An Adverse Action (IM-80) must be sent to notify the participant of the requirement to pay a premium. The Adverse Action informs the participant that the current non-premium level of care will end and a premium payment is required to continue to receive MO HealthNet coverage.
Once the Adverse Action (IM-80) expires, the Action Notice (IM-33) is sent. The Action Notice states coverage continues for 60 days, and a premium payment is required to receive coverage past the 60th day. If the premium is not received by the end of the 60-day period, coverage in the non-premium LOC ends and eligibility for premium coverage is closed.