Family MO HealthNet (MAGI) Manual

1880.000.00 Annual Renewals

IM-137 November 20, 2017

Annual Renewals for MAGI Family MO HealthNet (MHN) and MO HealthNet Children’s Health Insurance Program (CHIP) must be completed once every twelve months as provided by 42 CFR 435.916.

Automatic Annual Renewals occur when there is enough information available to the agency to complete the renewal without requiring information from the individual or intervention from the Eligibility Specialist. A redetermination of eligibility during an Automatic Annual Renewal is based on information available to the agency through the electronic data sources.

See the MAGI MO HealthNet policy section, 1805.002.02 Federal Hub Calls to see the items that will be pulled when the annual renewal is completed automatically.

When available information indicates no change in eligibility, renew the case without requesting anything from the individual.

EXAMPLE: Roberta’s three children are covered under CHIP 73. Roberta’s children are all citizens. A current review of the Work Number confirms Roberta’s income information. There is no change in coverage and the children remain eligible for CHIP 73. An Action Notice (IM-33) is sent notifying Roberta there was no change to her children’s coverage during the Annual Renewal process.

If the Annual Renewal cannot be completed because of insufficient information available to the agency, a pre-populated Annual Renewal Form (IM-1U) must be sent to request additional information from the individual. The IM-1U is automatically generated in this instance.