Category: MoHealthNet Home

IM-41 REVISED INFORMATIONAL FLYERS AND BROCHURES FOR DEPARTMENT OF SOCIAL SERVICES (DSS) PROGRAMS

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FROM: KIM EVANS, DIRECTOR

SUBJECT: REVISED INFORMATIONAL FLYERS AND BROCHURES FOR DEPARTMENT OF SOCIAL SERVICES (DSS) PROGRAMS

 

DISCUSSION:

DSS has revised flyers and brochures for numerous programs that are administered by Family Support Division (FSD) or are available to and may be beneficial for FSD participants.

The flyers and brochures now have easier to read information, how to get more information, and updated program policies. The USDA non-discrimination statement has been updated on each flyer and brochure.

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

 

Form Name Spanish Form Name
Child Support (CS-5) Manutencion Infantil (CS-5)
Alternatives to Abortion (IM-4A2A) Alternativas al aborto (IM-4A2A)
MO HealthNet Adult Expansion (IM-4AEG) Expansion de MO HealthNet para Adultos (IM-4AEG)
Child Care Subsidy Program (IM-4CC) Programa de Subsidio para Cuidados Infantiles (IM-4CC)
How Employment Impacts Your Benefits (IM-4Employment Impacts Benefits) Como repercute el empleo en su beneficios (IM-4Employment Impacts Benefits)
Hearings Information (IM-4Hearings) Información sobre audiencias (IM-4Hearings)
Supplemental Assistance Program (SNAP) Know Your Rights (IM-4Know Your Rights) Programa de Asistencia Nutricional Suplementaria (SNAP) Conozca sus derechos (IM-4Know Your Rights)
How to use your MO HealthNet Benefit (IM-4MHN How to Use) Como usar sus beneficios de MO HealthNet (IM-4 MHN How to Use)
MO HealthNet Report a Change (IM-4MHN Report a Change)  
Reporting Changes for SNAP Participants (IM-4Reporting Changes for SNAP) Dar a conocer cambios de participantes del SNAP (IM-4Reporting Changes for SNAP)
SkillUP (IM-4 SkillUP brochure) SkillUP (IM-4 SkillUP brochure)
SkillUP (IM-4 SkillUP flyer) SkillUP (IM-4 SkillUP flyer)
SkillUP – Able-Bodied Adults without Dependents (IM-4SkillUP/ABAWD) SkillUP – Adulto Físicamente Capaz sin Dependientes (IM-4SkillUP/ABAWD)
SNAP – Medical deductions for elderly & disabled Missourians (IM-4SMD) SNAP – Deducciones de gastos medicos para adultos mayors y discapacitados de Missouri (IM-4SMD)
Show-Me Healthy Babies (IM-4SMHB)  
Ticket to Work Health Assurance (IM-4TWHA) Programa de seguros de salud (IM-4TWHA)
Finding Help (IM-4Finding Help) Conseguir Ayuda (IM-4Finding Help)
Food Assistance (IM-4Food Assistance) Ayuda Alimentaria (IM-4Food Assistance)
Health Care (IM-4Health Care) Atención Medica (IM-4Health Care)
Low-Income Home Energy Assistance Program (LIHEAP) (IM-4LIHEAP flyer) Programa de Asistencia de Energía para Hogares de Bajos Ingresos (LIHEAP) (IM-4LIHEAP flyer)
Low-Income Household Water Assistance Program (LIHWAP) (IM-4LIHWAP) Programa de Asistencia Hídrica para Hogares de Bajos Ingresos (LIWAP) (IM-4LIHWAP)
Temporary Assistance (IM-4TA) Asistencia Temporal (IM-4TA)
Employment & Training Support for Temporary Assistance Participants (IM-4MWA flyer) Apoyo al empleo y la capacitación para participantes de Asistencia Temporal (IM-4MWA flyer)
Rehabilitation Services for the Blind (RSB-1) Servicios de Rehabilitación para Invidentes (RSB-1)

 

Note: Previously SkillUP sent the SkillUP ABAWD flyer to eligible participants, but it is now available for staff and participants in the public and internal Forms Manuals.

