IM-143 JANUARY 2023 COLA ADJUSTMENT OF SSA/SSI/VA/RR INCOME FOR ALL INCOME MAINTENANCE PROGRAMS EXCEPT FAMILY MO HEALTHNET (MAGI)

FROM: KIM EVANS, DIRECTOR

SUBJECT: JANUARY 2023 COLA ADJUSTMENT OF SSA/SSI/VA/RR INCOME FOR ALL INCOME MAINTENANCE PROGRAMS EXCEPT FAMILY MO HEALTHNET (MAGI)

MANUAL REVISION #

0410.010.15 APPENDIX B
0805.020.15 APPENDIX D
0865.010.15 APPENDIX E
1030.010.05 APPENDIX J
1030.035.10 APPENDIX K
1030.035.20  
1030.035.25  

 

 

DISCUSSION:

In January 2023, all Social Security Administration (SSA), Supplemental Security Income (SSI), Veterans Administration (VA), and Railroad Retirement (RR) participants will receive an 8.7% Cost of Living Adjustment (COLA).

The weekend of December 10, 2022, a mass adjustment will be completed in the eligibility system for Child Care (CC), Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance (TA), and MO HealthNet for the Aged, Blind, and Disabled (MHABD) cases. Income increases for SSA, SSI, VA, and/or RR and other adjustments will be completed. Medicare Premium amounts and federal eligibility standards will also be updated.

Note: The 2023 COLA will have the following effect on SNAP cases:

  • Increase in SNAP benefit reductions for January 2023
  • Increase in SNAP closures for December 2022

SSI Increases

SSI TABLE 2022 AMOUNT 2023 AMOUNT INCREASE
SSI Individual maximum (in own household) $841 $914 $73
SSI Couple maximum (in own household) $1,261 $1,371 $110
SSI Individual in household of another $561 $609 $48
SSI Couple in household of another $841 $914 $73
SSI Essential person/own home $421 $458 $37

 

MHABD Standards Adjustments

NEW MHABD STANDARDS 2022 AMOUNT 2023 AMOUNT
Maximum Allotment of Community Spouse $3,435 $3,716
Minimum Maintenance Standard for Allotments $2,289 $2,289
Maximum Allocation to a child $420 $457
Maximum Allotment to a child $726 $763
Minimum Spousal Share $27,480 $29,724
Maximum Spousal Share $137,400 $148,620
Maximum Home Equity $636,000 $688,000
HCB Maximum $1,470 $1,598
SAB Standard $908 $987

 

Supplementary Medical Insurance (SMI) Premium Adjustment

The standard SMI, commonly known as Medicare Part B, premium will decrease for 2023 to $164.90. The SMI premium for those who begin receiving Medicare in 2023 will be $164.90. Premiums for Medicare participants who pay less than the standard premium amount will not have an increase of more than the amount of the increase in Social Security benefit the individual received.

 

Additional MHABD Program Increases

Resource Limits for Medicare Savings Programs (QMB/SLMB/QI-1)
For a single individual, the resource limit increases to $9,090 for a married couple, the resource limit increases to $13,630. There is no change in policy regarding how to determine available resources.

Vendor Maximum Monthly Maintenance Standard
The 2023 Maximum Monthly Maintenance Standard is $3,716.

Minimum and Maximum Spousal Share
The 2023 minimum spousal share is $29,724. The new maximum spousal share is $148,620. Both amounts become effective for any assessment completed on or after January 1, 2023.

Substantial Gainful Activity (SGA)
The SGA monthly amounts increase and are as follows:

  • $2,460 for statutorily blind individuals
  • $1,470 for non-blind individuals

 

Policy and Appendices Updates
The following appendices were updated to show the new amounts:

  • MHABD Manual
    • Appendix B – Maintenance Standards for Allotments
    • Appendix E – HCB Income Maximums
    • Appendix J – Eligibility Standards for MHABD
    • Appendix K – MO HealthNet eligibility for people who are Aged (65 and Over), Blind, Disabled, or need treatment for Breast or Cervical Cancer
  • December 1973 Eligibility Requirements Manual
    • Appendix D – Substantial Gainful Activity

Manual sections 0410.010.15, 0865.010.15, 1030.010.05 and 1030.035.10 are revised to remove outdated information and reference Appendix J for current information.
Manual sections 0805.020.15, 1030.035.20 and 1030.035.25 are updated to specify that data contained in examples are for illustrative purposes only and do not contain current numbers.

