IM-56 RESTRICTED ACCOUNTS SECTION ADDED TO THE DECEMBER 1973 ELIGIBILITY REQUIREMENTS MANUAL

FROM: KIM EVANS, DIRECTOR

SUBJECT: RESTRICTED ACCOUNTS SECTION ADDED TO THE DECEMBER 1973 ELIGIBILITY REQUIREMENTS MANUAL

MANUAL REVISION #
1025.015.18

 

DISCUSSION:

The Restricted Accounts section (1025.015.18) has been added to the December 1973 Eligibility Requirements manual. This section provides guidance to help staff determine whether or not a restricted account must be considered as a resource for MO HealthNet for the Aged, Blind, and Disabled programs.

If after review of this policy, staff are still unclear about how funds in a restricted account are evaluated, please submit for review by Program & Policy before a determination is made. Staff should submit a Request for Interpretation of Policy (IM-14) through normal supervisory channels and include all relevant information with the IM-14.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/vm

IM-55 FEDERAL NOTICE REQUIREMENT FOR MO HEALTHNET (MHN) PROGRAMS

FROM: KIM EVANS, DIRECTOR

SUBJECT: FEDERAL NOTICE REQUIREMENT FOR MO HEALTHNET (MHN) PROGRAMS

MANUAL REVISION #
0130.005.05.30 Federal Notice Requirements

FORM REVISION #
IM-4 MULTI LANGUAGE INTERPRETER SERVICES
IM-4 MHN NON-DISCRIMINATION ENGLISH VERSION
IM-4 MHN NON-DISCRIMINATION SPANISH VERSION

 

DISCUSSION:

The Family Support Division (FSD) is introducing a new policy section, 0130.005.05.30 Federal Notice Requirements . This section is located within the Legal Aspects chapter of the General Info Manual under 0130.005.05 Availability of Information. Two new forms have been created, the IM-4 Multi Language Interpreter Services (IM-4 MLIS) and the IM-4 MHN Non-Discrimination (IM-4 MHND) (in English and Spanish).

Federal Regulation 45CFR 92.101-92.105, requires FSD to provide information about language services available to Medicaid participants. FSD will send the IM-4 Multi Language Interpreter Services (IM-4 MLIS) when notices and forms are sent to the participant in connection with their MO HealthNet eligibility.

Federal Regulation 45 CFR 92.1-92.6, requires FSD to provide information regarding prohibiting discrimination under any health program or activity receiving Federal financial assistance. The IM-4 MHN Non-Discrimination (IM-4 MHND) English and Spanish forms and the IM-4 Multi Language Interpreter Services (IM-4 MLIS) forms were created and are located in the Forms Manual.

Beginning June 1, 2021, FSD will systematically send an informational notice, the IM-4 Multi Language Interpreter Services (IM-4 MLIS), in addition to notices and forms sent from the eligibility systems. Additionally, FSD is systematically adding the Non-Discrimination statement, in both English and Spanish, to all Annual Reviews.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Staff will mail the appropriate form with MO HealthNet Applications, MO HealthNet Reviews, and MO HealthNet notices that are sent outside the system.
  • MEDES will NOT show that the IM-4 MLIS or the IM-4 MHND were sent.

KE/mc

IM-51 REVISION TO 2021 UPDATED PRESUMPTIVE ELIGIBILITY (PE) INCOME GUIDELINES

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  REVISION TO 2021 UPDATED PRESUMPTIVE ELIGIBILITY (PE) INCOME GUIDELINES

MANUAL REVISION #
APPENDIX A (1900.000.00)

 

DISCUSSION:

Revisions have been made to PE Appendix A, PE Income Standards, previously posted in Memo IM-#26 on April 2, 2021. The guidelines listed for children ages 1 through 18 have been adjusted and the attached Appendix A, found in the Presumptive Eligibility Manual, is effective from April 1, 2021 through June 30, 2021.

