Category: MoHealthNet Home

IM-74 UPDATED PROTECTED CASELOAD PROCESS

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATED PROTECTED CASELOAD PROCESS

 

DISCUSSION:

Protected Caseloads are established in the Family Assistance Management Information System (FAMIS) and Missouri Eligibility Determination and Enrollment System (MEDES) to protect Family Support Division (FSD) employees from inadvertently accessing or taking action on protected cases.
Protected loads serve participants who meet any of the following criteria:

  • A victim of domestic violence or human trafficking;
  • A participant in the Safe at Home program;
  • An employee of the Family Support Division (FSD) or a family member (spouse, parent or child) residing with an FSD employee;
  • A case on which the FSD employee is an Authorized Representative; or
  • A temporary employee currently assigned to FSD.

Effective immediately, IM-#66 Protected Caseloads dated 11/26/2018 is obsolete. For information about protected cases refer to MEDES or FAMIS Resources.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/pm

IM-72 REVISION TO AUTOMATIC WITHDRAWAL AUTHORIZATION FORMS FOR MO HEALTHNET (MHN) PROGRAMS

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: REVISION TO AUTOMATIC WITHDRAWAL AUTHORIZATION FORMS FOR MO HEALTHNET (MHN) PROGRAMS

FORM REVISION #
2575-055
2575-056
2575-057

 

DISCUSSION:

MO HealthNet Division (MHD) has revised the Automatic Withdrawal Authorization forms to update contact information and change the form numbers. Participants must use the revised forms to start, change, or cancel an automatic withdrawal from their bank account to pay MHN Children’s Health Insurance Programs (CHIP) premiums, MHN Ticket to Work premiums, or MHN Spend Down pay-in.

The forms are located in the public forms manual and the internal forms manual. The forms all have an August 2023 revision date.

Form Number Form Name
2575-055 MO HealthNet for Kids Insurance Premium Payments Automatic Withdrawal Authorization
2575-056 Spend Down Pay-In Automatic Withdrawal Authorization
2575-057 Ticket to Work Health Assurance Withdrawal Authorization

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Share with community partners.

 

 

 

KE/cj

IM-69 INTRODUCING SYSTEM-GENERATED AGED, BLIND, AND DISABLED SUPPLEMENT FORM FOR NON-MAGI APPLICATIONS

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: INTRODUCING SYSTEM-GENERATED AGED, BLIND, AND DISABLED SUPPLEMENT FORM FOR NON-MAGI APPLICATIONS

 

DISCUSSION:

The Aged, Blind, and Disabled Supplement (FAABD) is a new system-generated version of the Aged, Blind, and Disabled Supplement (IM-1ABDS).

Effective August 12, 2023, FAMIS will allow Family Support Division (FSD) staff to send an FAABD to any participant that has indicated that they are over the age of 65, blind, or disabled. If the supplement information is not provided, then the application will systematically reject for “failure to provide supplemental information” and a notice will be sent to the participant.

FSD staff cannot complete a Non-MAGI eligibility decision with only information provided on the MO HealthNet online application, or the Application for Health Coverage & Help Paying Costs (IM-1SSL). The FAABD and IM-1ABDS are used to collect the additional information required to determine eligibility for Non-MAGI programs such as:

  • MO HealthNet for Aged, Blind, and Disabled
  • Blind Pension
  • Supplemental Aid to the Blind
  • Supplemental Nursing Care

Note: If FSD is able to collect the required information by calling the participant or during a Supplemental Nutrition Assistance Program (SNAP) interview, a call to the FSD Information Center at 855-373-4636, or during any phone or in person interaction with FSD staff and certain contracted vendors, then a supplement form is not required for Non-MAGI applications.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Staff must review revised FAMIS Resources training materials regarding registering applications.

 

 

 

KE/cj

IM-68 NEED FOR FAMILY PLANNING IS NO LONGER REQUIRED FOR UNINSURED/EXTENDED WOMEN’S HEALTH SERVICES (UWHS/EWHS)

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: NEED FOR FAMILY PLANNING IS NO LONGER REQUIRED FOR UNINSURED/EXTENDED WOMEN’S HEALTH SERVICES (UWHS/EWHS)

MANUAL REVISION #
1850.040.40
1850.040.40.20 obsolete
1870.000.00
1870.005.00
1870.015.00

 

DISCUSSION:

Effective 8/1/2023, women who are aged 18-55, with family income at or below 201% FPL and who are not eligible for other MO HealthNet programs must be screened for UWHS regardless of the need for family planning services.

