Category: MoHealthNet Home

IM-123 DECEASED PERSONS AND DIGITAL ASSETS POLICY MOVED TO LEGAL ASPECTS MANUAL

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FROM: KIM EVANS, DIRECTOR

SUBJECT: DECEASED PERSONS AND DIGITAL ASSETS POLICY MOVED TO LEGAL ASPECTS MANUAL

MANUAL REVISION #
0105.040.23 – Obsolete
0130.005.05.35

 

DISCUSSION:

The General Information Manual provides information regarding various Legal Aspects that are applicable to all Family Support Division (FSD) programs.

A new section was created in Legal Aspects of the General Information Manual, 0130.005.05.35 Deceased Persons and Digital Assets. This section provides information for authorized individuals to access digital information after a participant’s death.

Previously, this information was available in Application Processes section 0105.040.23 of the General Information Manual. This section is now obsolete. Section 0130.005.05.35 provides the same information with updated links to current MO HealthNet authorized representative policy.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/cj

IM-121 INTRODUCING EMERGENCY MO HEALTHNET CARE FOR INELIGIBLE ALIENS (EMCIA) PROVIDER REQUEST FORM (IM-365P)

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FROM: KIM EVANS, DIRECTOR

SUBJECT: INTRODUCING EMERGENCY MO HEALTHNET CARE FOR INELIGIBLE ALIENS (EMCIA) PROVIDER REQUEST FORM (IM-365P)

FORM REVISION #
IM-365P

 

DISCUSSION:

A new form, Emergency MO HealthNet Care for Ineligible Aliens (EMCIA) Provider Request (IM-365P), was created for providers who are assisting ineligible aliens applying for MO HealthNet and requesting an EMCIA determination.

EMCIA provides health coverage for emergency medical care of aliens who meet all eligibility requirements for MO HealthNet except citizenship/alien status. The IM-365P allows providers to identify applicants who have had emergency medical care and could qualify for EMCIA coverage.

Providers should submit the IM-365P and any required medical records through the provider portal.

The IM-365P is available in the public and internal forms manuals.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/cj

 

 

IM-118 INTRODUCING THE APPLICATION FOR MEDICARE SAVINGS PROGRAMS (IM-1MSP)

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FROM: KIM EVANS, DIRECTOR

SUBJECT: INTRODUCING THE APPLICATION FOR MEDICARE SAVINGS PROGRAMS (IM-1MSP)

FORM REVISION #
IM-1MSP
IM-1MSP Large Print
IM-1MSP Spanish
IM-1QMB/SLMB – obsolete
IM-1QMB/SLMB Spanish – obsolete

 

DISCUSSION:

The Application for Medicare Savings for Qualified Beneficiaries or Specified Low-Income Beneficiaries (IM-1QMB/SLMB) has been renamed and revised. The IM-1MSP can be used by applicants to request assistance paying Medicare premiums.

The IM-1MSP has been revised to:

  • Refer to MSP which could include: Qualified Medicare Beneficiaries (QMB), Specified Low-Income Medicare Beneficiaries (SLMB), Qualifying Individuals (QI), and Qualified Disabled Working Individuals (QDWI).
  •  Remove outdated references to food stamp assistance.
  •  Provide updated return information for Family Support Division (FSD) including the upload portal, mailing address and fax number.
  •  Provide a fillable PDF application.
  •  Allow an electronic signature.
  • Simplify form fields and update language for consistency throughout the form and with other FSD forms.

The IM-1MSP has been converted to large print, IM-1MSP (Large Print). The IM-1MSP has also been translated and is available in Spanish, Solicitud para Programas de Ahorras de Medicare [IM-1MSP (Spanish)].

The IM-1QMB/SLMB and IM-1QMB/SLMB Spanish are now obsolete. FSD staff should begin using the IM-1MSP (7/2022) immediately and discard obsolete forms. Staff should share the revised IM-1MSP with community partners. The IM-1QMB/SLMB can be accepted as a valid application until 12/31/2022.

The IM-1MSP, IM-1MSP (Large Print), and IM-1MSP (Spanish) are available in the public and internal forms manuals. The IM-1MSP is available for authorized staff to order from the E-Store.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  •  Begin using IM-1MSP immediately.
  • Discard all obsolete forms.

 

 

KE/cj

 

IM-115 CORRECTION TO APPENDICES A AND D IN THE FAMILY MO HEALTHNET (MAGI) MANUAL

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FROM: KIM EVANS, DIRECTOR

SUBJECT: CORRECTION TO APPENDICES A AND D IN THE FAMILY MO HEALTHNET (MAGI) MANUAL

MANUAL REVISION #
APPENDIX A
APPENDIX D

 

DISCUSSION:

Appendices A and D in the MAGI manual are updated to correct a typographical error on the 153% Federal Poverty Level (FPL) row.

