0430.000.00 Annual Renewals and Change in Circumstance

0430.010.20 Pre-closing Ex Parte Review

IM-45 May 3, 2023

If a change in circumstance results in a determination of ineligibility for SAB, ineligibility for all MO HealthNet (MHN) categories must be established prior to taking action to close the case. Carefully review all available information. If potential eligibility exists under another category, change the case address if necessary, and continue MHN under SAB while exploring other eligibility. Action may be taken to discontinue the cash grant while not affecting the MHN eligibility. Once the eligibility determination is complete, transfer the participant to the appropriate MHN category. Initiate action to close the case  if no other eligibility exists.

Do not ask the participant to provide new information that is available to the agency or to re-verify current case information.  Obtain additional information from the participant if needed to determine eligibility in another category. Do not close while attempting to complete the new eligibility determination.