Category: MoHealthNet Home

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  SUPPLEMENTAL NURSING CARE (SNC) MANUAL CORRECTION
MANUAL REVISION #
0605.010.00

DISCUSSION:

The SNC manual section was missing instructions that clarified the actions necessary when an individual is found ineligible for SNC. Instructions have been added to section 0605.010.00 No change in process is necessary for staff.  FAMIS is programmed to explore eligibility for the additional programs as required.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

KE/vb

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  CORRECTION OF THE TELEPHONE NUMBERS AND ADDRESS ON THE IM-4 MO HEALTHNET FOR NURSING HOME CARE FLYER 

FORM REVISION #

IM-4 MO HealthNet for Nursing Home Care Flyer

DISCUSSION:

The purpose of this memorandum is to notify staff that phone numbers and an address on the IM-4 MO HealthNet for Nursing Home Care Flyer have been corrected.

• The previous address for the North Office was 601 W. Mohawk Rd, Chillicothe, MO 64601. This has been changed to PO Box 1080 Chillicothe, MO 64601.
• The North Office has a second phone number which is (660) 240-6460.
• The previous phone number for the Kansas City Office was (660) 259-2294. This has been changed to (660)-259-8013.
• The St. Louis Office does not have an extension on the phone number (573) 783-5596.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.
• Destroy any previous versions of this flyer.

KE/mc                           

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  ADOPTION SUBSIDY ADDED AS MAGI EXCLUDED INCOME

MANUAL REVISION #

1805.030.20.10                        

DISCUSSION:

The purpose of this memorandum is to correct manual section 1805.030.20.10 Income Excluded Under MAGI as per Memo IM-#28 from 5/11/2016.  Adoption Subsidy is now included on the list of Excluded Income. 

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

KE/df

FROM: KIM EVANS, DIRECTOR

SUBJECT: CORRECTION OF LINK IN THE BREAST AND CERVICAL CANCER TREATMENT MANUAL

MANUAL REVISION #
1305.025.05 

DISCUSSION:

The purpose of this memo is to correct a link in the Breast and Cervical Cancer Treatment manual. The link to a map of Show Me Healthy Women providers is found at: https://health.mo.gov/living/healthcondiseases/chronic/showmehealthywomen/providermap.php

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

KE/df

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  NET OPERATING LOSS AND CARRYOVER USED FOR INCOME CALCULATIONS FOR FAMILY MO HEALTHNET PROGRAMS

MANUAL REVISION #

1805.030.20.05

DISCUSSION:

The Internal Revenue Service (IRS) defines Net Operating Loss (NOL) as when deductions exceed your gross income for the year. This is most commonly used to refer to a business loss. When a tax filer has a NOL, they are allowed to claim this as a negative income. The negative income may be allowed to carry over for multiple years until the NOL is exhausted, following the guidance of the IRS and tax professionals.

This loss of income is shown on Form 1040, Schedule 1 as a negative amount listed on the “Other Income” line, Line 8.

Verification of this negative income requires a statement that includes:

• How the NOL was calculated,
• What year the NOL occurred and any deductions that have been claimed in previous years, and
• The amount of NOL that has not been exhausted.

EXAMPLE: Ms. McKee is self-employed. In 2010, she had a net operating loss with her business of $100,000. Each year she claims a portion of this loss as a negative income on her tax return. When she applied for MO HealthNet on January 16, 2020, she provided a copy of her 2019 tax return, her 2019 Schedule 1 showing a negative amount on “Other Income,” and a written statement regarding the NOL. The statement showed the amount she has claimed from the NOL each tax year since 2010. She provides a calculation from her tax professional showing that she claimed a $13,250 NOL negative income for her 2019 tax return.

For Family MO HealthNet Programs, using the Modified Adjusted Gross Income (MAGI) methodologies, participants who claim a NOL on their income tax return may use this as a negative income source, whether they are currently receiving self-employment income or not. The negative income can be claimed indefinitely until the NOL amount is exhausted, even if the self-employment income ends. This was added to the manual as an allowable income source, 1805.030.20.05 Income Included Under MAGI.

