IM-78 OBSOLETE FORMS REMOVED FROM DEPARTMENT OF SOCIAL SERVICES (DSS) FORMS MANUAL AND INCOME MAINTENANCE (IM) FORMS MANUAL

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  OBSOLETE FORMS REMOVED FROM DEPARTMENT OF SOCIAL SERVICES (DSS) FORMS MANUAL AND INCOME MAINTENANCE (IM) FORMS MANUAL

 

DISCUSSION:

The DSS Manuals IM Forms Manual (public site) and FSD Intranet IM Forms Manual (internal site) have both been updated to remove forms that are obsolete and no longer to be used by Family Support Division (FSD) staff.

Obsolete forms that were removed:

DOI-1 

Referral for Investigation

IM-1

Application for Benefits

IM-2

Application for Benefits

IM-2

Mod Adult Adult Supplement – Spanish

IM-209

Case Reading Form

IM-23

Client Services Postcard

IM-2C

Expenses of Producing Income – Spanish

IM-2U

Eligibility Recording Form

IM-30C

Explanation of Financial Eligibility

IM-30IBCA

Income Maintenance Budget (IBCA)

IM-31A MC+

MC+ Request for Information

IM-32MC

MC+ Approval Notice (Non-premium groups)

IM-32MPW

MC+ for Pregnant Women Approval Notice

IM-32PRM

MC+ Approval Notice (Premium Group)

IM-32QMB

Notice of Approval

IM-32SLMB

Notice of Approval

IM-33A

Notice of Temporary Assistance/Food Stamp Case Action

IM-33MAF

MAF Notice of Case Action

IM-33MC

MC+ Notice of Denial

IM-33MCC

MC+ Notice of Action

IM-34

Change of Status Summary

IM-35

Identification Data Form

IM-36

Vital Statistics Form

IM-37

Insurance Form

IM-38

IM-2 Recording Worksheet

IM-3A

Reinvestigation Notice

IM-4 MA

Information about your Medical Assistance

IM-42

Inter-county Transfer

IM-42A

County Transfer Letter

IM-80MC

MC+ Advance Action Notice

PC-1

Presumptive Eligibility Determination

PC-2

MO HealthNet for Kids Presumptive Eligibility Determination

SPNDDOWN

Spend Down Calculation Document

 

Audit Document Request Form

 

Flow Chart for Pregnant Women Applications

 

Affidavit of Disaster Loss

 

Case Manager Performance Plan

 

Case Worker Performance Plan

 

Program Improvement Plan

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Discontinue use of any forms shown.
  • Discard any unused forms shown if paper copies are being stored.

 

KE/cj

IM-77 COMMON LAW MARRIAGE UPDATE FOR ALL INCOME MAINTENANCE PROGRAMS

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  COMMON LAW MARRIAGE UPDATE FOR ALL INCOME MAINTENANCE PROGRAMS

MANUAL REVISION #
1100.010.00
1105.015.04.15
0205.025.00
1805.030.10.07
1013.000.00

 

DISCUSSION:

If a common law marriage was established in another state, each partner is considered a spouse in Missouri. Common law marriages cannot be initiated in Missouri.

EXAMPLE: Edward and Ana state they are common law spouses. Their marriage began in Kansas, where common law marriages can be established. Consider them spouses for eligibility purposes.

The following manual sections have been updated or created to reflect this information:

Child Care will continue to follow Temporary Assistance policy for specified relatives. Refer to 2010.010.00 Relationship of the Applicant to the Child for more information.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Send questions regarding common law marriages through normal supervisory channels.

 

KE/ers

IM-76 TAX CREDIT CHANGES RESULTING FROM THE AMERICAN RESCUE PLAN ACT (ARPA) OF 2021

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  TAX CREDIT CHANGES RESULTING FROM THE AMERICAN RESCUE PLAN ACT (ARPA) OF 2021

 

DISCUSSION:

The ARPA modified the provisions of several commonly used tax credits. Most of the changes are in effect only for 2021. The following tax credits are refundable, meaning the credit amount can be paid directly to the tax filer if his/her tax liability is $0.

