IM-136 UPDATES TO TEMPORARY ASSISTANCE (TA) FORMS

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATES TO TEMPORARY ASSISTANCE (TA) FORMS

FORM REVISION #
FA-202
IM-1TA
IM-1TA-SPANISH

 

DISCUSSION:

TA forms have been updated to replace outdated information.

The TA Eligibility Review Form (FA-202) has been updated as follows:

  • References to the FSD.Documents email address have been replaced with mydssupload.mo.gov (FSD Upload Portal).

The IM-1TA and IM-1TA Spanish application forms have been updated as follows:

  • References to the FSD.Documents email address have been replaced with mydssupload.mo.gov (FSD Upload Portal).
  • Section 34 “Important Information About Your Hearing Rights” of the TA Application has been updated to only give information on the rights, timeframes, requesting a hearing, and the Civil Rights Law.

Individuals can use mydssupload.mo.gov to submit a variety of documents to the Family Support Division including, but not limited to, applications, reviews, changes, or supporting documents.

The following forms in the public dssmanuals.mo.gov and internal forms-manual forms manual have been updated.

  • IM-1TA
  • IM-1TA Spanish

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

 

KE/hd

 

 

IM-110 MILEAGE REIMBURSEMENT RATE INCREASE FOR ALL INCOME MAINTANENCE (IM) PROGRAMS

FROM: KIM EVANS, DIRECTOR

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

FORM REVISION #
APPENDIX J

 

DISCUSSION:

The state mileage rate used to calculate expenses for all IM programs increased from $.49 per mile to $.55 per mile effective 07/01/2022. Use the rate of $.55 per mile when calculating mileage expenses.

Effective 7/25/2022, the eligibility system has been 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 July benefits were created. Affected cases have been adjusted to reflect this change for July 2022 and notices will be generated.

 

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

 

KE/nw

IM-109 UKRAINIAN HUMANITARIAN PAROLEE GUIDANCE FOR ALL PROGRAMS

FROM: KIM EVANS, DIRECTOR

SUBJECT: UKRAINIAN HUMANITARIAN PAROLEE GUIDANCE FOR ALL PROGRAMS

 

DISCUSSION:

Due to section 401 of the Additional Ukraine Supplemental Appropriations Act, 2022 (Public Law 117-128), Ukrainian individuals issued an immigration status of Humanitarian Parolee between February 24, 2022 and September 30, 2023 are considered Qualified Immigrants.

Effective May 21, 2022 these individuals are not subject to the five-year waiting period for MO HealthNet (MHN), Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance (TA) and Child Care (CC). If an individual was paroled and entered the United States between February 24, 2022 and May 21, 2022, their date of eligibility for MHN is February 24, 2022 and for SNAP, TA, and CC it is May 21, 2022. If they entered the United States after May 21, 2022, their date of eligibility is their date of humanitarian parole but they are eligible for prior quarter for MHN. Ukrainian parolees who previously applied and were denied benefits may reapply with eligibility determined from the date of reapplication or the corresponding prior quarter dates for MHN.

Ukrainian Humanitarian Parolees are treated like refugees and should be coded in eligibility systems as refugees. The following documentation and codes indicate that an immigrant is a Ukrainian Humanitarian Parolee:

• A form I-94 noting Humanitarian Parolee;
• Foreign passport with Department of Homeland Security / U.S. Customs and Borders (DHS/CBP) admission stamp noting Uniting for Ukraine (U4U);
• Foreign passport with DHS/CBP with a stamp admitting them as a Ukrainian Humanitarian Parolee (UHP);
• Foreign passport with DHS/CBP admission stamp noting Parolee (DT);
• A Form I-765 Employment Authorization Document (EAD) with code C11;
• A Form I-766 EAD with code C11; or
• A non-Ukrainian immigrant who last resided in the Ukraine, can be eligible if they provide one of the above documents AND documentation of their last habitual residence in Ukraine.

NOTE: Applications received for Humanitarian Parolees from the Ukraine must be sent to the FSD Refugee Unit at: FSDREFUGEE@ip.sp.mo.gov. Special entry is required to allow this population to be coded correctly. Do not process these applications.

