Family Healthcare (FAMIS)

0927.030.00 Exparte Process

Prior to discontinuing a participant’s coverage under UWHS, review the participant’s possible eligibility under all MO HealthNet programs. Follow steps for an exparte review in MO HealthNet for Families manual Sections¬†0905.025.16.05¬†–¬†0905.025.16.20.

Example:

Ms. Elrod reports that she is now insured and pregnant. Explore eligibility under MO HealthNet for Pregnant Women (MPW) prior to closing UWHS.