 

Child Tax Credit (CTC) Earned Income Credit (EIC) Child and Dependent Care Credit
A credit increase to $3600 for qualifying children ages 0-5; $3000 for children ages 6 through 17. The minimum age to qualify for the EIC is lowered to 19 and the maximum age is removed. The maximum amount of this credit increased to $6000 for one child and $16,000 for two or more children.
One-half of the estimated CTC amount is payable to parents in advance monthly payments starting in July 2021; the other half will be issued as part of 2021 tax refunds. The maximum income for an earner without children is increased to $9820.  
Tax filers will be able to opt out of the advance monthly payments. Some married filers may be treated as unmarried filers in certain circumstances.  

 

Do not count advance monthly payments or lump sum refunds of a refundable tax credit as income or a resource for Income Maintenance programs. For programs that consider resources, count tax credit funds remaining after 12 months as a resource.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/ers

IM-73 RETURNED MAIL FOR ALL INCOME MAINTENANCE (IM) PROGRAMS

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  RETURNED MAIL FOR ALL INCOME MAINTENANCE (IM) PROGRAMS

MANUAL REVISION #

0240.010.20
0262.010.05
0262.010.10
0262.010.15
0262.010.20
0840.025.00
1140.005.50
1140.025.10.05
1885.020.00

 

DISCUSSION:

Manual revisions have been made to the MO HealthNet for the Aged, Blind, and Disabled (MHABD), Family MO HealthNet (MAGI), Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance (TA) policy manuals regarding returned mail. There has been no change to Child Care (CC) policy regarding returned mail.

United States Postal Service (USPS) stickers are placed on mail that is undeliverable. This information shows a forwarding Missouri address, a forwarding out of state address, or no forwarding address (unable to locate). Returned mail may be handled differently depending on the program and the information provided on the sticker.

To ensure consistency across all IM programs, the manual sections shown above have been created or revised. The following information summarizes changes made for each program.

Note: No adverse actions will be taken on any MO HealthNet cases during the COVID-19 Public Health Emergency.

MHABD: A new manual section has been added to the MHABD policy manual which addresses returned mail received by the Family Support Division (FSD).

MAGI: The manual section below has been updated regarding returned mail received by FSD.

SNAP: Due to Simplified Reporting, no action can be taken when returned mail is received by FSD. The manual sections below have been updated.

TA: The returned mail procedures outlined in this memorandum will change processes for TA cases. The TA manual outlines specific procedures for returned mail in relation to the Missouri Work Assistance (MWA) program and TA Drug Testing policy. The manual sections below related to returned mail and unable to locate have been updated to reflect changes in procedure when returned mail is received by FSD.

  • TA Drug Testing Returned Mail Policy 
  • MWA Returned Mail Policy 

CC: Due to Simplified Reporting, no adverse action can be taken when returned mail is received by FSD.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/nw

IM-61 APPOINTING AN AUTHORIZED REPRESENTATIVE (IM-6AR) LARGE PRINT AND SPANISH TRANSLATION FORMS ADDED TO THE FORMS MANUALS

FROM: KIM EVANS, DIRECTOR

SUBJECT: APPOINTING AN AUTHORIZED REPRESENTATIVE (IM-6AR) LARGE PRINT AND SPANISH TRANSLATION FORMS ADDED TO THE FORMS MANUALS

FORM REVISION #
IM-6AR LP
IM-6AR SPANISH

 

DISCUSSION:

The IM-6AR with a revision date of 11/2019 has been converted to large print (IM-6AR LP) and translated into Spanish (IM-6AR Spanish). Both versions of the form are now available in the Department of Social Services (DSS) Forms Manual and the Income Maintenance (IM) Forms Manual.

This is NOT a new revision and no information has changed on the English version.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/cj

IM-49 REVISED FORM IM-1TA APPLICATION FOR TEMPORARY ASSISTANCE CASH BENEFITS

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  REVISED FORM IM-1TA APPLICATION FOR TEMPORARY ASSISTANCE CASH BENEFITS

FORM REVISION # 2

IM-1TA

 

DISCUSSION:

The IM-1TA has been revised. Use this updated form immediately and discard all previous versions.

 Changes to the application include:

  • The length of the application has been reduced to 30 pages. The pages scanned to the ECM can be further reduced by:
    • Removing pages 1 – 4.
    • Removing unused pages found at the end of the form.
  • Questions follow CONFLOWS in the eligibility system
  • Additional questions including:
    • Diversion question.
    • All Declaration questions.
    • Begin dates for:
      • Resources
      • Burial Plans
      • Employment
      • Did you receive income from this job this month or last month?
  • The Voter Registration card has been removed from the application and will need to be sent or given to applicants with the IM-1TA form.