 

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

 

KE/df

IM-50 COMPACT OF FREE ASSOCIATION POLICY UPDATES FOR MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD) AND FAMILY MO HEALTHNET (MAGI) PROGRAMS

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  COMPACT OF FREE ASSOCIATION POLICY UPDATES FOR MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD) AND FAMILY MO HEALTHNET (MAGI) PROGRAMS

MANUAL REVISION #

1010.010.00

1805.020.10.20

 

DISCUSSION:

Citizens of the Federated States of Micronesia, Republic of Palau, and Republic of the Marshall Islands have signed a Compact of Free Association (COFA) with the United States which allows them to enter and leave the United States at will.

As of 12/27/2020, in accordance with section 208 of the federal Consolidated Appropriations Act, 2021, these individuals are eligible to receive MO HealthNet benefits without applying for immigrant status with the United States Citizenship and Immigration Service (USCIS- formerly Immigration and Naturalization Service). These individuals are considered Qualified Noncitizens and are eligible for MHABD and MAGI as long as all other eligibility requirements have been met.

COFA policy only applies to Title XIX funded Medicaid programs which includes but is not limited to: MO HealthNet Non-Spend Down (MHNS), MO HealthNet Spend Down (MHSD), MO HealthNet for Families (MHF) and MO HealthNet for Pregnant Women (MPW). Children’s Health Insurance Programs (CHIP) are funded through Title XXI and therefore are excluded from COFA policy.

Note: Please refer to Appendix H ME Codes Chart for a list of programs and their Title or Funding Source.

 

MHABD Programs

The eligibility system has been updated as of 05/02/2021 to allow new status codes on the NONCITZN/FMML screen for individuals from the Federated States of Micronesia (MCR), Republic of Palau (PAL), and Republic of the Marshall Islands (MAR).

Note: Only application dates of 12/27/2020 or after are eligible and coverage will begin no earlier than 12/27/2020. If processing an application that should include eligibility from 12/27/2020-12/31/2020, send to MHN Program & Policy COLE.MHNPOLICY@dss.mo.gov for review.                                                                                                                                                                                         

 

MAGI Programs

Eligibility system updates have not been completed.  Continue to use guidance issued in E-MAIL Memo #19 for COFA MAGI applicants.

For more information refer to U.S. Citizenship and Immigration Services.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/nw                                              

IM-47 COVID-19 ECONOMIC IMPACT PAYMENTS RESULTING FROM THE AMERICAN RESCUE PLAN ACT 2021 FOR ALL INCOME MAINTENANCE (IM) PROGRAMS

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  COVID-19 ECONOMIC IMPACT PAYMENTS RESULTING FROM THE AMERICAN RESCUE PLAN ACT 2021 FOR ALL INCOME MAINTENANCE (IM) PROGRAMS

MANUAL REVISION #

0205.005.30.10

0210.015.35.40

0805.015.10

1025.015.01.02

1110.020.30

1115.015.90

1805.030.20.10

 

DISCUSSION:

Economic Impact Payments (EIP), also known as Stimulus Payments, were approved as part of the American Rescue Plan Act, 2021 (ARPA) which was signed into law on March 11, 2021.  The ARPA contains changes that affect the Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance (TA) Program, Child Care Subsidy (CC), and MO HealthNet (MHN) Programs.

 

Economic Impact Payments

U.S citizens and resident aliens will receive an EIP up to $1,400 for each individual and each qualifying child if:

  • they are not a dependent of another taxpayer and
  • have a work eligible Social Security number with Adjusted Gross Income (AGI) up to:
    • $75,000 for individuals
    • $112,500 for head of household filers and
    • $150,000 for married couples filing joint returns

Single filers with an AGI above $80,000, head of household filers with an AGI over $120,000, and joint filers with an AGI exceeding $160,000 will not receive a stimulus payment.