 

Adjustments by Program and Mass Adjustment Process
All programs will be adjusted according to program. Review FAMIS Resources for further information about the mass adjustment process.

Senate Bill 577 (2007) authorized the disregard for Social Security COLA increases for certain MO HealthNet (MHN) programs with income eligibility based on federal poverty level (FPL) until the next FPL adjustment in April. All SSA, SSI, VA, and RR income sources will be updated with the new income amount and verification code “CO” for COLA adjustment.

Note: For budget months prior to January 2023, do not use the “CO” – COLA verification code.

Note: The Families First Coronavirus Response Action of 2020 (FFCRA) requires that MO HealthNet (MHN) coverage for individuals be maintained at the same level or better for the duration of the Public Health Emergency (PHE). There will be no adverse action to reduce or end MHN coverage due to COLA changes until the end of the PHE.

 

Reports with Actions Needed
Reports with action needed will be distributed to the SNAP, TA/CC, and MHN Program Managers for assignment. Follow the instructions in FAMIS Resources on how to process each type of report.

 

Request for Hearing/Continued Benefits
When a fair hearing is requested, follow current fair hearing request procedures.

 

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Search “COLA” or “Adjustment” in FAMIS Resources for processing guidance.
  • State Office will provide the SSA/SSI/VA/RR Needing Review report to designated staff.
  • Allow MHN Policy for “CO” income verification to disregard SSA and SSI COLA Adjustments until the Federal Poverty Level (FPL) Adjustment in April.

 

 

KE/mc

IM-142 2023 FAMILY MO HEALTHNET (MAGI) COST OF LIVING ADJUSTMENT (COLA) FOR VETERANS ADMINISTRATION (VA) AND RAILROAD (RR) INCOME

FROM: KIM EVANS, DIRECTOR

SUBJECT: 2023 FAMILY MO HEALTHNET (MAGI) COST OF LIVING ADJUSTMENT (COLA) FOR VETERANS ADMINISTRATION (VA) AND RAILROAD (RR) INCOME

 

DISCUSSION:

Effective January 2023, VA and RR participants will receive an 8.7% COLA. System updates will be made the weekend of December 10, 2022. 

Note: The Families First Coronavirus Response Act of 2020 (FFCRA) requires that MO HealthNet (MHN) coverage for individuals be maintained at the same level or better for the duration of the COVID-19 Public Health Emergency (PHE). The eligibility system will not reduce or end MHN coverage due to the COLA changes until the PHE is ended and a review of the case has been completed.

 

Cases Adjusted

Cases that include income types VA and/or RR benefits in the eligibility system are subject to an automatic increase of 8.7% for those income types. The eligibility system will end date the previous income and add a new piece of income evidence that reflects the adjusted income amount.

Note: Actions to reduce benefits will not be taken until the COVID-19 PHE has ended and a review of the case has been completed.

 

Cases That Did Not Adjust

Some cases will not adjust during the COLA. These cases will require manual intervention from staff to add the increased income amounts. As cases are reviewed, check the income on each case to determine if the current income is entered. Update and verify income as required using established procedures.

 

Notices

For case updates made as a result of COLA, the eligibility system will finalize the decision(s) and send out the appropriate notices.

Note: Adverse Action notices will not be issued until the COVID-19 PHE has ended and a review of the case has been completed.

