Category: MoHealthNet Home

IM-80 GATEWAY TO BETTER HEALTH (GTBH) EXTENSION AND EX PARTE

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FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  GATEWAY TO BETTER HEALTH (GTBH) EXTENSION AND EX PARTE

MANUAL REVISION #52

1600.005.00

1600.030.00

1600.030.05

 

DISCUSSION:

The purpose of this memo is to announce that the Centers for Medicare and Medicaid Services (CMS) has authorized the extension of the GTBH waiver through December 31, 2022.

This memo is to inform staff that ex parte procedures must be followed before closing a GTBH case and to introduce a new section to the GTBH manual, 1600.030.05 Ex Parte Review.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin conducting ex parte reviews on GTBH cases.

 

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IM-79 FAMILY HEALTHCARE PROGRAM DESCRIPTIONS UPDATE

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FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  FAMILY HEALTHCARE PROGRAM DESCRIPTIONS UPDATE

 

DISCUSSION:

The purpose of this memorandum is to advise the Family Healthcare Programs description on dss.mo.gov has been updated. 

The following has been updated:

  • Adding abbreviations for each program
  • Removing statements that managed care is provided in all counties beginning 2017 as this is not new information
  • Updating the percentage of Federal Poverty Level (FPL) to remain eligible for Transitional MO HealthNet from 185% to 196%

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

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IM-077 MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MEDICAL REVIEW POLICY CHANGE

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FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MEDICAL REVIEW POLICY CHANGE

MANUAL REVISION #51  

1060.005.00

1060.005.15

1060.005.25

 

DISCUSSION:

This memorandum introduces revisions to the Disability Section of the December 1973 Eligibility Requirements Manual.  The Disability section defines Permanent and Total Disability (PTD), and provides instruction to staff on the Medical Review Team (MRT) role in the eligibility process.

Sections 1060.005.00 Verification of Disability , 1060.005.15 Submitting Information on Cases Previously Reviewed by MRT, and 1060.005.25 Disability Re-determinations have been revised to add a new process for staff when MHABD closes for reasons other than the MRT decision, and the participant reapplies or the case is reopened within 90 days from the closing action date. 

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

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IM-076 MO HEALTHNET OUTREACH PROJECT WITH DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION AND FAMILY SUPPORT DIVISION

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FROM:  PATRICK LUEBBERING, ACTING DIRECTOR

SUBJECT:  MO HEALTHNET OUTREACH PROJECT WITH DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION AND FAMILY SUPPORT DIVISION

FORM REVISION #20

Outreach Flyer – English

Outreach Flyer – Spanish

 

DISCUSSION:

Senate Bill 583 (2010) requires the Department of Social Services (DSS) to collaborate with the Department of Elementary and Secondary Education (DESE) in an effort to reach the uninsured children of Missouri.

Each year, to comply with Senate Bill 583, FSD provides DESE and licensed childcare providers with a flyer that informs parents how to apply:

  • On line at https://mydss.mo.gov/. Please send an email to mhnpolicy@dss.mo.gov with subject line “School” to let us know to watch for your application.) 
  • By telephone at 1-855-373-9994. When speaking with a representative please tell them this is a “School Application”.
  • Request an application from 1-855-FSD-INFO (1-855-373-4636). Please write “SCHOOL” at the top of the application.
  • Print an application online at http://dss.mo.gov/fsd/formsmanual/pdf/im-1ssl.pdf. Please write “SCHOOL” at the top of the application. 

The attached fliers, one in English and one in Spanish, are updated with the current income guidelines.  These fliers will be distributed by DESE.

FSD is required to track these applications for reporting.  Each MAGI office and Contact Center (application phone center) is asked to document the receipt of these applications on the attached spreadsheet.  Management should enter all information onto one spreadsheet and submit monthly to Cole.MHNPolicy@dss.mo.gov.

 

NECESSARY ACTIONS:

  • Review this memorandum with appropriate staff.
  • Appropriate offices should begin tracking immediately and submitting documentation on the first week of each month.

 

ATTACHMENTS:

 

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IM-075 TEMPORARY ASSISTANCE APPLICATION PROCESSING MANUAL SECTION UPDATES

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FROM:  PATRICK LUEBBERING, ACTING DIRECTOR

SUBJECT:  TEMPORARY ASSISTANCE APPLICATION PROCESSING MANUAL SECTION UPDATES

MANUAL REVISION #: 50

0203.000.00 to 0203.120.05

0105.000.00 to 0105.045.00

 

DISCUSSION:

The purpose of this memo is to inform staff of changes to the Application Processing section of the General Information Income Maintenance manual. 

The Temporary Assistance (TA) and MO HealthNet Application Processing manual sections are now separated. The TA Application Processing section is now part of the TA Manual, 0203.000.00 and is no longer accessible via the General Information Manual 0105.000.00

The updated sections outline the following for Temporary Assistance (TA) applications:

  • Requests for assistance
  • Signing the application (includes entries to be made in FAMIS on the AUTHREP screen)
  • Dating the application
  • Temporary Assistance program explanation and orientation
  • Interview process
  • Voluntary withdrawal of application
  • Notification of application decision
  • Change of payee for Temporary Assistance required new application
  • Re-applications
  • Death after application
  • MO HealthNet application concurrent with cash programs
  • Delays in processing Temporary Assistance applications

In 0203.020.00 Signing the Application section of the manual, policy and processes have been added for Legal Guardians, Conservators, Authorized Representatives, and Attorneys assisting applicants with the processing of their Temporary Assistance (TA) cases.

 

NECESSARY ACTION:

  • Share this memorandum with all necessary staff.