Eligible retirees and recipients of Social Security, Railroad Retirement, Disability or Veterans’ benefits as well as taxpayers who do not make enough money to normally file a tax return will receive a payment. This also includes those who have no income, as well as those whose income comes entirely from certain benefit programs, such as Supplemental Security Income benefits.

Retirees who receive either Social Security Retirement or Railroad Retirement benefits will also receive payments automatically.

 

MO HealthNet Non-MAGI Programs, SNAP, TA, and CC:

  • Payments are excluded as income.
  • Payments are excluded as a resource for the first 12 months from receipt.

NOTE: EIP payments reported in the month received will be entered as a resource. DO NOT enter as income in FAMIS. Any money left from an EIP 12 months after receipt will be counted as a resource.

 

Family MO HealthNet (MAGI) Programs:

  • Payments are excluded as income.

NOTE: Make a note in the eligibility system regarding the amount received. The payment is not to be entered as income on the case. Example of note: Ms. Smith reported she received $1,400 EIP on 3/24/2021.

 

FAMIS Entries

If the EIP is reported as income in the month received, enter it as a resource on the SELFRES (FMWB) screen. DO NOT ENTER AS INCOME ON SELINC (FMX2). The excluded amount should always equal the total EIP when entering for the same month it was received along with any other excluded balances for that month. Use Code CV in the Excl Rsn field for the EIP or CB if multiple exclusion reasons exist. Please use the FAMIS Resource Guide (search “liquid resources”) for acceptable verification codes.

If the balance of the EIP is reported the month after receipt, exclude any remaining balance of the EIP in the accounts as CV following normal procedures for entering liquid resources.

Though the EIP amount authorized by the ARPA is different, please refer to IM-35 COVID-19 ECONOMIC IMPACT PAYMENTS RESULTING FROM THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FOR THE MO HEALTHNET, FOOD STAMP, TEMPORARY ASSISTANCE AND CHILD CARE SUBSIDY PROGRAMS for guidance to capture the EIP income as an excluded resource.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/nw

IM-45 COVID-19: MIXED EARNER UNEMPLOYMENT COMPENSATION (MEUC) BENEFITS FOR ALL PROGRAMS

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  COVID-19: MIXED EARNER UNEMPLOYMENT COMPENSATION (MEUC) BENEFITS FOR ALL PROGRAMS

 

DISCUSSION:

On 12/27/2020, the Consolidated Appropriations Act (CAA) 2021 was signed.  The CAA contains provisions to address the public health emergency (PHE) and introduced MEUC, a new type of unemployment compensation. 

MEUC provides a $100 weekly benefit to individuals with combined earnings from regular employment and self-employment. MEUC can be received in combination with all other unemployment compensation types except for Pandemic Unemployment Assistance (PUA). 

The American Rescue Plan Act of 2021 was signed into law on March 11, 2021.  This act extended several temporary unemployment compensation types, including MEUC, until September 6, 2021.

See IM-02 COVID-19 Unemployment Compensation Updates Resulting From The Consolidated Appropriations Act, 2021 for information on other types of unemployment compensation.

 

All Programs

Include/count payments from MEUC for ALL Income Maintenance programs including MO HealthNet, Supplemental Nutrition Assistance Program, Temporary Assistance, and Child Care.

 

Important

No new income type was created for MEUC funds.  Enter MEUC using existing income selections for regular unemployment compensation.  Entries for Source Name Field in FAMIS and Employer Name field in MEDES must be exact

  • In FAMIS, enter the gross income as unearned income (UI) and select UC-Unemployment Compensation/Insurance. In the Source Name Field, type MEUC.
    • Continue to make appropriate entries on Court Ordered Expense (FMXL/SUPEXP) to indicate child support expenses.
  • In MEDES, select Unemployment Compensation/Insurance and enter the gross income.  In the Employer Name field, type MEUC

 

Income Entry

If regular unemployment compensation or another type of unemployment compensation is received in conjunction with MEUC, add each type as a separate income entry.