 

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/kg

IM-141 REVISED BREAST AND CERVICAL CANCER TREATMENT MO HEALTHNET APPLICATION (IM-1BC)

FROM: KIM EVANS, DIRECTOR

SUBJECT: REVISED BREAST AND CERVICAL CANCER TREATMENT MO HEALTHNET APPLICATION (IM-1BC)

FORM REVISION #
IM-1BC

 

DISCUSSION:

The IM-1BC is used by Show Me Healthy Women providers to assist participants applying for Breast and Cervical Cancer Treatment coverage.

The IM-1BC was revised to use updated terms and remove outdated information. The IM-1BC has a revision date of 10/2022. Providers should begin using the updated form with a 10/2022 revision date immediately, but outdated forms may still be accepted as valid applications through 1/31/2023.

The IM-1BC is available in the public and internal forms manuals.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using the revised form (10/2022) immediately.
  • Discard outdated forms.
  • Provide updated form to community partners.

 

 

 

KE/cj

 

IM-139 CRYPTOCURRENCY AND DIGITAL CURRENCIES FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AND MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD)

FROM: KIM EVANS, DIRECTOR

SUBJECT: CRYPTOCURRENCY AND DIGITAL CURRENCIES FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AND MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD)

MANUAL REVISION #
1030.015.10
1110.000.00
1110.025.00

 

DISCUSSION:

Policy for cryptocurrency and digital currencies has been added to the SNAP and December 1973 Eligibility Requirements Manuals. These currencies should always be explored when discussing income and/or liquid resources. A Request for Clearance (IM-14) should be submitted for case-specific clarification for Temporary Assistance and/or other combination cases.

Cryptocurrencies and digital currencies should be valued using the U.S. Dollars (USD) price listed on the exchange where the currency is stored or traded. The rate listed on the exchange is for one unit of crypto currency/digital currency and will need to be multiplied by the total units held.

  • If Bitcoin (or any other digital currency) is purchased or held on the “Coinbase” exchange, use the rate listed on that exchange provided by the participant.
  • If the digital currency is not held on an exchange, staff should utilize Coinranking.com and use the 30 day average of the currency’s value for the resource amount.

 

 

Example: Hillari owns 10 units of XRP digital currency. The above screen from Coinranking.com gives the USD conversion over a 30 day time period for one unit of XRP as $0.3910, making the calculations as follows:

    • 10 XRP units x $.03910/unit = $0.39 total units held value

 

When verifying these liquid resources:

  • Document the website used to determine the value of the cryptocurrency/digital currency;
  • Note the exact exchange rate at the time of the interview or the calculations used to get a 30 day average;
  • Document the amount of cryptocurrency and/or digital currency the household owns; and
  • If obtainable, submit a screenshot of the exchange site the participant is using to the Electronic Content Management (ECM) system.

If the participant is able to show digital currency amounts through a digital currency ledger, submit a copy (if able) to the (ECM. Self-attestation may be permitted if unable to show an account ledger.

When entering in the eligibility system, code as a liquid resource on the Select Financial Resource (SELFRES/FMWB) screen. Use savings as the type and add a comment explaining the findings.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

KE/se

IM-137 INTRODUCING A NEW FORM AND REVISED FORMS FOR MO HEALTHNET (MHN) PARTICIPANTS WHO ARE INCARCERATED AND SUSPENDED

FROM: KIM EVANS, DIRECTOR

SUBJECT: INTRODUCING A NEW FORM AND REVISED FORMS FOR MO HEALTHNET (MHN) PARTICIPANTS WHO ARE INCARCERATED AND SUSPENDED

FORM REVISION #
IM-150
IM-151
IM-152
IM-153

 

DISCUSSION:

When MHN participants are incarcerated, benefits must be suspended. If an incarcerated participant goes to the hospital or other medical facility where they are admitted for an inpatient period of more than 24 hours, the suspended benefits are restored. When an incarcerated participant is released, the suspended benefits are redetermined and restored.