Uninsured women transitioning from postpartum coverage are eligible for EWHS even if they no longer have a need for family planning. There is no change in the services covered under these programs.

The manual sections listed above are updated to reflect these changes. 1850.040.40.20 No Longer in Need of Family Planning Services is obsolete.

Refer to MEDES Resources for the mitigation to be used until system updates are completed.

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/rc

IM-63 JULY 2023 – QUARTERLY FORMS UPDATE

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: JULY 2023 – QUARTERLY FORMS UPDATE

 

DISCUSSION:

Income Maintenance forms and documents are reviewed and revised quarterly and as necessary. New forms and documents are created as required or requested.

All new and revised IM forms show a revision date of 7/2023, unless otherwise stated. Revised IM forms with older revisions dates are now obsolete. Family Support Division (FSD) will accept obsolete forms until 9/30/2023.

New and Revised Forms available in the public and internal forms manuals:

Form Number  Form Name New or Revision:
HIPP-1 Application for Health Insurance Premium Payment (HIPP) Program MO HealthNet Division (MHD) updated and revised the application. This form has a revision date of 2/2023.
HIPP-1 Solicitud para el Programa de Pago de Primas de Securos Medicos *(HIPP) MHD updated and revised the application. This form has a revision date of 2/2023.
HIPP-A Application for Health Insurance Premium Payment (HIPP) Program – Care Coordinator Version MHD updated and revised the application. This form has a revision date of 2/2023.
HIPP-A Solicitud para el Programa de Pago de Primas de Securos Medicos *(HIPP) – Coordinador de Cuidados MHD updated and revised the application. This form has a revision date of 2/2023.
IM-2SR Signature Request Revision to update terminology from review to renewal.
IM-6NF Authorization for Release of Medical/Health Information to Nursing Facilities, In-Home Nursing Care Providers, and Other Providers of Medical Services Revision to use official name, add electronic signature attestation, remove one year expiration date, and update formatting to improve readability.
IM-114 Voluntary Repayment Authorization Form Revision to update terminology, contact information, and processes.
MO 231-0167 Missouri Voter Registration Application Secretary of State revised to add optional political party affiliation and remove rural voters field. This form has a revision date of 5/2023.

New and Revised Forms available only to FSD staff in the internal forms manual:

Form Number Form Name New or Revision:
IM-33HCB Notice of Case Action for Home and Community Based Services Waiver New action notice for cases requesting or receiving Home and Community Based Services (HCB) Waiver benefits.
IM-54A Home and Community Based Services Referral Revision to correct a broken hyperlink.

Revised forms sent to participants by FAMIS or MEDES eligibility systems:

Form Number Form Name Revision:
HIPP-1 Application for Health Insurance Premium Payment (HIPP) Program Updated in MEDES to match revisions made by MHD. Released in MEDES 5/30/23.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using revised forms immediately.
  • Discard and recycle blank obsolete forms.
  • Share with community partners.

 

 

 

KE/cj

IM-62 2023 MO HEALTHNET CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) PREMIUMS AND RELATED APPENDIX UPDATES

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: 2023 MO HEALTHNET CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) PREMIUMS AND RELATED APPENDIX UPDATES

MANUAL REVISION #
Appendix A
Appendix E

 

DISCUSSION:

CHIP premiums are required for families with income above 150% of the Federal Poverty Level (FPL). Each year, as required by state statute, the MO HealthNet Division (MHD) reviews and establishes the premium amounts. Effective dates on Appendix A and Appendix E have been updated, but there is no premium increase at this time.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

KE/bl

 

IM-61 NEW AND UPDATED RESOURCES FOR MO HEALTHNET (MHN) PROGRAMS FOR SENIORS & INDIVIDUALS WITH DISABILITIES

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: NEW AND UPDATED RESOURCES FOR MO HEALTHNET (MHN) PROGRAMS FOR SENIORS & INDIVIDUALS WITH DISABILITIES

 

DISCUSSION:

Introducing a new online resource for MHN programs, Programs for Seniors & Individuals with Disabilities. The new webpage contains information and links for applicants and participants, including how to apply for Medicare Savings Programs (MSP), Nursing Home Coverage, Supplemental Nursing Care (SNC), and Home & Community Based (HCB) Services.