 

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IM-074 AUTHORIZED REPRESENTATIVE FORM (IM-6AR) CLARIFICATION

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FROM:                       PATRICK LUEBBERING, DIRECTOR

SUBJECT:                AUTHORIZED REPRESENTATIVE FORM (IM-6AR) CLARIFICATION

FORM REVISION #19

IM-6AR

 

DISCUSSION:

This memorandum provides updates to the Authorized Representative Form (IM-6AR). 

The box containing the following statement pertains only to MO HealthNet:

  • If your authorized representative helps you apply, your authorization only last until the FSD makes a final decision on your application, or you can end it sooner if you notify the FSD in writing. If your authorized representative acts on your behalf, your authorization will last until you end it by notifying the FSD in writing.

NOTE:  For Food Stamps and Temporary Assistance, authorization for an authorized representative does not end at the final decision of the case. 

Child Care Subsidy will also use the IM-6AR form to appoint their authorized representatives.

The form has been updated to reflect the changes.

NOTE:  Continue to accept IM-6AR forms with a revision date of April 2017 or after.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Effective immediately begin using the IM-6AR with the 4-19 revision date.

 

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IM-071 UPDATE TO TIMEFRAME FOR HEARING EXHIBITS

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FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  UPDATE TO TIMEFRAME FOR HEARING EXHIBITS                              

MANUAL REVISION #47

0130.020.70.25.20

 

DISCUSSION:

The purpose of this memorandum is to inform Family Support Division (FSD) staff of a change in the FSD Hearings Manual.  Section 0130.020.70.25.20 FSD Provides Exhibits to the AHU and the EU is updated with instructions outlined in 2016 IM Email Memo #57 Division of Legal Services (DLS) Administrative Hearing Notification and Family Support Division Requirements.

Effective immediately, exhibits are to be provided two days prior to the scheduled hearing for all FSD benefit hearings. 

NOTE:  Exhibits are available at the local office for any individual requesting a copy of their exhibits ahead of the scheduled hearing.

DLS will continue informing applicants/participants the documents may be viewed two days prior to the administrative hearing date.  These documents must be made available when requested. 

For additional information, refer to the Hearings Manual.  Also see Section 0130.020.40 EU’s Examination of Documents.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

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IM-070 TEMPORARY CENSUS EMPLOYEES EARNINGS

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FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  TEMPORARY CENSUS EMPLOYEES EARNINGS

 

DISCUSSION:

This memorandum introduces updates to the earned income code “CT – Census Income – Temporary” in FAMIS for the 2020 Census

Child Care: Effective April 1, 2019, the CT – Census Income – Temporary is included income in the Child Care Subsidy program budget.

Any changes to an active Child Care Subsidy case, simplified reporting rules will disregard benefit reductions on an active Child Care Subsidy case that reports new income or income increases from the Census Bureau.

Food Stamps: Missouri has received a waiver from Food and Nutrition Services (FNS) to exclude Census Income- Temporary (CT) income for the 2020 Census through September 30, 2020 for the Food Stamp program. This waiver allows participants to gain work experience as well as much needed income in the current economy without the loss of Food Stamp benefits.

Temporary Assistance: Effective April 1, 2019, the Census Income – Temporary (CT) is excluded income for the Temporary Assistance (TA) program budget. Missouri has received guidance from Agency for Family and Children (AFC) to exclude this income for the 2020 Census. This means TA participants will continue to receive their benefits without reduction while helping the Census Bureau and gaining work experience.

MO HealthNet Programs: For all MO HealthNet programs (MHABD and MAGI), the Census Income- Temporary (CT) is included income in the MO HealthNet budget.

It is important to code this income source correctly for reporting purposes. Effective April 1, 2019, on the Income (FMX0) screen enter income type “EI – Earned Income” and source “CT – Census Income – Temporary”. FAMIS will consider the income as follows:

Income Description

Income Type

Source

CC

FS

TA

MO HealthNet

Census Income-Temporary

EI

CT

Include

Exclude

Exclude

Include

In MEDES, this income should be budgeted as “Wages” on the Income Type field on the Income Evidence. The Employer Name field should be entered as “Temporary 2020 Census Employment”. This will help alert staff to update income once the 2020 Census is complete.

Identifying Temporary Census Employees

Temporary employees working on the 2020 Census effort will receive a weekly Earnings Statement.  At the top of the statement is a notation for Pay Group:  “CB-1-Census Temporary Weekly”, and the dates for the current pay period.  The employer address is listed as:

Chicago Regional Census Center
US Census Bureau
1111 W. 22nd Street, Suite 400, Oak Brook, Illinois 60523-1918

The Census Bureau is the only agency paying employees that will use the Census Income- Temporary (CT) earned income code.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

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IM-066 – MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) WHEN RECEIVING MEDICARE DUE TO END STAGE RENAL DISEASE

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FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) WHEN RECEIVING MEDICARE DUE TO END STAGE RENAL DISEASE

MANUAL REVISION #44

1060.005.00 

 

DISCUSSION:

Receipt of Medicare due to end stage renal disease (ESRD) is sufficient to establish disability for MHABD programs without a Medical Review Team (MRT) determination in most instances.

The manual has been updated to clarify when an MRT decision is required for individuals receiving Medicare due to ESRD.

An MRT decision is required for participants receiving Medicare due to ESRD only when:

  • The individual’s earned income exceeds the Substanial Gainful Activity (SGA),
  • It has been more than 12 months since the individual received a kidney transplant, or
  • The individual is no longer receiving Medicare, unless approved for SSI, SSDI, or is age eligible for MHABD.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

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