 

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

 

 

 

KE/ers

IM-110 MILEAGE REIMBURSEMENT RATE INCREASE FOR ALL INCOME MAINTANENCE (IM) PROGRAMS

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FROM: KIM EVANS, DIRECTOR

SUBJECT: MILEAGE REIMBURSEMENT RATE INCREASE FOR ALL INCOME MAINTANENCE (IM) PROGRAMS

FORM REVISION #
APPENDIX J

 

DISCUSSION:

The state mileage rate used to calculate expenses for all IM programs increased from $.49 per mile to $.55 per mile effective 07/01/2022. Use the rate of $.55 per mile when calculating mileage expenses.

Effective 7/25/2022, the eligibility system has been updated to reflect the rate increase. Appendix J of the MO HealthNet for the Aged, Blind and Disabled manual has been updated to reflect the change.

Note: Final approval for the increased rate was received after July benefits were created. Affected cases have been adjusted to reflect this change for July 2022 and notices will be generated.

 

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

 

KE/nw

IM-109 UKRAINIAN HUMANITARIAN PAROLEE GUIDANCE FOR ALL PROGRAMS

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FROM: KIM EVANS, DIRECTOR

SUBJECT: UKRAINIAN HUMANITARIAN PAROLEE GUIDANCE FOR ALL PROGRAMS

 

DISCUSSION:

Due to section 401 of the Additional Ukraine Supplemental Appropriations Act, 2022 (Public Law 117-128), Ukrainian individuals issued an immigration status of Humanitarian Parolee between February 24, 2022 and September 30, 2023 are considered Qualified Immigrants.

Effective May 21, 2022 these individuals are not subject to the five-year waiting period for MO HealthNet (MHN), Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance (TA) and Child Care (CC). If an individual was paroled and entered the United States between February 24, 2022 and May 21, 2022, their date of eligibility for MHN is February 24, 2022 and for SNAP, TA, and CC it is May 21, 2022. If they entered the United States after May 21, 2022, their date of eligibility is their date of humanitarian parole but they are eligible for prior quarter for MHN. Ukrainian parolees who previously applied and were denied benefits may reapply with eligibility determined from the date of reapplication or the corresponding prior quarter dates for MHN.

Ukrainian Humanitarian Parolees are treated like refugees and should be coded in eligibility systems as refugees. The following documentation and codes indicate that an immigrant is a Ukrainian Humanitarian Parolee:

• A form I-94 noting Humanitarian Parolee;
• Foreign passport with Department of Homeland Security / U.S. Customs and Borders (DHS/CBP) admission stamp noting Uniting for Ukraine (U4U);
• Foreign passport with DHS/CBP with a stamp admitting them as a Ukrainian Humanitarian Parolee (UHP);
• Foreign passport with DHS/CBP admission stamp noting Parolee (DT);
• A Form I-765 Employment Authorization Document (EAD) with code C11;
• A Form I-766 EAD with code C11; or
• A non-Ukrainian immigrant who last resided in the Ukraine, can be eligible if they provide one of the above documents AND documentation of their last habitual residence in Ukraine.

NOTE: Applications received for Humanitarian Parolees from the Ukraine must be sent to the FSD Refugee Unit at: FSDREFUGEE@ip.sp.mo.gov. Special entry is required to allow this population to be coded correctly. Do not process these applications.

 

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

 

KE/hrp

IM-108 REASONABLE OPPORTUNITY (RO) POLICY UPDATED FOR MO HEALTHNET (MHN) PROGRAMS

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FROM:  KIM EVANS, DIRECTOR

SUBJECT:  REASONABLE OPPORTUNITY (RO) POLICY UPDATED FOR MO HEALTHNET (MHN) PROGRAMS

MANUAL REVISION #
0810.015.00
1805.000.05
1805.015.00
1830.020.00
1805.000.05.05 obsolete

FORM REVISION #
IM-40

 

DISCUSSION:

RO policy for MHN programs is updated to align policy for MO HealthNet for the Aged, Blind, and Disabled (MHABD) and Family MO HealthNet (MAGI) programs, and to comply with federal regulations.

Changes to MAGI and MHABD policy can be found in section 1805.000.05 Reasonable Opportunity of the MAGI Manual.

  • RO periods are extended to 95 days to allow time for mail.
  • Require a signed attestation of citizenship or immigration status before granting an RO period. A signed application serves this purpose. A new form was also created to meet this need without an application (IM-40 Citizen/National/Eligible Immigrant Attestation), and can be located in the internal forms manual.
  • Allow RO for identity when identity is required for the purpose of verifying citizenship/eligible immigrant status (such as when the participant only provides a birth certificate.)
  • Include specific language on benefit approval letters when a participant’s coverage is approved pending verification of citizenship, nationality, or eligible immigrant status.
    • Changes to the eligibility systems to automate this process are pending. When the changes are complete, Program and Policy will issue an update.
      • Until the changes are complete, send a manual approval letter with the specific language to all participants approved while pending verification of citizenship, nationality, or eligible immigrant status. Refer to 1805.000.05 Reasonable Opportunity for specific language.
    • Save a copy of the manual letter in the electronic case record and document the letter.
  • Do not limit RO periods per participant.

EXAMPLE: Rita attested to citizenship on her application and was given a 95-day RO period to provide her birth certificate. She did not provide the document or request an extension so her coverage closed. She reapplied and was given another 95-day RO period.

