IM-103 July 11, 2022; IM-165 December 9, 2020
If otherwise eligible, children under the age of 18 who are disabled may receive MO HealthNet for Disabled Children coverage under the Spend Down, Non-Spend Down or Vendor programs. Eligibility requirements for the MHDC program are the same as those for adults who are disabled, except that the income and resources of the disabled child’s parents are deemed in certain circumstances. For more information regarding eligibility criteria for the MHDC program, refer to 0805.020.00 Medical Assistance for Disabled Children (MADC).
Due to the federal EVS requirements, all MHDC program participants will need to have an authorization to verify their assets recorded in the electronic case record. For disabled children with spouses, refer to manual section 0110.060.15 Fair Credit Reporting Act (FCRA) Authorization for more information on authorization requirements for participants and spouses.
For the electronic verification of an MHDC participant’s assets, authorization for any unmarried, minor participants living with their parents, must be provided by the child’s parent(s), guardian, or conservator on the disabled child’s behalf.
The authorization language is included within the “Rights and Responsibilities” section of the MHABD application and on the annual renewal form. The required authorization is obtained when the MHABD application or renewal is signed by an adult participant, the participant’s spouse on behalf of the participant, the participant’s parent(s), or the participant’s authorized representative.
NOTE: If the parent or authorized representative revokes the authorization to review FCRA sources, apply the rules for an incapacitated individual and do NOT deny or end coverage for the MHDC participant. All required verification for an eligibility determination must still be provided by the participant.
Authorization to verify the non-applying parent’s resources must be signed by the non-applying parent(s) or someone legally authorized to act on the non-applying parent’s behalf. Authorization is captured on the Authorization for Verification (IM-6EVS) form. MHN eligibility can NOT be denied to the applying child if authorization to utilize electronic verification of the assets of the non-applying parent is not provided.
As well as providing authorization for FSD to electronically verify his/her assets, the non-applying parent may need to provide his/her social security number, date of birth, maiden name or other name known by, and residence in order to verify the parent’s assets through the EVS. Since it is not a condition of eligibility that this information be provided by a non-applying parent(s), MHN eligibility for the participant can NOT be denied or discontinued due to the parent’s failure to provide this information.
NOTE: For situations when an authorized representative does NOT represent BOTH the participant and the participant’s parent(s), refer to manual section 1801.010.10 Appointing an Authorized Representative in a Household With Multiple Adults for information necessary to determine if the appropriate authorization to review FCRA sources has been received.
The authorization remains valid until:
- The Family Support Division (FSD) rejects the application;
- Benefits are terminated; or
- FSD receives a written and signed revocation.