FROM: KIM EVANS, DIRECTOR
SUBJECT: CLARIFICATION OF CLOSING ACTION DATES AND APPLICATION DUE DATES IN THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL
MANUAL REVISION #
The MHABD manual has been updated to clarify the timeframes allowed in the MHABD cancel closing and cancel rejection policies.
When a participant provides ALL of the missing information that caused the case to close, within 30 days of the date the closing action is complete, the closing can be canceled.
The closing action is considered complete on the date the case closed, not the date the coverage ends. For some MHABD programs a case may close on a particular date with coverage continuing through the end of the month or the end of the following month. The Action Notice (FA-460 or IM-33) notifies the participant of the date the case closed, and the date coverage ends.
When reviewing the eligibility system, the action is considered completed on the date listed on the EU Action Log (EULOG/FM40) screen under the STATUS DATE for the particular eligibility determination with status of AUC.
If the case closed due to information that was not provided during a request to add a person who is requesting coverage or to add a category of coverage to an active MHABD case and that information is later provided, in addition to pursuing a cancel closing of the case, ensure that the request for coverage continues to be processed if information was provided within the appropriate cancel rejection timeframes.
NOTE: A new add a person request will need to be registered using the original application date.
Canceling a rejection:
A cancel rejection can be pursued for applications that were rejected due to agency error, failure to provide required information, and failure to cooperate.
Cancel rejection policy has been relocated to follow the policy regarding application processing timeframes. Manual section 0835.000.00 Prompt Disposition has been renamed 0835.000.00 Application Processing Timeframes for MO HealthNet for the Aged, Blind, and Disabled Programs. MHABD manual section 0820.020.05.10 is now obsolete. The policy labeled Canceling a Rejection has been moved to MHABD manual section 0835.010.00.
MHABD applications rejected due to failure to provide requested information or failure to cooperate can have the rejection canceled if ALL information is provided by the application due date. Due dates are referenced in MHABD manual section 0835.000.00 Application Processing Timeframes for MO HealthNet for the Aged, Blind, and Disabled Programs.
- Applications based on Permanent and Total Disability, Blind Pension, or Supplemental Aid to the Blind eligibility criteria are due within 90 days.
- Applications based on Old Age Assistance eligibility criteria are due within 45 days.
Policy regarding canceling the rejection of a request to add a person or add a category of coverage to an active MHABD case has been added to MHABD Manual Section 0835.010.00 Canceling a Rejection.
The MHABD Cancel Reject/Cancel Close Chart is available on the IM Training intranet page.
- Review this memorandum with appropriate staff.