Family MO HealthNet (MAGI)

1802.020.45.10 Application for Deceased Persons

IM-#134, November 14, 2017

When a personal representative, administrator, or executor of the estate of a deceased person requests MO HealthNet for the deceased person, the date of request is the date the signed application is received. The date of application determines the months that can be included in the prior quarter, if prior quarter coverage is needed. See Income Maintenance Manual section 0105.010.00 Signing the Application for information on who may sign the application on behalf of the deceased individual.

A court appointed personal representative, administrator, or executor of the deceased applicant’s estate has legal authority to apply for and/or follow the application process through to resolution, including the hearing process. Obtain documentation of legal appointed status. Add the court appointed personal representative, administrator, or executor of the deceased applicant’s estate as per current MEDES procedure.

NOTE:  Death of an applicant who has appointed an authorized representative to apply on his/her behalf voids the appointment of the authorized representative. If an application is presented by an authorized representative after the death of the applicant follow current MEDES procedure for a desk rejection and a Notice of Case Action (IM-33) must be sent to applicant’s address, indicating the application is rejected because the applicant is deceased and appointment of authorized representative is no longer valid.

NOTE:  When an applicant/participant is deceased, a court appointed personal representative, administrator, or executor of the estate can appoint another person to be an authorized representative for the applicant/participant. See Income Maintenance Manual section 0130.020 Authorized Representative(s) for MO HealthNet,

If all eligibility requirements are met, approve the MO HealthNet coverage. If the deceased individual was eligible for benefits in the month that he/she died, the date of death is the termination date for the MO HealthNet coverage.