Family Support Division (FSD) has several existing forms that are used in the course of work for suspended participants. These forms have been revised as explained below:

  • Suspending Incarcerated Participants (IM-150)
    • Revised form name
    • Provided new email address for submitting the form
    • Added fields:
      • to indicate that a new application was submitted
      • for DOC/Offender ID
      • for reporter’s contact information details.
  • Inpatient Coverage for Incarcerated Participants (IM-151)
    • Updated the email address for submitting the form
    • Added fields to indicate that a new application was submitted
  • Restoring a Suspended Participant Change Report (IM-152)
    • Revised form name
    • Provided new email address for submitting the form
    • Added fields for:
      • DOC/Offender ID
      • Additional contact information
      • Additional pregnancy details
      • The report’s contact information details.

A new form, Applying for Incarcerated Participants in Department of Corrections (IM-153) was created specifically for new applicants who are being assisted by Department of Corrections (DOC) staff and/or their medical provider, Centurion. Participants assisted by DOC or Centurion are managed by a specialized unit and the coversheet is used to identify these participants.

If any of these forms are received by staff, notify the specialized unit by sending an email to FSD.SuspendedDOC@dss.mo.gov. The email should include:

  • Subject line: Incarceration information received
  • The participant’s name
  • The participant’s DCN
  • What was received and when
  • Any other relevant information

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/cj

 

IM-135 UPDATE TO CROWDFUNDING EXAMPLE FOR MODIFIED ADJUSTED GROSS INCOME (MAGI) METHODOLOGY

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATE TO CROWDFUNDING EXAMPLE FOR MODIFIED ADJUSTED GROSS INCOME (MAGI) METHODOLOGY

MANUAL REVISION #
1805.030.20.10

 

DISCUSSION:

MAGI manual section 1805.030.20.10 Income Excluded Under MAGI has updated examples to clarify when the income from a crowdfunding event is considered countable or excluded in the MAGI budget.

 

NECESSARY ACTION:

  •  Review this memorandum with appropriate staff.

 

 

 

KE/ams

IM-129 OCTOBER SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MASS ADJUSTMENT FY2023

FROM: KIM EVANS, DIRECTOR

SUBJECT: OCTOBER SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MASS ADJUSTMENT FY2023

MANUAL REVISIONS #
0815.030.10.10.10
1105.015.04.05
1110.005.00
1115.035.05
1115.035.25
1115.035.25.15
1115.035.25.40
1115.099.00
1130.035.15
1135.010.07.05
1140.005.46
1140.020.00
Appendix B
Appendix J

 

DISCUSSION:

The SNAP Mass Adjustment will go into effect for all applicants and participants as of October 1, 2022.

During the SNAP Mass Adjustment income maximums, resource maximums, utility standards and deductions are updated to reflect changes based on the cost of living. Policy sections were updated along with the following documents:

 

Updates to the Maximums, Utility Standards and Deductions:

Allotment Types Allotment Amounts
Standard Deductions  1-4 Household Members          $193
 5 Household Members             $225
 6+ Household Members           $258
Utility Standards  SUA                                       $441
 NHCS                                     $347
 LUA                                       $142
 Telephone                              $71
Excess Shelter Deduction $624
Homeless Standard Deduction $166.81
Standard Medical Deduction $170
Gross (130%) Maximum Increased
Net (100%) Maximum Increased
FPL (165%) Maximum* Increased

Update to Threshold for Change Reporting: The threshold for reporting required changes for a SNAP household remains at $125.

Update to the Resource Limit: The resource limit changed from $3,750 to $4,250 for households with at least one elderly or disabled member and from $2,500 to $2,750 for all other households.

Update to the threshold for reporting substantial lottery or gambling winnings: Increased from $3,750 to $4,250.

Notices: All households with an allotment increase or decrease will be sent a FA-150 Action Notice dated September 27, 2022. The notice informs the household of the following:

  • The Standard Deduction and Excess Shelter Maximums have changed.
  • The Utility Standard Allowances have changed.
  • The household SNAP allotment for October has changed.

Fair Hearing Request: When a fair hearing is requested, follow current fair hearing request procedures.