 

NECESSARY ACTION:

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

 

 

 

KE/cj

 

IM-40 RETURNED MAIL REQUIREMENTS DURING THE TRANSITION PERIOD FOR ALL MO HEALTHNET (MHN) PROGRAMS

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FROM: KIM EVANS, DIRECTOR

SUBJECT: RETURNED MAIL REQUIREMENTS DURING THE TRANSITION PERIOD FOR ALL MO HEALTHNET (MHN) PROGRAMS

MANUAL REVISION #
0890.010.00
1885.020.00
1895.010.00

 

DISCUSSION:

The Consolidated Appropriations Act, 2023 (CAA, 2023) outlines temporary, required conditions for MO HealthNet (MHN) returned mail. Family Support Division (FSD) is required to use available resources to obtain up-to-date mailing addresses and contact information both prior to and during the transition period. The first step is for MO HealthNet cases to run against the National Change of Address (NCOA) Database at the beginning of the annual renewal process.

Note: Transition period refers to the conclusion of the Continuous Enrollment Condition and restart of annual renewals. Missouri’s transition period is from April 1, 2023 through May 31, 2024.

Additionally, effective April 1, 2023 through May 31, 2024, follow the instructions below when mail is returned for MHN programs. The instructions given below temporarily replace existing returned mail policy during the transition period.

Screen All Mail
Screen all returned mail and check the eligibility systems to ensure the mailing address was correct. Make corrections to the address, such as adding an apartment number, and resend the mail to the corrected address. If the address is correct, determine if the mail is a renewal form or other returned mail.

Renewal Forms and Requests for Information related to an Annual Renewal
When a renewal form or Request for Information related to an Annual Renewal is returned by the post office, FSD is required to attempt to contact the participant using two methods, such as phone, text, mail, email, or updates to an online account.

If the address was correct or the mail was returned a second time:

  1. Look for a forwarding address. If the mail does not have a forwarding address, attempt to contact the participant using two additional methods.
  2. If the mail has a forwarding address, including out of state addresses, send the returned mail to the forwarding address and attempt to contact the participant to update the address using another method.

Note: When sending a Request for Information that is related to an Annual Renewal, staff must state on the Request for Information that the request is related to information needed for an Annual Renewal.

All Other Returned Mail
For returned mail that was not sent regarding a renewal of eligibility, attempt to contact the participant to obtain an updated address. If an address is not confirmed with the participant and:

  1. The returned mail has an in-state forwarding address, send notice (request for contact) to the participant at both the address on file and the forwarding address. Update the address to the forwarding address and do not close coverage, even if the participant does not respond.
  2. The returned mail has an out-of-state forwarding address, send notice to both the address on file and the forwarding address. If the participant does not respond or responds and confirms the out-of-state address, send an adverse action notice and after closing, a closing notice.
  3. The returned mail has no forwarding address, close the coverage. If the participant reports an in-state address after closing but prior to the end of the certification period, reopen the coverage back to the date of termination.

Note: These temporary returned mail requirements apply to MHN programs only.

Please refer to FAMIS Resources and MEDES Resources for returned mail processing information during the transition period.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/ers

IM-39 MILEAGE REIMBURSEMENT RATE INCREASE FOR ALL INCOME MAINTENANCE (IM) PROGRAMS

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FROM: KIM EVANS, DIRECTOR

SUBJECT: MILEAGE REIMBURSEMENT RATE INCREASE FOR ALL INCOME MAINTENANCE (IM) PROGRAMS

FORM REVISION #
APPENDIX J

 

DISCUSSION:

The state mileage rate used to calculate expenses for all IM programs increased from 62 cents per mile to 65.5 cents per mile effective 04/1/2023. Use the rate of 65.5 cents per mile when calculating mileage expenses.

Effective 04/16/2023, the eligibility system is updated to reflect the rate increase. Appendix J of the MO HealthNet for the Aged, Blind, and Disabled manual has been updated to reflect the change.

