Family MO HealthNet (MAGI) Manual

1840.020.00 Interim Changes

IM-22 April 11, 2024; IM-123 September 11, 2017

Changes in a household’s circumstances may cause a family to be eligible for a different premium amount or level of care (LOC).

Occasionally, a change in household composition could result in an increase or decrease in the premium amount. The premium may increase in situations where a person is added to an existing household, but the income and federal poverty level percentage remain in the same category.

CHIP premiums are also updated every July 1st. Refer to Appendix E – MO HealthNet for Kids – CHIP Premium Chart.

Note: When a premium increases, the participant must be sent an Adverse Action Notice and an Action Notice to advise the participant that the premium is changing.

Continuous Eligibility for Children (CEC)

Do not remove children or increase the premium for children that are covered by CEC unless processing an Annual Renewal or if the child meets one of the closing exceptions. Refer to 1805.070.00 Continuous Eligibility for Children (CEC).