December 1973 Eligibility Requirements


IM-#139 September 11, 2019,  IM-94. June 11, 2019, IM-#69, 06/15/2017

In OAA or PTD cases, participants are ineligible when they have available resources that exceed the resource limits for these programs. An individual case and a couple case each have a resource limit as listed in the chart below:

Fiscal Year (FY) MHABD Single Resource Limit MHABD Couple Resource Limit +/- Change

Prior to 07/01/2017

$999.99 $2000.00  
FY2018:  07/01/2017 – 06/30/2018 $2000 $4000 +$1000.01/$2000
FY2019:  07/01/2018 – 06/30/2019 $3000 $6000 +1000/$2000
FY2020:  07/01/2019 – 06/30/2020 $4000 $8000 +1000/$2000
FY2021:  07/01/2020 – 06/30/2021 $5000 $10000 +1000/$2000
FY2022 and each subsequent FY     +by COLA and rounded to the nearest 5 cents

Refer to Appendix J MHABD Standards for the current resource limit.

  • NOTE: If one spouse enters a MO HealthNet certified bed in a vendor facility on or after September 30, 1989 and the other spouse remains at home apply the Division of Assets policy.

Available resources include any combination of the following:

  1. real property that meets the definition of Real Property as an Available Resource,
  2. personal property,
  3. cash and securities,
  4. cash surrender value (CSV) of life insurance policies that exceed the CSV exemption,
  5. money paid on revocable pre-need burial contracts that exceed the CSV exemption,
  6. cash surrender value of annuities.

Resources must be verified for initial application with the exception of Direct Express Accounts. For Instruction refer to  IM-93, 12/28/16. Verification of resources when completing a MO HealthNet for the Aged, Blind and Disabled (MHABD) Reinvestigations are as follows:

Requirements to Accept Participant Attestation

Participant’s attestation of the value of a resource may be accepted as sufficient verification at an MHABD annual reinvestigation IF (all criteria must be met):

  • The resource has been previously verified using Hard Copy (HC), Collateral Contact (CC), Telephone Call (TC) or Interface (IN) and
  • The attested value of the resources does not create ineligibility for the participant and
  • The value is not in question based upon the existing case file.

New or Previously Unverified Resources

If the resource is new or previously unverified, use initial application verification procedures.  Once verified in this manner, participant attestation may be used at the next annual reinvestigation if it meets the criteria.

Income Generating Resources

If the resource has been previously verified to generate income or income is declared at the reinvestigation on a previously verified resource, participant attestation may be used to verify the resource but the income, such as interest, must be verified for the income determination of the review.

Annuities and Trusts

All annuities and trusts must still be submitted through Program and Policy to determine resource and income stream consideration. If the declared value of the resource or the declared value of the combined resources exceeds the resource limit for the program, hard copy verification must be obtained prior to issuing an Adverse Action to terminate or change benefits. Only changes in the trust or annuity are resubmitted to Program and Policy for an annual review.

FAMIS Entries

At this time, FAMIS programming does not recognize Client Statement (CS) as a valid verification code for most resources.  Until FAMIS is reprogrammed, field staff should use Collateral Contact (CC) and make a thorough comment regarding accepting the participant’s attestation.

EXAMPLE:  Carmen Smith has received MHABD Non Spend Down coverage since November 2014.  She has one bank account at Great Southern.  At the November 2015 annual reinvestigation, the Eligibility Specialist (ES) verified her bank account balance as $175.15 and no interest was showing on the bank statement provided, nor was any declared on the reinvestigation form.  When she submitted her November 2016 annual reinvestigation form, Carmen listed the same account at Great Southern, wrote a balance of $312.00 and still did not list any interest.  This is the only declared resource and is consistent with information verified in the existing file.  When completing the REINVEST screens for this resource in FAMIS, the ES will enter $312 as the Gross Amount, the Begin Date will be the date of the returned reinvestigation form and CC will be entered in the Ver field.  The ES makes the following comment:  “Carmen’s bank account was verified previously. She declared $312 at the reinvestigation received on XX/XX/XX.  This amount is below the resource limit, is consistent with the file and is not in question.  ES accepting this as reasonable verification.”  No further verification would be needed for this resource.