The updated IM-1TA can be found in the online forms manual and on mydss.mo.gov, click on “Apply”. In addition, a limited number of paper copies are available through the Department of Social Services (DSS) Warehouse.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/hrp

IM-47 COVID-19 ECONOMIC IMPACT PAYMENTS RESULTING FROM THE AMERICAN RESCUE PLAN ACT 2021 FOR ALL INCOME MAINTENANCE (IM) PROGRAMS

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  COVID-19 ECONOMIC IMPACT PAYMENTS RESULTING FROM THE AMERICAN RESCUE PLAN ACT 2021 FOR ALL INCOME MAINTENANCE (IM) PROGRAMS

MANUAL REVISION #

0205.005.30.10

0210.015.35.40

0805.015.10

1025.015.01.02

1110.020.30

1115.015.90

1805.030.20.10

 

DISCUSSION:

Economic Impact Payments (EIP), also known as Stimulus Payments, were approved as part of the American Rescue Plan Act, 2021 (ARPA) which was signed into law on March 11, 2021.  The ARPA contains changes that affect the Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance (TA) Program, Child Care Subsidy (CC), and MO HealthNet (MHN) Programs.

 

Economic Impact Payments

U.S citizens and resident aliens will receive an EIP up to $1,400 for each individual and each qualifying child if:

  • they are not a dependent of another taxpayer and
  • have a work eligible Social Security number with Adjusted Gross Income (AGI) up to:
    • $75,000 for individuals
    • $112,500 for head of household filers and
    • $150,000 for married couples filing joint returns

Single filers with an AGI above $80,000, head of household filers with an AGI over $120,000, and joint filers with an AGI exceeding $160,000 will not receive a stimulus payment.

Eligible retirees and recipients of Social Security, Railroad Retirement, Disability or Veterans’ benefits as well as taxpayers who do not make enough money to normally file a tax return will receive a payment. This also includes those who have no income, as well as those whose income comes entirely from certain benefit programs, such as Supplemental Security Income benefits.

Retirees who receive either Social Security Retirement or Railroad Retirement benefits will also receive payments automatically.

 

MO HealthNet Non-MAGI Programs, SNAP, TA, and CC:

  • Payments are excluded as income.
  • Payments are excluded as a resource for the first 12 months from receipt.

NOTE: EIP payments reported in the month received will be entered as a resource. DO NOT enter as income in FAMIS. Any money left from an EIP 12 months after receipt will be counted as a resource.

 

Family MO HealthNet (MAGI) Programs:

  • Payments are excluded as income.

NOTE: Make a note in the eligibility system regarding the amount received. The payment is not to be entered as income on the case. Example of note: Ms. Smith reported she received $1,400 EIP on 3/24/2021.

 

FAMIS Entries

If the EIP is reported as income in the month received, enter it as a resource on the SELFRES (FMWB) screen. DO NOT ENTER AS INCOME ON SELINC (FMX2). The excluded amount should always equal the total EIP when entering for the same month it was received along with any other excluded balances for that month. Use Code CV in the Excl Rsn field for the EIP or CB if multiple exclusion reasons exist. Please use the FAMIS Resource Guide (search “liquid resources”) for acceptable verification codes.

If the balance of the EIP is reported the month after receipt, exclude any remaining balance of the EIP in the accounts as CV following normal procedures for entering liquid resources.

Though the EIP amount authorized by the ARPA is different, please refer to IM-35 COVID-19 ECONOMIC IMPACT PAYMENTS RESULTING FROM THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FOR THE MO HEALTHNET, FOOD STAMP, TEMPORARY ASSISTANCE AND CHILD CARE SUBSIDY PROGRAMS for guidance to capture the EIP income as an excluded resource.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/nw

IM-45 COVID-19: MIXED EARNER UNEMPLOYMENT COMPENSATION (MEUC) BENEFITS FOR ALL PROGRAMS

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  COVID-19: MIXED EARNER UNEMPLOYMENT COMPENSATION (MEUC) BENEFITS FOR ALL PROGRAMS

 

DISCUSSION:

On 12/27/2020, the Consolidated Appropriations Act (CAA) 2021 was signed.  The CAA contains provisions to address the public health emergency (PHE) and introduced MEUC, a new type of unemployment compensation. 