Note: Final approval for the increased rate was received after April benefits were created. Affected cases have been adjusted to reflect this change for April 2023 and notices will be generated.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/mc

IM-38 SPEND DOWN FLYER INTRODUCED

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FROM: KIM EVANS, DIRECTOR

SUBJECT: SPEND DOWN FLYER INTRODUCED

FORM REVISION #
IM-4 SPEND DOWN
IM-4 SPEND DOWN – SPANISH
Spend Down Frequently Asked Questions – Obsolete

 

DISCUSSION:

The English and Spanish versions of the IM-4 SPEND DOWN have been updated in the internal and public forms manuals. The format has changed from a brochure to a flyer.

The Spend Down Frequently Asked Questions document in the internal forms manual is now obsolete. The information has been updated and is available on the Income Maintenance Frequently Asked Questions (FAQ) page. The FAQ document is titled Spend Down.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Discard any versions of the form with an earlier date than 01/2023 and begin using the new version (01/2023) immediately.

 

 

 

KE/rnr

IM-36 INTRODUCING NEW INFORMATIONAL NOTICE FOR MO HEALTHNET (MHN) ANNUAL RENEWALS RECEIVED 90 DAYS OR MORE BEFORE THE ANNUAL RENEWAL PERIOD

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: INTRODUCING NEW INFORMATIONAL NOTICE FOR MO HEALTHNET (MHN) ANNUAL RENEWALS RECEIVED 90 DAYS OR MORE BEFORE THE ANNUAL RENEWAL PERIOD

FORM REVISION #
IM-34 ERRN

 

DISCUSSION:

On April 1, 2023, Missouri resumed completing annual renewals. Family Support Division (FSD) initiates annual renewals by first attempting to complete the annual renewal without contacting the participant. An annual renewal form will only be required and sent to the participant if FSD is unable to complete the renewal with available information.

If an annual renewal form is submitted 90 days or more before the annual renewal period, the annual renewal will NOT be completed. FSD will review the form for reported changes and will send the participant an Early Renewal Received Notice (IM-34 ERRN).

The IM-34 ERRN notifies the participant that the annual renewal was not completed and provides the MO HealthNet Annual Renewal webpage, mydss.mo.gov/renew, for more information.

If an annual renewal is received more than 90 days prior to the annual renewal period, FSD staff or contracted staff must:

  • Send the IM-34 ERRN to the participant.
  • Scan and add the IM-34 ERRN to the participant’s electronic file.
  • Document in the eligibility system that an annual renewal was received 90 days or more before the annual renewal period and is considered a Change in Circumstance, any changes reported on the form, and the date the IM-34 ERRN was sent to the participant.

The IM-34 ERRN is located in the internal forms manual for staff to utilize when an annual renewal is received 90 days or more before the annual renewal period.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/cj

 

 

IM-35 PUBLIC HEALTH EMERGENCY (PHE) AND MO HEALTHNET (MHN) APPLICATION FLEXIBILITIES ENDING

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: PUBLIC HEALTH EMERGENCY (PHE) AND MO HEALTHNET (MHN) APPLICATION FLEXIBILITIES ENDING

MANUAL REVISION #
0890.005.00
1895.005.00

 

DISCUSSION:

The Coronavirus Disease 2019 (COVID-19) PHE has been in place since January 27, 2020 and has been renewed throughout the pandemic. The U.S. Department of Health & Human Services (HHS) has announced plans for the PHE to expire at the end of the day on May 11, 2023. Missouri has used several flexibilities to expedite MHN application processing during the PHE.

Effective April 17, 2023, discontinue using the flexibilities listed below as they are not tied to the end of the PHE:

  • Allow Self-Attestation for Most Eligibility Factors
    PHE Flexibility: Allow self-attestation for MHN eligibility factors except ID, citizenship, trusts, and annuities.

Starting April 17, 2023:

  • Alternative Signatures

PHE Flexibility: Regulation allowing someone to sign an application on the applicant’s behalf is extended to include individuals quarantined due to COVID.

