Category: MoHealthNet Home

IM-103 INCOME MAINTENANCE (IM) APPLICATIONS TRANSLATED TO DARI AND PASHTO LANGUAGES

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  INCOME MAINTENANCE (IM) APPLICATIONS TRANSLATED TO DARI AND PASHTO LANGUAGES

FORM REVISION #
FS-1 DARI
FS-1 PASHTO
IM-1SSL DARI
IM-1SSL PASHTO
IM-1TA DARI
IM-1TA PASHTO

 

DISCUSSION:

Several commonly used applications for Family Support Division (FSD) IM programs have been translated to the Dari and Pashto languages to assist in the application process for Afghan refugees that are resettled in Missouri.

The applications can be accessed from the DSS Manuals Forms Manual and should be provided to applicants and community partners upon request.

Translated applications are:

When applications are received from participants, responses and information may need to be translated to English for processing. Send the application and any other attached verification that needs translated to the appropriate program email:

The translated application will be returned by email to the staff that requests the translation. Staff should receive translated documents within 1-2 business days, but times may vary depending on volume.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Staff should send the applications to participants upon request and have available for access in FSD Resource Centers.
  • Staff should send submitted applications that require translation to the appropriate program email address.

 

KE/cj

IM-102 OCTOBER SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MASS ADJUSTMENT

Posted on

FROM:  KIM EVANS, DIRECTOR

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

MANUAL REVISION #
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
1135.010.07.05
1140.020.00
Appendix B
Appendix J

 

DISCUSSION:

The October SNAP Mass Adjustment occurred over the weekend of September 11, 2021. All policies and updated information will go into effect for all applicants and participants as of October 1, 2021.

The following issues are related to the mass adjustment:

  • Updates to the Maximums, Utility standards and Deductions
  • Update Process
  • Decreased Benefits or Case Closings
  • Conflict of Actions
  • Cases Not Adjusted
  • Notices
  • Fair Hearing Requests
  • Manual Revisions

Updates to the Maximums, Utility Standards and Deductions

The following updates were made during the mass adjustment:

Allotment Types

 Allotment Amounts
Standard Deductions 1-3 Household Members   $177
4 Household Members   $184
5 Household Members   $215
6+ Household Members   $246
Utility Standards SUA   $415
NHCS   $327
LUA   $134
Telephone    $67
Excess Shelter Deduction $597
Homeless Standard Deduction $159.73
Standard Medical Deduction $170
Gross (130%) Maximum Increased
Net (100%) Maximum Increased
FPL (165%) Maximum* Increased

*These maximums are used to determine if a household whose members are elderly, live with others and are unable to purchase and prepare food due to a disability are eligible as a separate household for SNAP Benefits. The SNAP Manual Section 1105.015.04.05 has been updated with the new chart.

Update to Threshold for Change Reporting

The threshold for reporting required changes for a SNAP household has increased from $100 to $125.

Update to the Resource Limit

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

Update Process

The Food Stamp Budget Summary (FM4A) screen and the Worker Initiated Budget Calculation Area – WIBCA (FMXN) are updated with the new amounts.

After the eligibility determination is run during the mass adjustment, the following actions on active SNAP cases may be displayed in FAMIS, depending on the action taken during the mass adjustment:

Action EU Log (FM40) Displays Date Benefit Month
Increase INCR 09/11/2021 102021
No Change NOCH 09/11/2021 102021
Reduction REDU 09/11/2021 102021

The reason field on the Action Authorization (FM3H) screen displays TUA – Table Update Adjustment (system) for the mass adjustment.

Decreased Benefits or Case Closings

Households with cases that have an allotment decrease and those whose case is closing will receive an FA-150 Action Notice.

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.

Refer to FAMIS user guide Changing An Adverse Action Status for instructions.

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.

Notices

All households with an allotment increase or decrease will be sent an FA-150 Action Notice dated September 29, 2021. 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.

Staff may view the FA-150 on the Document Queue (FMVM) screen in FAMIS.

Fair Hearing Request

If the household requests a fair hearing for SNAP, the agency should follow the current process in your local office for hearing requests.

The following information has been revised on the intranet:

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 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-101 OBSOLETE MO HEALTHNET GATEWAY TO BETTER HEALTH APPLICATION (IM-1MAGW)

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  OBSOLETE MO HEALTHNET GATEWAY TO BETTER HEALTH APPLICATION (IM-1MAGW)

MANUAL REVISION #
1600.000.00

 

DISCUSSION:

Effective October 1, 2021, the IM-1MAGW is obsolete and cannot be accepted as a valid MO HealthNet application. Gateway to Better Health (GTBH) applicants must apply using the Application for Health Coverage & Help Paying Costs (IM-1SSL).