In the example below, the participant receives a gross amount of $503 per week- 

  • The regular weekly amount is $103, which should be entered as regular unemployment.
  • After deducting $103 in regular unemployment, $400 remains. $300 should be entered as FPUC.
  • The remaining $100 should be entered as regular unemployment, with MEUC as the income source name.

This case will have 3 income entries; 2 of them will look like a regular Unemployment Compensation selection:

  • FAMIS

  • MEDES

 

Prior Quarter 

Payments from MEUC were not made prior to the week ending March 6, 2021. Do not budget income from MEUC for months prior to March 2021.

NOTE:  For Family MO HealthNet cases, use IMES to support self-attested income in reasonable compatibility decisions for countable unemployment compensation types, as outlined in the MEDES COVID-19 Self Attestation Guide.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/ers

IM-43 INTRODUCTION OF THE DEVELOPMENTAL DISABILITY SERVICES FOR MILITARY MEMBERS OR IMMEDIATE FAMILY MEMBER FOR NON-MISSOURI RESIDENTS SECTION IN THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  INTRODUCTION OF THE DEVELOPMENTAL DISABILITY SERVICES FOR MILITARY MEMBERS OR IMMEDIATE FAMILY MEMBER FOR NON-MISSOURI RESIDENTS SECTION IN THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL

MANUAL REVISION #

1015.005.00.05               

DISCUSSION:

Senate Bill 656 2020 altered residency requirements for participants in need of services for a developmental disability who are:

  • A military service member or
  • An immediate family member residing with a military member.

Residents of other states who are temporarily living in Missouri and meet the above criteria can access Developmental Disability (DD) services provided by Department of Mental Health (DMH). 

Screen MHABD applications for an indication of military participation.  If the application indicates the applicants are non-Missouri residents, follow normal procedures to reject the application.  Contact households that indicate someone is a participant in the military to inquire if a household member has or is suspected to have a developmental disability. 

Refer participants who have or who may have a developmental disability to DMH.  Send an email with the subject “DD Assessment-Military Household” to DMH.MedicaidEligibility@dmh.mo.gov

For more information, review manual section 1015.005.00.05 Developmental Disability Services For Military Members Or Immediate Family Member For Non-Missouri Residents.

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/ers

IM-39 ANNUAL INTERNAL REVENUE SERVICE (IRS) SAFEGUARDS INTERNAL INSPECTIONS REPORT-INDIVIDUAL TELEWORK

FROM: KIM EVANS, DIRECTOR

SUBJECT: ANNUAL INTERNAL REVENUE SERVICE (IRS) SAFEGUARDS INTERNAL INSPECTIONS REPORT-INDIVIDUAL TELEWORK

 

DISCUSSION:

Federal regulations require Family Support Division (FSD) staff with access to federal tax information (FTI), to complete an annual internal inspection.

Internal Inspections

Federal regulations require agencies to conduct internal inspections of all offices with access to FTI to ensure that the information is adequately safeguarded. To comply with this IRS requirement, all staff, including those working remotely (sometimes known as teleworkers), must complete the electronic Internal Inspections Report.

Complete and submit the Internal Inspections Report annually.  To access the Internal Inspections Report, sign into Employee Learning Center (ELC) and go to Internal Inspection Procedure. Click on the “Internal Inspections Report Individuals Telework Office” button at the top of the page indicating the individual inspection. The required report is also available online at https://apps.dss.mo.gov/FSDIRSSafeguardingForms/ for staff who do not have access to the ELC.

The ELC will email staff a reminder 30 days before an Internal Inspection Report is due.  It is not necessary to complete the course more than once every 12 months, or until a new email reminder is received. 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Complete the online Internal Inspection Report annually.