Starting April 17, 2023:

    • Review policy in MAGI Manual section 1802.020.00 Signing the Application and its subsections for application signature requirements. Policy is the same for MAGI and Non-MAGI programs.

Effective May 12, 2023, discontinue using the flexibility listed below as it is tied to the end of the PHE:

  • CHIP 75 30 Day Waiting Period Waived
    PHE Flexibility: The 30-day mandatory waiting period was waived for CHIP 75 approvals.

Starting May 12, 2023:

This memo has been added to the following MO HealthNet for the Aged, Blind, and Disabled (MHABD) and Family MO HealthNet (MAGI) manual sections:

0890.005.00 Unwinding the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (PHE)
1895.005.00 Unwinding the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (PHE)

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

KE/sh

IM-32 2023 MO HEALTHNET OUTREACH PROJECT WITH DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION, LICENSED CHILDCARE PROVIDERS, AND FAMILY SUPPORT DIVISION

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: 2023 MO HEALTHNET OUTREACH PROJECT WITH DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION, LICENSED CHILDCARE PROVIDERS, AND FAMILY SUPPORT DIVISION

 

DISCUSSION:

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

Each year, to comply with Senate Bill 583, the Family Support Division (FSD) provides DESE and licensed childcare providers with a flyer that informs parents how to apply for MO HealthNet (MHN) as follows:

  • Online at mydss.mo.gov. Please send an email to Cole.MHNPolicy@dss.mo.gov with subject line “SCHOOL” or “FACILITY OUTREACH” to let us know to watch for your application. Include the parent’s name, child’s name, and child’s date of birth.
  • By telephone at 1-855-373-9994. When speaking with a representative please tell them this is a “School Application” or “Facility Outreach Application”.
  • Request an application from 1-855-FSD-INFO (1-855-373-4636). Please write “SCHOOL” or “FACILITY OUTREACH” at the top of the application.
  • Print an application online at https://dssmanuals.mo.gov/wp-content/uploads/2020/09/IM-1SSL-Fillable-Secured-6-24-21.pdf. Please write “SCHOOL” or “FACILITY OUTREACH” at the top of the application.

The attached flyers below will be distributed to schools and childcare facilities:

  • Two for DESE – one in English and one in Spanish
  • One for Childcare Facilities in English

FSD is required to track these applications for reporting. Each Family MO HealthNet (MAGI) office, Resource Center, and Customer Service Center is asked to document the receipt of these applications on the attached spreadsheets. School and Facility Outreach spreadsheets should be kept separate. Management should enter all information on the appropriate spreadsheet and submit monthly to Cole.MHNPolicy@dss.mo.gov.

 

NECESSARY ACTIONS:

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

 

ATTACHMENTS:

 

 

 

KE/kg

IM-31 APRIL 2023 – QUARTERLY FORMS UPDATE

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: APRIL 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 forms show a revision date of 4/2023. Revised forms with older revision dates are now obsolete. Family Support Division (FSD) will accept obsolete forms until 6/30/2023.

 

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

Form Number Form Name New or Revision:
CARS-8 Request for Reduction of Claim Revised to update terminology and remove unnecessary fields.
CARS-8 Instructions Instructions for Request for Reduction of Claim Revised to update terminology and remove unnecessary fields.
IM-1MAC

Addendum to MO HealthNet Application: Request for optional cash benefits

 Revision to allow electronic signatures. New PDF format.
IM-1MAC (Spanish) Complemento de la Solicitud de MO HealthNet: Solicitud de Beneficios Opcionales en Dinero en Efectivo Revision to allow electronic signatures.

IM-6AR

IM-6AR (Large Print)

 Appointing an Authorized Representative Revision to change MO HealthNet (MHN) terminology to annual renewal.
IM-6AR (Spanish) Designacion de un Representante Autorizado Revision to change MHN terminology to annual renewal.
IM-31F Applying for SNAP Benefits Revision to clarify that Residency verification is only required when questionable.
IM-31F (Spanish) Solicite beneficios del SNAP Revision to clarify that Residency verification is only required when questionable.
IM-110 Statement of Loss/Replacement Request Revision to use central mail address.