All applicants will have a Family MO HealthNet (MAGI) and Adult Expansion Group (AEG) eligibility determination completed and screened for MO HealthNet for Aged, Blind, and Disabled (MHABD) before exploring GTBH benefits. The Gateway to Better Health manual section, 1600.000.00 Gateway To Better Health, now references the IM-1SSL as the appropriate application for GTBH applicants.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Staff should immediately discard any IM-1MAGW applications and begin using the IM-1SSL for all MO HealthNet applicants.

 

KE/cj

IM-96 CROWDFUNDING FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAM

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  CROWDFUNDING FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAM

MANUAL REVISION #
1025.015.20

 

DISCUSSION:

Crowdfunding policy has been added to the MO HealthNet (MHN) December 1973 Eligibility Requirements manual in the Cash and Securities Section. This addition to the manual provides guidance regarding how crowdfunding is counted for MHABD programs.

Once crowdfunding income has been verified, it is counted as income in the month received and as a resource in the following month and ongoing. If only a portion of the account is available to the participant in recurring lump sum payments, this will need to be evaluated to determine the frequency and duration of the income.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/st

IM-95 INTRODUCING NEW MO HEALTHNET ADULT EXPANSION GROUP (AEG) POLICY

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  INTRODUCING NEW MO HEALTHNET ADULT EXPANSION GROUP (AEG) POLICY

MANUAL REVISION #
1802.000.00
1805.005.00
1805.030.00
1850.040.20
1855.030.15
1865.000.00
1865.010.00
1865.020.00
1865.030.00
1865.030.10
1865.040.00
1865.040.10
1865.050.00
1885.005.00
Appendix A
Appendix K

 

DISCUSSION:

Introducing a new MO HealthNet (MHN) program, the Adult Expansion Group (AEG), for adults aged 19 to 64. On August 4th, 2020, Missouri voters passed a constitutional amendment to expand Medicaid to this population of individuals. The expanded program is effective July 1, 2021 and utilizes the Missouri Eligibility Determination and Enrollment System (MEDES).

The Family MO HealthNet (MAGI) Manual has been updated to add Chapter 1865.000.00 Adult Expansion Group, which contains the following new AEG policy sections:

To be eligible for AEG, the participant must meet eligibility requirements. These requirements include but are not limited to:

  • aged 19 to 64
  • income at or below 133% of the Federal Poverty Level
  • not pregnant
  • not entitled to or enrolled in Medicare Part A or B
  • not receiving SSI, and
  • ineligible for all mandatory category programs

In addition, Chapter 1805.000.00 Eligibility and Verification must be followed when determining eligibility.

Manual sections 1802.000.00 Applications, 1805.005.00 Resident of Missouri, 1805.030.00 MAGI Methodology, 1885.005.00 Age Out, 1850.040.20 Postpartum Benefit, 1855.030.15 Coverage for the Mother after Birth of the Child, and Appendix A have been updated to include the AEG program.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Use MAGI Appendix A with a revision date of 09/2021.

 

KE/ams

IM-94 REVISIONS TO MEDICAL REVIEW TEAM PACKET TO DETERMINE DISABILITY

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  REVISIONS TO MEDICAL REVIEW TEAM PACKET TO DETERMINE DISABILITY

FORM REVISION #
IM-61MRT

 

DISCUSSION:

Revisions were made to the Medical Review Team Packet to Determine Disability (IM-61MRT) to add a blank page after the coversheet. This will allow the forms in the packet to print 2-sided without separating pages of related forms.

The updated form is in the Department of Social Services (DSS) Manuals Forms Manual.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Use IM-61MRT with a revision date of 9/2021.

 

KE/cj

 

IM-93 AUTOMATIC SECOND REQUEST FOR INFORMATION (FA-325) ELIMINATED FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP), TEMPORARY ASSISTANCE (TA), AND MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) APPLICATIONS

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  AUTOMATIC SECOND REQUEST FOR INFORMATION (FA-325) ELIMINATED FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP), TEMPORARY ASSISTANCE (TA), AND MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) APPLICATIONS

MANUAL REVISION #
0105.045.00
0110.000.00

 

DISCUSSION:

Eligibility system updates were completed on 09/05/2021 to no longer automatically send a second Request for Information (FA-325) on SNAP, TA, and MHABD applications. The General Information section of the Income Maintenance (IM) Manual has been updated to reflect this change.

Applicants will be mailed one initial request during the application process. Staff must send a second FA-325 in the following situations:

  • The applicant provided part, but not all, of the information requested on the original FA325,
  • The applicant has provided the information requested but it is insufficient to be used in determining eligibility, or
  • The applicant has shown a good faith effort in obtaining the information but has requested more time.