Conflict of Actions: FAMIS will adjust active SNAP cases during the mass adjustment, even if the case has a pending adverse action. A conflict of action is created if there is a pending adverse action when the mass adjustment is completed. Staff should void the pending adverse action and process the mass adjustment adverse action following these steps:

  1. Void the first (pending) adverse action on the Action Resolution (FM50 or ACTRES) screen.
  2. Complete the eligibility determination on the Eligibility Determination Resolution screen (FM3Y or EDRES).
  3. Authorize the new action, even if the action is a benefit reduction or closing.

Cases Not Adjusted: Pending applications and cases with pending changes cannot be adjusted during the mass adjustment and require staff to take action. When staff complete the appropriate action, the case will be automatically adjusted.

The following are examples of cases not adjusted:

  • Expedited households that are active with postponed verification (APV status).
  • Any household with an incomplete eligibility determination, such as when there is insufficient data (ISD).
  • Any household in the controlled flow.
  • If an unacceptable or blank verification code is entered for a program element.
  • Any household with pending verification.

MO HealthNet for the Aged, Blind, and Disabled (MHABD):
The SUA or the telephone standard is used in calculating the Community Spouse (CS) allotment for vendor cases. This calculation is completed by the eligibility system based on the shelter expenses and utility standards entered by staff. The MHABD manual has been updated to reflect the new standards in Appendix B, Appendix J, and 0815.030.10.10.10 Determining Allotment to the Community Spouse.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/ks

IM-128 UPDATED AGED, BLIND, AND DISABLED SUPPLEMENT (IM-1ABDS)

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATED AGED, BLIND, AND DISABLED SUPPLEMENT (IM-1ABDS)

FORM REVISION #
IM-1ABDS
IM-1ABDS (Spanish)
IM-1ABDS (Large Print)

 

DISCUSSION:

The IM-1ABDS has been updated for clarity and to request additional information needed by Family Support Division (FSD) staff to complete an eligibility determination for MO HealthNet for the Aged, Blind, and Disabled (MHABD) programs.

Changes to the IM-1ABDS include:

  • Updated instructions advising that applicants under the age of 18 years old must also include their parent’s information.
  • Added fields for the name of the participant and spouse, Departmental Client Number (DCN), Social Security number, and date of birth.
  • Updated all questions to clarify that information is requested for the applicant and their spouse.
  • Updated all questions to have consistent Yes or No responses.
  • Added fields identifying household members receiving Social Security Disability, Supplemental Security Income, or neither.
  • Added a field identifying household members requesting assistance to pay their Medicare premiums.
  • Added a field to provide a nursing home or residential care facility’s address.
  • Added fields to provide shelter expense amounts.
  • Moved the question about household members who are blind/visually impaired to appear immediately above the Blind Pension (BP) and Supplemental Aid to the Blind (SAB) declaration questions.
  • Added a field for BP/SAB participants to provide their doctor’s information.
  • Added additional fields to list assets.
  • Updated question regarding life insurance and prepaid burial policy.
  • Added a field for additional information.
  • Added information regarding how to return the form to FSD.

The revised IM-1ABDS shows a revision date of 8/2022. The IM-1ABDS with a revision date of 7/2021 is now obsolete. The obsolete form may still be accepted as valid, but staff should begin using the revised form and encourage community partners to do the same.

The updated IM-1ABDS is available in large print (IM-1ABDS-LP) and Spanish [IM-1ABDS (Spanish)] for participant and staff use. The IM-1ABDS, IM-1ABDS-LP, and IM-1ABDS (Spanish) have been updated in the public forms manual and the internal forms manual.

The IM-1ABDS and IM-1ABDS (Spanish) can be ordered by designated staff from the E-store.

The online Aged, Blind, and Disabled Supplement form has been edited to reflect the changes made to the IM-1ABDS.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Discard and destroy blank IM-1ABDS forms with 7/2021 revision date.
  • Begin using IM-1ABDS with 8/2022 revision date immediately.
  • Share with community partners and contacts.

