Family MO HealthNet (MAGI)

1805.040.10.20 Sanctions for Non-cooperation

IM-#004, January 04, 2018, IM-#46, July 15, 2016, IM-#97, November 9, 2015

When an individual fails to cooperate with Child Support (CS) in obtaining medical support and good cause does not exist, the individual is sanctioned. Sanctioning an individual ends his/her MO HealthNet (MHN) coverage.

NOTE: Only parents and caretakers can be sanctioned. Do not sanction children.

CS determines if the individual has cooperated or if a sanction should be imposed. If a sanction should be imposed, CS will notify the Family Support Division (FSD). If good cause does not exist, FSD sanctions the individual.

NOTE: FSD determines if good cause exists; refer to 1805.040.10.15.05 Determining Good Cause.

FSD-CS will use the email address FSD.GROUPC@dss.mo.gov when sending a request to enter MO HealthNet sanction due to non-cooperation in pursuit of medical support, or to end a sanction when the individual cooperates with CS.

Emails received from CS requesting entry or ending of a child support sanction will contain “Child Support Sanction” in the subject line. Income Maintenance (IM) must act on the sanction request within ten (10) days of receipt of the request.

NOTE: When an individual cooperates, CS sends a request to FSD to lift a sanction. CS will send an email advising FSD that the individual is now eligible to receive benefits. Follow appropriate procedures to end the sanction and reactivate the caretaker’s MO HealthNet benefits, if they remain otherwise eligible, within ten (10) days.

MAGI Processing Centers must have a process to identify and distribute these email messages to appropriate staff, and to ensure action requested by CS is taken within ten (10) days.

Follow adverse action procedures prior to imposing the sanction. If a hearing is requested within the adverse action period:

    • Do not take action until the hearing has been conducted and a decision is rendered, AND
    • Allow the caretaker to continue to receive the current level or benefits until the hearing decision is rendered.