 

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

 

KE/hrp

IM-104 POLICY REVISION TO ALLOW ELECTRONIC SIGNATURES FOR MO HEALTHNET (MHN), TEMPORARY ASSISTANCE (TA) AND SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  POLICY REVISION TO ALLOW ELECTRONIC SIGNATURES FOR MO HEALTHNET (MHN), TEMPORARY ASSISTANCE (TA) AND SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)

MANUAL REVISION #
0105.010.00
0203.020.00
1120.025.00
1802.020.05
1802.020.15

 

DISCUSSION:

An electronic or typed signature is considered a valid signature for MHN, TA, and SNAP documents when accompanied with an attestation. The attestation must accompany any typed signature and state that the electronic or typed signature has the same legal effect and can be enforced the same as a handwritten signature.

NOTE: At this time, FSD CANNOT accept an electronic or typed signature on the Authorization for Disclosure of Consumer Medical/Health Information (MO 650-2616).

Policy has been updated to allow electronic or typed signatures:

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/cj

IM-89 ALL PROGRAM UPDATE TO POLICY WHEN NO DATA IS SHOWN ON IMES AND “NO DATA” DEFINITION

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  ALL PROGRAM UPDATE TO POLICY WHEN NO DATA IS SHOWN ON IMES AND “NO DATA” DEFINITION

MANUAL REVISION #
0110.025.05
0110.025.10
1805.030.05

 

DISCUSSION:

Policy for all programs is updated to explain necessary actions when an Income Maintenance and Employment Security interface (IMES) returns “no data.” The General Information Manual and Family MO HealthNet (MAGI) Manual policy are revised with this change; content in policy manuals for programs other than MO HealthNet does not require an update at this time.

IMES Used to Support an Income Determination

IMES is required in the record if it is accessed to review income information and reflects something other than “no data”. An IMES is considered to contain “no data” when the IMES:

  • is completely blank

or

  • has no earned income data for the last 12 months, and displays no unemployment compensation received for the last 12 months

When IMES displays “no data”, document in the eligibility system the date the IMES was viewed and why the IMES was not considered useful in an income determination.

IMES Used to Support Non-Financial Eligibility Requirements

Retain a copy in the case record if IMES is used to confirm non-financial information, such as, but not limited to:

  • Application status for other benefits such as unemployment compensation
  • Missouri residency or address information

FAMIS Resources guides are updated to include this information.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/ers

IM-73 UPDATES TO THE LEGAL ASPECTS MANUAL AND FSD-4 CUSTOMER SERVICE FORM

FROM: KIM EVANS, DIRECTOR

SUBJECT: UPDATES TO THE LEGAL ASPECTS MANUAL AND
FSD-4 CUSTOMER SERVICE FORM

MANUAL REVISION #
0130.010.00
0130.010.05
0130.010.10
0130.010.15
0130.010.15.15

FORM REVISION #
FSD-4 Customer Service

DISCUSSION:

Revisions have been made to the Legal Aspects Manual located within the General Information Manual. The Customer Service Complaints and Comments policy section and the FSD-4 Customer Service form have been updated to include the following language:

• Eligibility Specialist changed to staff
• FAMIS changed to eligibility system
• Individual and Claimant changed to participant
• Food Stamps changed to Supplemental Nutrition Assistance Program (SNAP)

NECESSARY ACTION:
• Review this memorandum with appropriate staff.

KE/mc

IM-72 REVISIONS TO WAIVER OF 10-DAY ADVANCE NOTICE (IM-80A)

FROM: KIM EVANS, DIRECTOR

SUBJECT: REVISIONS TO WAIVER OF 10-DAY ADVANCE NOTICE (IM-80A)

FORM REVISION #
IM-80A

DISCUSSION:

The IM-80A was updated with current Family Support Division (FSD) terms. Other changes were made to allow streamlined use for all FSD programs.

The FSD Staff section, at the bottom of the form, allows staff to provide their name and title and removes the requirement to witness the participant’s signature. This allows the IM-80A to be used by FSD staff interacting with participants by methods other than in person.

The IM-80A shows a revision date of 6/2022 and is available in the public and internal forms manuals.

NECESSARY ACTION:
• Review this memorandum with appropriate staff.
• Begin using the revised IM-80A immediately.