The flyers for these programs have been updated for easier to read information, how to get more information, and revised program policies. The United States Department of Health and Human Services (HHS) non-discrimination statement has been updated on each flyer.

Team members should utilize and distribute the revised flyers. Flyers can be found in the public and internal Forms Manuals.

 Form Name  Spanish Form Name
Home and Community Based (HCB) Services (IM-4HCB) Servicios domiciliarios y comunitarios (IM-4HCB)
Medicare Savings Program (MSP) flyer (IM-4MSP) Programa de Ahorros de Medicare (IM-4MSP)
MO HealthNet Nursing Home Coverage (IM-4Vendor Planning) Cobertura para centros de cuidados de enfermeria de MO HealthNet (IM-4Vendor Planning)
Supplemental Nursing Care (SNC) flyer (IM-4SNC) Atencion de enfermeria complementaria (IM-4SNC)

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using the new flyers immediately.
  • Remove any obsolete flyers from participant resources.

 

 

KE/cj

 

IM-59 CUSTOMER SERVICE MANUAL UPDATE

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: CUSTOMER SERVICE MANUAL UPDATE

MANUAL REVISION #

0130.010.00
0130.010.15
0130.010.15.15

 

DISCUSSION:

The General Information Manual has been updated to clarify that complaints or concerns must be addressed immediately, and resolved within 30 business days of receiving the complaint.

The following manual sections are updated:

Reminder: When a complaint cannot be resolved at the local office level, a Customer Service Form (FSD-4) must be submitted using the process described in manual section 0130.010.15.15 When Complaints Cannot be Resolved at the Local Office Level.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

KE/rnr

IM-57 JULY 2023 ANNUAL NON-MAGI PROGRAM ADJUSTMENTS

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: JULY 2023 ANNUAL NON-MAGI PROGRAM ADJUSTMENTS

MANUAL REVISION #
APPENDIX A
APPENDIX B
APPENDIX J
APPENDIX K
0415.005.00
0510.000.00
1030.000.00

 

 

DISCUSSION:

Supplemental Aid to the Blind (SAB) and Blind Pension (BP)

Effective July 1, 2023, SAB and BP grants increase from $750 to $789.

The manual sections and appendices listed above have been updated with July 2023 data.

Resource Limit

As a result of HB1565 (2016), resource limits for Non-MAGI programs, except BP and Medicare Savings Programs, increase July 1, 2023. Appendices J and K have been updated with the new amounts.

The weekend of June 10, 2023, all Non-MAGI cases are adjusted in the eligibility system. The Individual Resource Limit and Couple Resource Limit will be updated for actions effective the month of July 2023 and thereafter.

Effective July 1, 2023:

Individual Resource Limit: $5,726

Couple Resource Limit: $11,452

Calculation Method for Resource Limits

Please see 1030.000.00 for the calculation method.

Minimum Monthly Maintenance Needs Allowance (MMMNA) and Shelter Standard

Effective July 1, 2023, the MMMNA and Shelter Standard are increased for Vendor cases.

The weekend of June 10, 2023, all Vendor cases are adjusted in the eligibility system. Allotments for community spouses, minor children, and eligible dependents and the MMMNA and Shelter Standard are updated for actions effective the month of July 2023 and later.

Effective July 1, 2023:

Minimum Maintenance Standard: $2465

Shelter Standard: $740

 

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

KE/mc

 

IM-55 UPDATED MO HEALTHNET (MHN) POLICY REFERENCES FOR DIVISION OF SENIOR SERVICES AND DIVISION OF MEDICAL SERVICES

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATED MO HEALTHNET (MHN) POLICY REFERENCES FOR DIVISION OF SENIOR SERVICES AND DIVISION OF MEDICAL SERVICES

MANUAL REVISION #

0130.005.10.30 0810.035.30 0840.010.10
0515.100.00 0810.040.05 0840.010.25
0810.030.00 0810.040.10 0840.010.30
0810.035.00 0810.040.15 0855.025.00
0810.035.15 0810.040.20 0860.000.00
0810.035.20 0810.040.25 0865.015.10
0810.035.25 0810.040.30 0865.015.15
 Appendix A    

 

DISCUSSION:

The MHN policy sections and appendix listed above are updated to change the Division of Senior Services to Division of Senior and Disability Services (DSDS) and Division of Medical Services to MO HealthNet Division (MHD). Revisions were made to update MHN terminology and to remove process information.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/mm