Category: MoHealthNet Home

FROM:  REGINALD E. McELHANNON, ACTING DIRECTOR

SUBJECT: LOSS OF TRANSITIONAL MO HEALTHNET (TMH) ELIGIBILITY AND SUSPENDED TMH UPDATES

MANUAL REVISION #
1820.050.30
1820.050.40

DISCUSSION:

The purpose of this memorandum is to advise staff of updates to sections 1820.050.30 Loss of TMH Eligibility after First Six Months and 1820.050.40 Suspended TMH Eligibility in Second Six Month Period of the Family Healthcare Manual – MAGI.

The following has been updated:

• If the second quarterly report is not returned by the 21^st day of the 7^th month, the parent/caretaker relative will be suspended on the 1^st day of the 8^th
• If the third quarterly report is not returned by the 21^st day of the 10^th month, the parents/caretaker relative will be suspended on the1^st day of the 11^th
• Manual processes have been removed due to system functionality.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

RM/al

FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  OBSOLETE FAMIS MANUAL SECTIONS

MANUAL REVISION #

0910.000.00-0910.055.055

DISCUSSION:

The purpose of this memorandum is to announce that the following sections of the FAMIS Manual are now obsolete:

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

PL/df

FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  MAGI MANUAL UPDATES TO MO HEALTHNET FOR PREGNANT WOMEN (MPW) PRIOR QUARTER

MANUAL REVISION #19

1850.030.00

DISCUSSION:

MAGI manual section 1850.030.00 Prior Quarter (PQ) has been revised to add clarification regarding prior quarter coverage for MO HealthNet for Pregnant Women (MPW) participants.  The updates include information on the following:

• When an applicant requests coverage for all three months and is found ineligible for some months; or
• When an applicant does not request coverage for all three PQ months

NOTE:  Although staff may see different ME codes from one PQ month to another, the MPW coverage is still the same.

Policy has not changed regarding prior quarter eligibility.  A participant who requests and is eligible for MPW in the prior quarter may receive specific months of coverage based on eligibility and the months requested.

NECESSARY ACTION:

• Review this memorandum and manual revision with appropriate staff.

PL/kp

FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  TITLE V INCOME FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD)         

DISCUSSION:

Title V income was incorrectly excluded from income for MHABD determinations made in FAMIS.  This has been corrected.  Effective January 27, 2019, FAMIS will begin counting earned income coded as Title V Green Thumb (GT) for all MHABD determinations.

Manual section 0805.015.10 INCOME EXCLUSIONS is correct and does not list Title V as an excluded income source.

The FAMIS INCOME CODE CHART is incorrect and lists Title V as excluded for MHABD.  This will be corrected with a future update.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

PL/vb

FROM:  PATRICK LUEBBERING, DIRECTOR
SUBJECT:    UPDATES REGARDING AUTHORIZED REPRESENTATIVE INFORMATION THE FOR MO HEALTHNET FOR THE AGED, BLIND OR DISABLED (MHABD) PROGRAMS

                              MANUAL REVISION #59
                              0130.020.00 – 0130.040.00
                              0803.020.00 – 0803.020.10.30
                              1802.020.30 – 1802.020.45

DISCUSSION:

The purpose of this memorandum is to announce that changes have been made to the information regarding authorized representatives for the MHABD MO HealthNet programs.  The General Info manual sections regarding authorized representatives for MO HealthNet programs have been moved to the Medical Assistance for the Aged, Blind, and Disabled manual.  The following sections are obsolete and lined-out:

• 0130.020.00 AUTHORIZED REPRESENTATIVE(S) FOR MO HEALTHNET
• 0130.020.05 Legal Basis
• 0130.020.10 Appointment of an Authorized Representative
• 0130.020.15 Appointment of an Authorized Representative when there is a Spouse or Second Parent in the Eligibility Unit
• 0130.030.00 DURATION OF APPOINTMENT OF REPRESENTATIVE
• 0130.040.00 AUTHORIZED REPRESENTATIVE REVOCATION

Current policy for authorized representatives for MO HealthNet can be found at:

• 0803.020.00 AUTHORIZED REPRESENTATIVE(S) FOR MO HEALTHNET
• 0803.020.05 Legal Basis
• 0803.020.10 Appointment of an Authorized Representative
• 0803.020.10.10 Appointment of an Authorized Representative when there is a Spouse or Second Parent in the Eligibility Unit
• 0803.020.10.20 DURATION OF APPOINTMENT OF REPRESENTATIVE
• 0803.020.10.30 AUTHORIZED REPRESENTATIVE REVOCATION

The following information has been added to Section 0803.020.10 Appointment of an Authorized Representative:

• Authorized representative access to information the participant submitted to FSD online;
• Authorized representative access after the participant’s death to information regarding online interactions between the participant and FSD;
• A parent may not represent an MHABD participant who turns age 18 unless that participant:
  • appoints the parent as an authorized representative; or
  • the parent produces documents that show the parent is appointed by the court as guardian and/or conservator; or
  • the parent has the participant’s power of attorney.

NOTE:  Authorized representative policy links in the MAGI manual have been updated in the following sections:

• 1802.020.30 Signing by an Authorized Representative
• 1802.020.45 Signing on Behalf of a Deceased Applicant

NECESSARY ACTION:

• Review this memorandum and new manual sections with appropriate staff.

PL/kp