 

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

Form Number  Form Name New or Revision:
FSD/SMH Cover MO HealthNet Application for DMH Consumers in a State Mental Hospital Form was revised by DMH to provide updated application processes and information for DMH staff. This form has a revision date of 9/2022.
IM-1U90 Annual Renewal Received Outside Reconsideration Period Revision to change form name and MHN terminology to annual renewal.

 

Obsolete forms should no longer be used by FSD staff and will NOT be accepted after 6/30/23. These forms are no longer in use with current FSD processes. In addition to forms listed above with older revision dates, the following forms are also obsolete:

Form Number Form Name
CARS-7 Food Stamp Repayment Agreement
IM-34 AEG MO HealthNet Informational Notice
  MRT Checklist
IM-115 Request for Food Stamp Household Report

 

 

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-30 ALIGNING FAMILY MO HEALTHNET (MAGI) INCOME VERIFICATION POLICY WITH THE MAGI VERIFICATION PLAN

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: ALIGNING FAMILY MO HEALTHNET (MAGI) INCOME VERIFICATION POLICY WITH THE MAGI VERIFICATION PLAN

MANUAL REVISION #
1805.030.05
1805.030.15
1805.030.15.10

 

DISCUSSION:

MAGI Manual Sections 1805.030.05 Income Evidence, 1805.030.15 Reasonable Compatibility, and 1805.030.15.10 Reasonable Compatibility with More than One Income in the Household are updated to align MAGI policy with recent changes to the MAGI Verification Plan and related federal guidance.

Key changes are:

  • Attempt to resolve reasonable compatibility (RC) inconsistencies by first trying to contact the participant to ask for a clarifying statement. Obtain verification only if the clarifying statement cannot be obtained or does not resolve the inconsistency.
  • When self-attested income and electronically obtained information (EOI) are both within the same program threshold or the EOI is in a higher program threshold, but is within 10% of the self-attested amount, use the self-attested amount to determine the eligibility level.
  • After checking for income verified by another assistance program, such as Supplemental Nutrition Assistance Program (SNAP), accept the self-attested amount of income for self-employment and farming income, pensions, and short or long-term disability.

Refer to the updated sections for more information.

Note: Per federal requirements at 42 CFR 435.945(j), Family Support Division (FSD) is required to maintain a MAGI Verification Plan describing FSD’s MAGI verification policies and procedures.

 

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/ers

IM-29 UPDATED POLICY ALLOWING ELIGIBILITY CHANGES FOR SUSPENDED MO HEALTHNET (MHN) PARTICIPANTS

Posted on

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATED POLICY ALLOWING ELIGIBILITY CHANGES FOR SUSPENDED MO HEALTHNET (MHN) PARTICIPANTS

MANUAL REVISION #
0840.020.00
1885.040.00

 

DISCUSSION:

MHN participants who become incarcerated, or are determined eligible while incarcerated, must have their MHN suspended until release. Policy is updated to allow all case actions for a suspended participant.

Suspended participants (or their household or authorized representative) must complete annual renewals and report changes in circumstance during incarceration. Family Support Division (FSD) will attempt to complete annual renewals without contacting the participant; however, if this is not possible, an annual renewal form will be sent to the participant’s mailing address, which may be the jail or prison, or their household address.

If an annual renewal or a change of circumstance causes a change to eligibility for a suspended participant, FSD will take action on these changes and send appropriate notices.

This may include, but is not limited to:

  • Changing the level of care.
  • Moving from MAGI to Non-MAGI programs.
  • Closing eligibility.

Revised MAGI policy is in Family MO HealthNet manual section, 1885.040.00 Suspension of MAGI Benefits for Incarcerated Individuals.

Revised Non-MAGI policy is in MO HealthNet for the Aged, Blind, and Disabled manual section, 0840.020.00 Suspending Incarcerated Participants.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

 

KE/cj