KE/

IM-38 COVID-19: UNEMPLOYMENT COMPENSATION UPDATES RESULTING FROM THE AMERICAN RESCUE PLAN ACT (ARPA) OF 2021 FOR ALL PROGRAMS

FROM: KIM EVANS, DIRECTOR

SUBJECT: COVID-19:  UNEMPLOYMENT COMPENSATION UPDATES RESULTING FROM THE AMERICAN RESCUE PLAN ACT (ARPA) OF 2021 FOR ALL PROGRAMS

 

DISCUSSION:

Memorandum IM-37, dated April 29, 2020, introduced 3 new types of Unemployment Compensation Benefit (UCB) funds that were created on March 27, 2020, as a result of the Coronavirus Aid, Relief, and Economic Security (CARES) Act. 

Those funds were the Federal Pandemic Unemployment Compensation (FPUC) fund, the Pandemic Unemployment Assistance (PUA) fund, and the Pandemic Emergency Unemployment Compensation (PEUC) fund.

On March 11, 2021, the American Rescue Plan Act (ARPA) of 2021 was signed into law.  The ARPA extends the expiration dates for UCB funds introduced by the CARES Act:

  • FPUC-A $300 weekly federal supplement is added to regular UCB funds starting after December 26, 2020. This fund has been extended through September 6, 2021.  FPUC funds are excluded/non-countable income for the Supplemental Nutrition Assistance Program (SNAP) and all MO HealthNet programs (except for sighted spouses on Blind Pension determinations).
  • PUA funds provide UCB for eligible individuals who are self-employed, seeking part-time employment, or who would not otherwise qualify for UCB. PUA funds are extended through September 6, 2021.  These funds count for all programs.
  • PEUC funds provide an additional 13 weeks of UCB to individuals who have exhausted their regular UCB. PEUC funds are extended through September 6, 2021. These funds count for all programs.

Verification of Unemployment Compensation Income

Use IMES to identify, budget, and verify gross income and deductions from UCB for Missouri unemployment recipients.

  1. Review the COMP WEEK column of the IMES. Total all payments made per the CHECK AMT column for each specific COMP WEEK date to determine a gross payment amount. In the red box below, the total payment made for the COMP WEEK 12/30 is $620.00 ($558 + $62=$620).

  1. Enter $300 as FPUC funds.

  1. Deduct the $300 FPUC amount from the gross amount. The remaining amount should be the WEEKLY AMT. Enter the WEEKLY AMT as regular UCB, PUA, or PEUC funds.
    For MAGI determinations, the self-attested amount may be different than the amount shown on IMES. Starting with the self-attested amount, deduct the first $300 and enter it as FPUC funds, which are excluded.  The remaining amount is the self-attested regular UCB, PUA, or PEUC funds.
    NOTE:  Refer to 2020 Hot Tip, Identifying Pandemic Unemployment Types on IMES for more.  

  2. For FAMIS determinations, evaluate the REC column of the IMES for child support payments (CHSP). If child support payments are deducted, budget the payments on the Court Ordered Expense (SUPEXP/FMXL) screen in FAMIS using normal budgeting procedures. 

  1. Review the budget screens in the eligibility system before authorization. Regular UCB is included income for all programs.

Refer participants with questions about UCB to the Missouri Department of Labor and Industrial Relations interactive site at uinteract.labor.mo.gov.  Participants can use this site to file claims for UCB, view income verification, request documentation, and report changes in circumstances.

Subsequent updates to UCB will be released in additional memos.

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

KE/ers

IM-36 TPL-1 FORM UPDATE

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  TPL-1 FORM UPDATE

FORM REVISION #
TPL-1 Instructions

 

DISCUSSION:

The TPL-1 form has been updated to include an email address for the Third Party Liability (TPL) Unit. After completion of a TPL-1 form, send a copy via email to the TPL Unit at tpl.database@dss.mo.gov and retain a copy in the participant’s electronic case record in the Electronic Content Management (ECM) system.

The TPL-1 Instructions have been revised to reflect the updated email address.  Other changes were made to align the language on the TPL-1 instructions with the TPL-1 form.

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using the new TPL-1 form and Instructions immediately.

KE/ers