EXAMPLE: From the example above, if Ms. McKee still owns her self-employment business, she would be allowed a negative income amount included in her MAGI income calculation and also business expenses shown on her 2019 tax return.

EXAMPLE: From the example above, if Ms. McKee no longer owns her business, she would be allowed the NOL as a negative income to adjust the countable income from all other sources.

Staff should follow current procedures for entering negative income and should refer to MEDES Resources to make sure it is entered correctly. If a NOL was allowed and verified previously, staff must verify the amount for each year before allowing the negative income. The negative income amount can vary each year and once the NOL is exhausted, the negative income can no longer be allowed.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.
• Allow negative income calculations for applicable MAGI cases immediately.
• Send all questions through normal supervisory channels.

KE/cj

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  REVISION OF THE VENDOR COMMUNITY SPOUSE ALLOTMENT SECTION OF THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED MANUAL, AND UPDATE OF THE VENDOR WORKER INITIATED BUDGET CALCULATION AREA (WIBCA) FOR COMMUNITY SPOUSE ALLOTMENTS

MANUAL REVISION #

0815.030.10.10.10

DISCUSSION:

The purpose of this memorandum is to inform staff the MO HealthNet for the Aged, Blind, and Disabled manual section 0815.030.10.10.10 Determining the Allotment to the Community Spouse has been revised to correct a typographical error in a statement which now reads; “a utility expense need not be a major heating/cooling expense to qualify for a utility standard”, and to also inform staff of changes made in FAMIS to the WIBCA for a vendor community spouse allotment.

The Community Spouse Allotment Summary Screen/(FMHH) in WIBCA has been updated to reflect the correct utility allowance standards used when determining an allotment to a community spouse whose spouse is institutionalized and receiving vendor nursing home level of care.

Refer to the Allotment Information Screen FAMIS guide for steps when determining an allotment for approval month and ongoing. Refer to the Training Guide for steps on how to add a WIBCA for Prior Quarter after Authorization. Continue to follow standard practices and procedures for determining when a WIBCA is necessary. Appendix B contains the minimum and maximum maintenance standards. These are the amounts FAMIS uses to calculate the allotment by comparing these standards to the actual living expenses of the community spouse.  

Refer to the MO HealthNet for the Aged, Blind, and Disabled Manual section 0815.030.10.10 Allotments for additional information.  

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

KE/vm

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  REVISION OF THE LOOK BACK PERIOD FOR TRANSFERS OF PROPERTY OCCURING ON OR AFTER FEBRUARY 8, 2006

MANUAL REVISION #

1040.010.00

1040.015.25

DISCUSSION:

The purpose of this memorandum is to inform staff of manual revisions to Section 1040.010.00 and 1040.015.25 of the December 1973 Eligibility Requirements.

Revisions have been made to update the look back period as reflected in Section 6011 of the Deficit Reduction Act (DRA) of 2005. All transfers of property after February 8, 2006, will be subject to a look back period of 60 months.   

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

KE/mc

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  UPDATES TO MAGI MANUAL APPENDICES A AND I    

MANUAL REVISION #

APPENDIX A

APPENDIX I               

DISCUSSION:

The purpose of this memorandum is to update Appendices A and I due to the effect of COVID-19 changes.

Appendix A now shows effective dates from April 1, 2020 through March 31, 2021. Because of the Public Health Emergency (PHE) the CHIP premium increase, which usually occurs on July 1^st each year, did not go into effect. At this time we are not anticipating a premium increase, but will notify staff if that changes.

Appendix I should have been updated with the FPL changes in April, but this was overlooked due to all the COVID-19 changes and memos. It has now been updated and is dated August 1, 2020.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

KE/df                       

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  REVISION TO ON-LINE DESCRIPTION OF THE CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP)

DISCUSSION:

The purpose of this memo is to announce that the on-line description of the Children’s Health Insurance Program (CHIP) at https://mydss.mo.gov/healthcare has been updated. Viewers are advised to refer to the Family Healthcare Program Description document at the bottom of the site for the Affordable Insurance definition.

NECESSARY ACTION:

Review this memorandum with appropriate staff.

KE/df