IM-138 FACILITY NOTIFICATION INFORMATION SHEET (FNIS) REVISION

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  FACILITY NOTIFICATION INFORMATION SHEET (FNIS) REVISION

FORM REVISION #

IM-72 FNIS

DISCUSSION:

The purpose of this memo is to inform staff that the Facility Notification Information Sheet (FNIS) has been updated to include the form number. The form is added to the forms manual and will be listed as IM-72 FNIS.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/mc

IM-137 MISSOURI’S CHILDREN WITH DEVELOPMENTAL DISABILITIES (MOCDD) WAIVER SERVICES TELEPHONE NUMBER UPDATE

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  MISSOURI’S CHILDREN WITH DEVELOPMENTAL DISABILITIES (MOCDD) WAIVER SERVICES TELEPHONE NUMBER UPDATE

MANUAL REVISION #

0825.020.00

DISCUSSION:

The purpose of this memorandum is to inform staff of a change in the Medical Assistance for the Aged, Blind, and Disabled (MHABD) Manual. Section 0825.020.00 Application Process is updated to reflect a telephone number change for participants to call regarding information or application requests for Missouri’s Children with Developmental Disabilities (MOCDD) Waiver.

Refer all participant inquiries regarding information or application requests for MOCDD to DMH at the new consumer phone number (573)-751-4054.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

KE/mc

IM-136 MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL REVISIONS TO INCLUDE CORRECT ELIGIBILITY CRITERA FOR DISABLED CHILDREN UNDER AGE 18 IN A VENDOR FACILITY

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL REVISIONS TO INCLUDE CORRECT ELIGIBILITY CRITERA FOR DISABLED CHILDREN UNDER AGE 18 IN A VENDOR FACILITY  

MANUAL REVISION #

0815.005.00 Eligibility for Vendor Payments

0815.010.00 Applications for Participants Not Currently Receiving Medicaid

0815.055.05 Participants Under Age 18 Receiving Inpatient Psychiatric Services

0815.065.00 Individuals Under Age 18 in an Institution for the Intellectually Disabled or Nursing Facility

DISCUSSION:

The purpose of this memorandum is to inform staff the manual has been updated to remove MO HealthNet for Families (MHF) and MO HealthNet for Kids (MHK) references pertaining to FAMIS in these sections, and to refer instead to the Family MO HealthNet manual sections related to eligibility for (MHF) and (MHK) poverty level children under the age of 18. 

A note has also been added to remind staff that children temporarily receiving in-patient services who are ineligible for MO HealthNet for Disabled Children (MHDC), but are actively receiving benefits under (MHF) or (MHK), are able to continue receiving those services with no level of care change needed, and MO HealthNet Division will immediately dis-enroll the (MHF) or (MHK) child from Managed Care. 

Children who meet this criteria are anticipated to have a short stay and will either be discharged, or transitioned into residential care.  When/if the child is transitioned into residential care, a new determination should be made.  See 0815.055.00 INPATIENT PSYCHIATRIC SERVICES FOR INDIVIDUALS UNDER 21 YEARS OF AGE.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/vm

IM-135 MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL UPDATE TO CASH REMAINING FROM AN ASSISTANCE CHECK OR OTHER BUDGETED MONTHLY INCOME

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL UPDATE TO CASH REMAINING FROM AN ASSISTANCE CHECK OR OTHER BUDGETED MONTHLY INCOME

MANUAL REVISION #

1025.015.01

DISCUSSION:

The purpose of this memorandum is to update policy 1025.015.01 Cash Remaining From and Assistance Check or Other Budgeted Monthly Income to clarify excluding current month’s income from a participant’s resources. For further clarification and guidance see Memorandum Email IM-29 dated 05/19/2020.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/st

IM-133 UPDATES TO CLARIFY AND PROVIDE ADDITIONAL INFORMATION FOR INCOME EXCLUSIONS IN THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  UPDATES TO CLARIFY AND PROVIDE ADDITIONAL INFORMATION FOR INCOME EXCLUSIONS IN THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL

MANUAL REVISION #

0805.015.10

DISCUSSION:

Updates have been made to the manual section, 0805.015.10 Income Exclusions in the MO HealthNet for the Aged, Blind, and Disabled (MHABD) Manual.

