Family MO HealthNet (MAGI) Manual


IM-#134, November 14, 2017

All applications must be processed without delay unless unusual or extreme circumstances exist. Complete the eligibility determination to ensure an applicant is mailed his/her notice of approval or denial in a timely manner.  Application timeframes are as follows:

  • MHF, MHK, CHIP, and UWHS – no later than the 30th day after the application date; and
  • MPW and SMHB – no later than the 15th day after the application date.

If the application cannot be completed promptly due to an extreme circumstance the Eligibility Specialist must enter a comment per current MEDES process.

An application may be rejected prior to the due date if the case is found to be ineligible on one of the following eligibility factors:

  • No eligible child;
  • Income over maximum (client statement reasonably compatible with electronic data);
  • Ineligible alien; or
  • Failure to cooperate with an IM-31A request for information.

The following are examples of eligibility factors staff cannot reject for:

  • Alien stating he/she meets the 5-year ban and waiting on verification (refer to manual section 1805.000.05 – Reasonable Opportunity); or
  • Client statement is not reasonably compatible with electronic data and additional information is needed (refer to manual section 1805.030.15 Reasonable Compatibility.