MEUC provides a $100 weekly benefit to individuals with combined earnings from regular employment and self-employment. MEUC can be received in combination with all other unemployment compensation types except for Pandemic Unemployment Assistance (PUA). 

The American Rescue Plan Act of 2021 was signed into law on March 11, 2021.  This act extended several temporary unemployment compensation types, including MEUC, until September 6, 2021.

See IM-02 COVID-19 Unemployment Compensation Updates Resulting From The Consolidated Appropriations Act, 2021 for information on other types of unemployment compensation.

 

All Programs

Include/count payments from MEUC for ALL Income Maintenance programs including MO HealthNet, Supplemental Nutrition Assistance Program, Temporary Assistance, and Child Care.

 

Important

No new income type was created for MEUC funds.  Enter MEUC using existing income selections for regular unemployment compensation.  Entries for Source Name Field in FAMIS and Employer Name field in MEDES must be exact

  • In FAMIS, enter the gross income as unearned income (UI) and select UC-Unemployment Compensation/Insurance. In the Source Name Field, type MEUC.
    • Continue to make appropriate entries on Court Ordered Expense (FMXL/SUPEXP) to indicate child support expenses.
  • In MEDES, select Unemployment Compensation/Insurance and enter the gross income.  In the Employer Name field, type MEUC

 

Income Entry

If regular unemployment compensation or another type of unemployment compensation is received in conjunction with MEUC, add each type as a separate income entry.

In the example below, the participant receives a gross amount of $503 per week- 

  • The regular weekly amount is $103, which should be entered as regular unemployment.
  • After deducting $103 in regular unemployment, $400 remains. $300 should be entered as FPUC.
  • The remaining $100 should be entered as regular unemployment, with MEUC as the income source name.

This case will have 3 income entries; 2 of them will look like a regular Unemployment Compensation selection:

  • FAMIS

  • MEDES

 

Prior Quarter 

Payments from MEUC were not made prior to the week ending March 6, 2021. Do not budget income from MEUC for months prior to March 2021.

NOTE:  For Family MO HealthNet cases, use IMES to support self-attested income in reasonable compatibility decisions for countable unemployment compensation types, as outlined in the MEDES COVID-19 Self Attestation Guide.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

KE/ers

IM-44 2021 UPDATE OF POVERTY INCOME GUIDELINES FOR TEMPORARY ASSISTANCE

FROM:  KIM EVANS, DIRECTOR

SUBJECT:  2021 UPDATE OF POVERTY INCOME GUIDELINES FOR TEMPORARY ASSISTANCE

MANUAL REVISION #

0210.005.30 

DISCUSSION:

Effective April 1, 2021, the Federal Poverty Level (FPL) income guidelines are increased for deeming major parent income for Temporary Assistance.

0210.005.30 Minor Parent Lives with Parent(s) has been updated to reflect the 2021 100% FPL figures needed to deem major parent income for a minor parent. In addition, the example for the deeming process has been updated to show the 2021 100% FPL figures.

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

KE/hrp

IM-39 ANNUAL INTERNAL REVENUE SERVICE (IRS) SAFEGUARDS INTERNAL INSPECTIONS REPORT-INDIVIDUAL TELEWORK

FROM: KIM EVANS, DIRECTOR

SUBJECT: ANNUAL INTERNAL REVENUE SERVICE (IRS) SAFEGUARDS INTERNAL INSPECTIONS REPORT-INDIVIDUAL TELEWORK

 

DISCUSSION:

Federal regulations require Family Support Division (FSD) staff with access to federal tax information (FTI), to complete an annual internal inspection.

Internal Inspections

Federal regulations require agencies to conduct internal inspections of all offices with access to FTI to ensure that the information is adequately safeguarded. To comply with this IRS requirement, all staff, including those working remotely (sometimes known as teleworkers), must complete the electronic Internal Inspections Report.

Complete and submit the Internal Inspections Report annually.  To access the Internal Inspections Report, sign into Employee Learning Center (ELC) and go to Internal Inspection Procedure. Click on the “Internal Inspections Report Individuals Telework Office” button at the top of the page indicating the individual inspection. The required report is also available online at https://apps.dss.mo.gov/FSDIRSSafeguardingForms/ for staff who do not have access to the ELC.

The ELC will email staff a reminder 30 days before an Internal Inspection Report is due.  It is not necessary to complete the course more than once every 12 months, or until a new email reminder is received. 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Complete the online Internal Inspection Report annually.

KE/