 

 

 

KE/cj

 

IM-127 UPDATES TO MO HEALTHNET POLICY REGARDING CERTAIN NATIVE AMERICAN (INDIAN) TRIBAL PROPERTIES AND INCOMES

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATES TO MO HEALTHNET POLICY REGARDING CERTAIN NATIVE AMERICAN (INDIAN) TRIBAL PROPERTIES AND INCOMES

MANUAL REVISION #
0805.015.10
1035.005.05.05
1805.030.20.10

 

DISCUSSION:

A new section, 1035.005.05.05 Native American (Indian) Tribal Lands and Property, is added to the December 1973 Eligibility Requirements Manual. This section describes treatment of certain tribal lands and other properties and incomes derived from those lands and properties.

Section 0805.015.10 Income Exclusions in the MO HealthNet for the Aged, Blind, and Disabled (MHABD) Manual is updated to exclude certain Native American incomes and to align with Family MO HealthNet (MAGI) policy section 1805.030.20.10 Income Excluded Under MAGI.

Information is added to both updated sections above to explain that payments issued to individual members of a tribe on a per capita basis, such as casino profits, are countable income in the month received.

 

NECESSARY ACTION:

  •  Review this memorandum with appropriate staff.

 

 

 

KE/ers

IM-125 APPLICATION PROCESSING POLICY REVISIONS FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAMS

FROM: KIM EVANS, DIRECTOR

SUBJECT: APPLICATION PROCESSING POLICY REVISIONS FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAMS

MANUAL REVISION #

0105.005.00 obsolete 0105.040.15 obsolete  0804.005.00
0105.010.00 obsolete  0105.040.20 obsolete  0804.010.00
0105.015.00 obsolete  0105.040.25 obsolete 0804.015.00
0105.030.00 obsolete 0105.040.30 obsolete  0804.020.00
0105.035.00 obsolete  0105.045.00 obsolete 0804.025.00
0105.040.00 obsolete 0105.045.05 obsolete 0835.000.00 obsolete
0105.040.10 obsolete 0804.000.00 0835.010.00 obsolete

 

 

DISCUSSION:

Application policy for MHABD has been revised as MO HealthNet (MHN) uses a single streamlined application and most application policies apply to all MHN programs.

A new section was created in the MHABD Manual, 0804.000.00 – Application Processing that explains which application policies apply to all applications and provides links to existing policy in the Family MO HealthNet (MAGI) Manual. This policy section also provides links to new MHABD policy sections that provide information for MHABD specific policy.

New MHABD specific policies include:
0804.005.00 – MHABD Application Timeframes
0804.010.00 – Voluntary Withdrawal
0804.015.00 – Rejection before the End of the Timeframe
0804.020.00 – Canceling a Rejection
0804.025.00 – MO HealthNet Application Concurrent with MHABD Cash Programs

The MHABD Manual has been revised to obsolete 0835.000.00 Application Timeframes for MO HealthNet for the Aged, Blind, and Disabled Programs as this information is now available in 0804.005.00 Application Timeframes. Section 0835.010.00 Canceling a Rejection has been revised and renumber and is now located at 0804.020.00 Canceling a Rejection.

The General Information Manual, Application Processing Manual (excluding SNAP, Family MO HealthNet Programs, Temporary Assistance, & Child Care) has numerous sections that are now obsolete. All relevant policy information has been replaced by the new MHABD policy sections above, or has been identified as following existing MAGI policy.

Obsolete sections:
0105.005.00 – Requests for Assistance
0105.010.00 – Signing the Application
0105.015.00 – Dating the Application
0105.030.00 – Voluntary Withdrawal of Application
0105.035.00 – Notification of Application Decision
0105.040.00 – Specialized Application Procedures
0105.040.10 – Re-Applications
0105.040.15 – Death After Application
0105.040.20 – Application for Deceased Persons
0105.040.25 – MO HealthNet Application Concurrent with Cash Programs
0105.040.30 – MO HealthNet Application for Inmates in Custody of Department of Corrections
0105.045.00 – Delays in Processing IM Applications
0105.045.05 – Reasons for Delay of Application Processing

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

 

 

 

KE/cj