1805.000.05.05 has been obsoleted in the MAGI manual.

1830.020.00 Prior Quarter (PQ) and 0810.015.00 Prior Quarter Coverage are updated to allow RO during PQ months, if ongoing coverage is approved.

1805.015.00 Social Security Number (SSN) contains an update for MAGI cases:

  • Do not allow an RO period for a Social Security Number (SSN).

EXCEPTION: Continue to allow an RO period for Newborns without an SSN.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Review FAMIS and MEDES Resources for related guides.

 

KE/ers

IM-107 NATIONAL CHANGE OF ADDRESS FLEXIBILITY APPROVED FOR MO HEALTHNET (MHN) PROGRAMS

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  NATIONAL CHANGE OF ADDRESS FLEXIBILITY APPROVED FOR MO HEALTHNET (MHN) PROGRAMS

MANUAL REVISION #
0890.005.00
1895.005.00                   

 

DISCUSSION:

The Centers for Medicare and Medicaid Services (CMS) has approved Missouri Department of Social Services (DSS) request to implement the following address change flexibility to promote retention of eligible MHN individuals. This flexibility will remain in effect through the Public Health Emergency (PHE) unwinding period.

Using the U.S. Postal Service (USPS) National Change of Address (NCOA) Database and USPS Returned Mail to Update Beneficiary Contact Information

Accept updated participant in-state contact information received from NCOA or USPS returned mail as reliable without additional confirmation from the participant. In-state address changes reported by NCOA or USPS returned mail should be updated without first sending a notice to the participant address on file.

Address changes due to the NCOA report will be handled by contracted staff.  Family Support Division (FSD) staff may see comments made by contracted staff in the eligibility system regarding an address change.  FSD staff continue to be responsible for returned mail showing an out of state address or indication that the participant is deceased.

The MO HealthNet for the Aged, Blind and Disabled manual section 0890.005.00 Unwinding the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (PHE) and the Family MO HealthNet (MAGI) manual section 1895.005.00 Unwinding the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (PHE) have been updated to add this memo.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/sh

IM-106 CORONAVIRUS DISEASE 2019 (COVID-19) PUBLIC HEALTH EMERGENCY (PHE) AND UNWINDING THE COVID-19 PHE MANUAL SECTIONS ADDED TO THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) AND FAMILY MO HEALTHNET (MAGI) MANUALS

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  CORONAVIRUS DISEASE 2019 (COVID-19) PUBLIC HEALTH EMERGENCY (PHE) AND UNWINDING THE COVID-19 PHE MANUAL SECTIONS ADDED TO THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) AND FAMILY MO HEALTHNET (MAGI) MANUALS

MANUAL REVISION #
0890.000.00
0890.005.00
1895.000.00
1895.005.00

 

DISCUSSION:

The MHABD and MAGI Manuals have been updated to add sections regarding the COVID-19 PHE and Unwinding the COVID-19 PHE. The COVID-19 PHE manual sections house links to related COVID-19 memos. Memos related to the COVID-19 unwinding period will be placed in the unwinding the COVID-19 PHE manual sections.

The following manual sections have been added:

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/sh

IM-105 FLEXIBILITIES APPROVED FOR FAMILY MO HEALTHNET (MAGI) APPLICATION PROCESSING

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: FLEXIBILITIES APPROVED FOR FAMILY MO HEALTHNET (MAGI) APPLICATION PROCESSING

 

DISCUSSION:

Effective immediately, the Centers for Medicare and Medicaid Services (CMS) has approved Missouri Department of Social Services’ request (DSS) to utilize the following flexibilities to simplify the processing of MO HealthNet (MHN) applications for MAGI programs.

These flexibilities are for MHN applications, including pending applications, received through the end of the public health emergency (PHE) unwinding period. Specific dates for the unwinding period will be determined once the PHE has ended.

1. Enrolling Parents Into Medicaid Based on Children’s Income Eligibility

Parents who have submitted an application for MHN will be considered income eligible for MAGI without further verification of income if:

• They have a child enrolled in MHN;
• The last determination of household income for the child is at or below 133% of the federal poverty level (FPL);
• The parent is in the child’s household; and
• The parent meets all other eligibility requirements for MAGI including but not limited to:

o Under age 65;
o Not pregnant;
o Not eligible for Medicare; and
o Meets Citizenship/Identity requirements (refer to MAGI manual section 1805.020.00 Citizenship and Immigrant Status).

2. Targeted Enrollment SNAP Strategy

Supplemental Nutrition Assistance Program (SNAP) participants who have submitted an application for MHN will be considered income-eligible for MAGI without further verification of income if:

• The participant is under 65;
• The participant’s gross income as determined by SNAP is under the applicable MAGI income standard; and
• The participant meets all other eligibility factors including but not limited to Citizenship/Identity requirements.

NOTE: Additional information regarding application processing with the flexibilities listed above will be released to staff in a separate email.

 

NECESSARY ACTION:

• Review this memorandum with appropriate staff.
• Review 1805.020.00 Citizenship and Immigrant Status on allowable documentation to verify citizenship and identity.

KE/sh