO HealthNet Division (MHD) updated and revised the application. This form has a revision date of 2/2023.
HIPP-1 Solicitud para el Programa de Pago de Primas de Securos Medicos *(HIPP) MHD updated and revised the application. This form has a revision date of 2/2023.
HIPP-A Application for Health Insurance Premium Payment (HIPP) Program – Care Coordinator Version MHD updated and revised the application. This form has a revision date of 2/2023.
HIPP-A Solicitud para el Programa de Pago de Primas de Securos Medicos *(HIPP) – Coordinador de Cuidados MHD updated and revised the application. This form has a revision date of 2/2023.
IM-2SR Signature Request Revision to update terminology from review to renewal.
IM-6NF Authorization for Release of Medical/Health Information to Nursing Facilities, In-Home Nursing Care Providers, and Other Providers of Medical Services Revision to use official name, add electronic signature attestation, remove one year expiration date, and update formatting to improve readability.
IM-114 Voluntary Repayment Authorization Form Revision to update terminology, contact information, and processes.
MO 231-0167 Missouri Voter Registration Application Secretary of State revised to add optional political party affiliation and remove rural voters field. This form has a revision date of 5/2023.

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

Form Number Form Name New or Revision:
IM-33HCB Notice of Case Action for Home and Community Based Services Waiver New action notice for cases requesting or receiving Home and Community Based Services (HCB) Waiver benefits.
IM-54A Home and Community Based Services Referral Revision to correct a broken hyperlink.

Revised forms sent to participants by FAMIS or MEDES eligibility systems:

Form Number Form Name Revision:
HIPP-1 Application for Health Insurance Premium Payment (HIPP) Program Updated in MEDES to match revisions made by MHD. Released in MEDES 5/30/23.

 

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