KE/cj

IM-71 INTRODUCING THE SIGNATURE REQUEST FORM (IM-2SR)

FROM: KIM EVANS, DIRECTOR

SUBJECT: INTRODUCING THE SIGNATURE REQUEST FORM
(IM-2SR)

MANUAL REVISION #
0105.010.00
0203.020.05
1120.010.00
1802.020.05

FORM REVISION #
IM-2SR
IM-2SR Spanish
Signature Request Letter obsolete
Signature Request Letter (Spanish) obsolete

DISCUSSION:

The Signature Request Form (IM-2SR) and Signature Request Form Spanish (IM-2SR Spanish) have replaced the English and Spanish versions of the Signature Request Letter, which are now obsolete. The IM-2SR has fewer fillable fields, one return address for all program types, and is available in the internal forms manual.

The following manual sections were updated to include a link to the IM-2SR:

• General Information Manual Section 0105.010.00 Signing the Application
• Temporary Assistance/Case Management Manual Section 0203.020.05 Application with No Signature
• Supplemental Nutrition Assistance Program (SNAP) Manual Section 1120.010.00 Applications Received by the Agency
• Family MO HealthNet (MAGI) Manual Section 1802.020.05 Application with No Signature

When registering an application, be sure to review for a signature.

• If there is no signature, follow the Unsigned Applications instructions located in ECM Resources.
• Do not register the application.
• Return all pages of the original unsigned application with the IM-2SR to the participant within three business days.
• If staff find an unsigned application has been scanned to the Electronic Content Management (ECM) system, submit a ticket to have the unsigned application removed.
o The ECM team will reach out to the individual that scanned the paper unsigned application and they will be instructed to return all pages of the original application to the participant along with the IM-2SR.

If the document was received digitally (e.g., by FSD Upload Portal or by email), the staff member that has encountered the unsigned application must print and return all pages of the unsigned application to the participant along with the
IM-2SR.

NECESSARY ACTION:
• Review this memorandum with appropriate staff.
• Use the new forms immediately and discard all previous versions.

KE/sh

IM-68 NEW HEARING REQUEST AND CANCEL HEARING REQUEST FORMS DEVELOPED FOR PUBLIC USE

FROM: KIM EVANS, DIRECTOR

SUBJECT: NEW HEARING REQUEST AND CANCEL HEARING REQUEST FORMS DEVELOPED FOR PUBLIC USE

FORM REVISION #
IM-85
IM-85 Instructions
IM-86
IM-86 Instructions

DISCUSSION:

The Online Hearing Request (IM-85) and Online Cancel Hearing Request (IM-86) forms are now available online to request a hearing or cancel a previously requested hearing. There are also instructions available for each form.

The forms and instructions are available on myDSS.mo.gov website for participants and their authorized representatives by using the quick links: Know Your Rights and Resources for Providers.

NOTE: When the Family Support Division receives a hearing request form, staff must follow the Hearing E-Referral Hand-Off process (see IM Email Memorandum #22 dated 4/29/21).

IM-85 and IM-86 are also available in the public forms manual and internal forms manual.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.
KE/bh

IM-60 OBSOLETING EMPLOYER AND STUDENT INCOME VERIFICATION FORMS

FROM: KIM EVANS, DIRECTOR

SUBJECT: OBSOLETING EMPLOYER AND STUDENT INCOME VERIFICATION FORMS

MANUAL REVISION #

1102.015.05
1102.015.45

FORM REVISION #

FA-311 obsolete
FA-321 obsolete
IM-12 obsolete
IM12A obsolete
IM-108 obsolete

DISCUSSION:

Effective 5/28/2022, the following employer and student income verification forms are obsolete for all Income Maintenance (IM) programs:

Manual forms removed from the internal and external forms manuals: IM-12, IM-12A, and IM-108
System forms removed as options to send by the eligibility systems: FA-311, FA-321, IM-12, and IM-108

The following Supplemental Nutrition Assistance Program (SNAP) policy sections are updated to remove references to the obsoleted forms:

1102.015.05 Gross Income
1102.015.45 Number of Hours Worked by Able Bodied Adults Without Dependents

To assist participants in obtaining verification staff should do the following:

• Complete a telephone call with the employer and/or participant
• Use electronic sources when applicable
• Communicate what are acceptable documents to be used as verification
     o Language should be clear and concise

When generating a request for information (FA325 or IM31A), the form should be edited to include clear and concise details of the required verification as well as the specific time period needed.

NECESSARY ACTION:
• Review this memorandum with appropriate staff.

KE/ams