Sheltered Workshop income must be excluded for participants who are eligible for certified extended employment. However, it can be difficult to determine if an employer is a sheltered workshop. Sheltered workshops are supported by the Department of Elementary & Secondary Education. Staff should review the directory of Sheltered Workshops to become familiar with the names and locations. They can be found at https://dese.mo.gov/special-education/sheltered-workshops/directories. This link has been added to Income Exclusions in the manual.

Updates were also made to provide links to relevant manual sections in the 1973

Eligibility Requirements manual. These links replaced links previously used that directed staff to other Income Maintenance manuals.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/cj

IM-132 UPDATE TO IM-1U RETURNED AFTER 90 DAYS LETTER FOR MO HEALTHNET FOR FAMILIES (MAGI)

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  UPDATE TO IM-1U RETURNED AFTER 90 DAYS LETTER FOR MO HEALTHNET FOR FAMILIES (MAGI)

FORM REVISION #20

DISCUSSION:

The purpose of this memo is to inform staff of updates to the IM-1U Returned After 90 Days Letter. The form has been assigned a form number, IM-1U90, and the contact phone number has been updated to 855-373-4636.

This form can be located in the Forms Manual. Begin using the updated form immediately.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/ers

IM-131 REVISION OF THE IM-29MAGI FORM

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  REVISION OF THE IM-29MAGI FORM  

FORM REVISION # 20

IM-29MAGI

DISCUSSION:

The purpose of this memo is to introduce the revised IM-29MAGI form. The form is used to notify participants to begin using a corrected MO HealthNet number (DCN).

Revisions to the form include the addition of fillable fields, formatting changes, and other typographical changes. This form can be located in the Forms Manual.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using the IM-29MAGI form with a revision date of 3/2020.

 

KE/ers

IM-130 MILEAGE REIMBURSEMENT DECREASE

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  MILEAGE REIMBURSEMENT DECREASE

DISCUSSION:

State mileage reimbursement rates will be decreased from $.43 per mile to $.37 per mile effective 09/01/2020. Use the current rate of $.37 per mile when calculating mileage expenses.

FAMIS updates were completed on 08/15/2020 to reflect this new rate decrease. Appendix J of the MO HealthNet for the Aged, Blind and Disabled manual has been updated to reflect the change.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/vb

IM-129 INTEREST PAID ON BUSINESS LOAN FOR SELF-EMPLOYMENT FOR MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD)

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  INTEREST PAID ON BUSINESS LOAN FOR SELF-EMPLOYMENT FOR MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD)

MANUAL REVISION #

0805.015.15

DISCUSSION:

The purpose of this memorandum is to inform staff of manual revisions to Section 0805.015.15 of the MO HealthNet for the Aged, Blind, and Disabled Manual.

Revisions have been added to further explain allowable overhead expense deductions, and clarify expenses not considered as allowable deductions from income producing property or self-employment. This section also describes what is considered as an “overhead expense”.

Staff should deduct business related loan interest payments when determining “overhead expenses” for income producing property or self-employment enterprises. Interest payments made on a verifiable business loan for the purpose of doing business may be considered an “overhead expense”. Principal payments made on business loans; however, should not be considered as a business expense related to income producing property or self-employment.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/nw

IM-127 CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) AGE OUTS WILL NOW CLOSE DURING COVID-19 EMERGENCY PERIOD

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) AGE OUTS WILL NOW CLOSE DURING COVID-19 EMERGENCY PERIOD

DISCUSSION:

Centers for Medicare and Medicaid Services (CMS) provided clarification that CHIP premium levels of coverage (CHIP 73, CHIP 74, and CHIP 75) should close when the participant ages out of the program (age 19), during the COVID-19 period.

On August 10th, 2020, MEDES will begin the closure process for approximately 900 participants that are active on CHIP 73, CHIP 74, or CHIP 75, and have already turned 19.

Moving forward, the system will identify participants that are turning 19 and receive CHIP 73, CHIP 74, or CHIP 75 25 days prior to their 19th birthday in order to end date any Extended Eligibility Evidence (EEE), allow proper Adverse Action notices to generate, and notify the participant the coverage will close.

Ex Partes will continue to be conducted as needed.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/al