When sending a second FA-325 is necessary, all requests should be clear enough for the applicant to determine exactly what is needed or why previously submitted information is insufficient.

A second FA-325 is not required and should not be sent in the following situations:

  • The applicant does not respond to the initial FA-325.
  • The applicant returns information, but it is not what was requested.
    • Example: Pay stubs are requested from the applicant. The applicant does not return pay stubs but instead provides a rent receipt.

NOTE: Information requiring staff to send two FA-325s, in all situations, before rejecting an MHABD application (in IM Memorandum #158 dated 12/14/2017) is now obsolete.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/nw

IM-92 UPDATE TO THE HOME AND COMMUNITY BASED SERVICES REFERRAL FORM

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  UPDATE TO THE HOME AND COMMUNITY BASED SERVICES REFERRAL FORM

FORM REVISION #
IM-54A

 

DISCUSSION:

The Home and Community Based Services Referral form (IM-54A) has been updated.

Revisions include the following:

  • Contact information for the Family Support Division (FSD) Home and Community Based Services (HCB) Unit has been updated.
  • Instructions for sending HCB referrals to the Department of Health and Senior Services. Contact information has been updated.

FSD staff must continue using existing processes to refer requests for assistance with HCB services to the HCB Processing Center.

Referral processes are discussed in:

Begin using the updated IM-54A effective immediately.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Destroy all previous versions of the Home and Community Based Services Referral (IM-54A) form.

 

KE/rr

IM-90 INTRODUCING NEW MEDICAL REVIEW TEAM PACKET (IM-61MRT), UPDATING DISABILITY DETERMINATION FORMS, AND OBSOLETING THE MO HEALTHNET AGED, BLIND, AND DISABLED APPLICATION APPENDICES

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  INTRODUCING NEW MEDICAL REVIEW TEAM PACKET (IM-61MRT), UPDATING DISABILITY DETERMINATION FORMS, AND OBSOLETING THE MO HEALTHNET AGED, BLIND, AND DISABLED APPLICATION APPENDICES

FORM REVISION #
IM-61MRT
IM-61B
IM-61D

 

DISCUSSION:

Introducing IM-61MRT

A new forms packet has been created for MO HealthNet for the Aged, Blind, and Disabled (MHABD) disability determinations. The Medical Review Team Packet to Determine Disability (IM-61MRT) contains many of the forms that are necessary for Family Support Division staff to request medical records, schedule evaluations, and make a disability determination during the Medical Review Team (MRT) process.

The IM-61MRT packet includes:

  • Disability History (IM-61B)
  • Work History (IM-61C)
  • Provider History (IM-61D)
  • Authorization for Disclosure of Consumer Medical/Health Information (MO 650-2616)

Updating Disability Determination Forms

Two of the forms used during the MRT process were updated for clarity and to improve the disability determination process.

The IM-61B has been renamed Disability History (previously Disability Questionnaire) for consistency with other forms used for disability determinations.

The IM-61D has been renamed Provider History (previously Hospitals, Medical Facilities and Physicians Seen within the Past Year). The form requests information for any medical providers the participant has seen in the last five (5) years. This change is to gather a more thorough medical history for the MRT process.

Obsolete MHABD Application Appendices

The MHABD application appendices are now obsolete. Any unused forms in offices should be destroyed.

The forms that were included in the appendices can be accessed individually in the Department of Social Services (DSS) Manuals Forms Manual:

  • Disability History (IM-61B)
  • Work History (IM-61C)
  • Provider History (IM-61D)
  • Authorization for Disclosure of Consumer Medical/Health Information (MO 650-2616)
  • Declaration and Assessment of Assets (IM-78)
  • Appointing an Authorized Representative (IM-6AR)
  • Authorization for Release of Medical/Health Information Nursing facilities, In-Home Nursing Care Providers, and Other Providers of Medical Services (IM-6NF)

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/cj

IM-89 2021 POVERTY INCOME GUIDELINES FOR FAMILY MO HEALTHNET (MAGI) PROGRAMS EXTENDED

Posted on

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  2021 POVERTY INCOME GUIDELINES FOR FAMILY MO HEALTHNET (MAGI) PROGRAMS EXTENDED

MANUAL REVISION #
Appendix A

 

DISCUSSION:

The MAGI income guidelines in Appendix A which posted April 1, 2021 have been extended through March 31, 2022. The updated Appendix A can be found in the Family MO HealthNet (MAGI) Manual.

 

NECESSARY ACTION:

Review this memorandum with appropriate staff.

 

KE/bl