Family MO HealthNet (MAGI)

1820.030.00 ELIGIBILITY FOR INITIAL SIX MONTHS

IM-#34, March 12, 2019, IM-#19, February 07, 2018

To initially qualify for Transitional MO HealthNet, a household must:

  • have been eligible for and received MHF in at least three of the last six months immediately preceding the first month of ineligibility; AND
  • have ineligibility for MHF because of an increase in earned income from a parent or caretaker relative’s employment.

NOTE: The increased earned income may come from a parent or caretaker relative who was added to the case as their needs and earned income are used to complete the budget.

EXAMPLE: Ms. Purple and her children have received MHF for the past year.  Ms. Purple marries Mr. Grey and he is added to the household.  Since his needs and earned income are now used to complete the budget, Ms. Purple and the children are now eligible for TMH. Mr. Grey is not eligible for TMH since he has not received MHF in three of the last six months.

The participant’s self-attestation of increased earnings or employment and the date employment began may be accepted. If verification is requested (combination MHF/Temporary Assistance case) but not received, determine eligibility for Transitional MO HealthNet based on the self-attestation of the household (In MEDES this is the MHF to TMH verification code).

If more than one change occurs that could cause MHF ineligibility, use the change occurring first to determine eligibility for Transitional MO HealthNet.