Memorandums and Practice Points

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  CORRECTION TO TEMPORARY ASSISTANCE MANUAL SECTION FOR THE FAMILY AND CHILDREN ELECTRONIC SYSTEM (FACES) CHART MANUAL REVISION # 0215.005.15                       DISCUSSION: The Temporary Assistance Manual Section 0215.005.15 FACES chart has been corrected and formatted in an easier to read read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  ADDITION OF FOSTER CARE INCOME TO THE UNEARNED INCOME SECTION IN THE MO HEALTHNET FOR THE AGED, BLIND, OR DISABLED (MHABD) MANUAL MANUAL REVISION #134 0805.015.30   DISCUSSION: The purpose of this memorandum is to inform staff that Foster Care income has been added to the list of read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  FOOD STAMP MANUAL UPDATE TO EMPLOYMENT HISTORY (IMES) MANUAL REVISION #132 1102.015.55   DISCUSSION: The purpose of this memorandum is to inform Family Support Division (FSD) staff of a change in the Food Stamp Manual. Section 1102.015.55 Employment History (IMES) is updated to provide guidance regarding at what read more…

FROM:  REGINALD E. MCELHANNON, INTERIM DIRECTOR SUBJECT:  CITATION REVISION IN THE PRESUMPTIVE ELIGIBILITY MANUAL MANUAL REVISION #131 1900.020.10   DISCUSSION: The purpose of this memorandum is to correct the regulation citation.  The manual previously showed Section 208.151 (13) RSMo.  This has been changed to Section 208.151 (12) RSMo.   NECESSARY ACTION: Review this memorandum with read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:   INTRODUCTION OF COST RECOVERY POLICY MANUAL SECTIONS FOR THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED MANUAL MANUAL REVISION # 0880.000.00 0880.005.00 0880.010.00 0880.015.00   DISCUSSION: Participants who receive MO HealthNet for Aged, Blind, and Disabled (MHABD) benefits are subject to cost recovery efforts by MO HealthNet read more…

FROM:  REGINALD E. MCELHANNON, INTERIM DIRECTOR SUBJECT:  HYPERLINKS CORRECTED IN EMERGENCY MO HEALTHNET FOR INELIGIBLE ALIENS (EMCIA) MANUAL SECTION MANUAL REVISION #129 1700.010.05   DISCUSSION: The purpose of this memorandum is to correct links in the Emergency MO HealthNet Care for Ineligible Aliens (EMCIA) manual.  The manual previously had links in manual section 1700.010.05 to read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  CORRECTION TO ACRONYM FROM HIPPA TO HIPAA MANUAL REVISION #128 0130.005.05.11 0803.020.10 FORMS REVISION: #38 650-2616 HIPAA Instructions 650-2616LP HIPAA Instructions Large Print   DISCUSSION: The purpose of this memorandum is to correct the acronym used from HIPPA to HIPAA (Health Insurance Portability and Accountability Act) in the read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  QUALIFIED INCOME TRUST (QIT) TEMPLATE (MO 886-4657) FORM ADDITION #37 QIT Form QIT Instructions   DISCUSSION: This memorandum introduces the fillable QIT template, MO 886-4657.  (QITs are also referred to as Miller Trusts.)  This template is designed to meet the necessary requirements to reduce the countable income for read more…

FROM:  REGINALD E. McELHANNON, ACTING DIRECTOR SUBJECT:  CORRECTION ON MAGI APPENDIX B MANUAL REVISION #127 APPENDIX B   DISCUSSION: The purpose of this memorandum is to correct an error on MAGI Appendix B – Reasonable Compatibility Calculator.  To align the State Verification Plan and manual section 1805.030.15 Reasonable Compatibility wording has been changed in line read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  JANUARY 2020 COLA ADJUSTMENT OF SSA/SSI/VA/RR INCOME FOR ALL PROGRAMS EXCEPT MAGI MANUAL REVISION #126 0410.010.15 0805.020.15 1030.010.05 APPENDIX E APPENDIX J APPENDIX K APPENDIX L   DISCUSSION: In January 2020, all Social Security Administration (SSA), Supplemental Security Income (SSI), Veterans Administration (VA), and Railroad Retirement (RR) participants read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  2020 INCREASE IN SUBSTANTIAL GAINFUL ACTIVITY (SGA) MANUAL REVISION #125 APPENDIX D   DISCUSSION: The Social Security Administration announced an increase to the SGA amount.  Effective January 1, 2020, the monthly SGA amount for: statutorily blind individuals is $2,110.00. non-blind individuals is $1,260.00. The Income Maintenance (IM) policy read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  ADDITION OF LEGAL BASIS FOR MAGI APPLICATION WITH NO SIGNATURE AND ELECTRONIC SIGNATURE   MANUAL REVISION #124 1802.020.05 1802.020.15   DISCUSSION: The purpose of this memorandum is to introduce the addition of Legal Basis information in the following sections: 1802.020.05 Application with No Signature 1802.020.15 Electronic Signature The read more…

FROM:   REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  FAMILY HEALTHCARE MAGI Income Evidence for Self-Employment MANUAL REVISION #123 1805.030.05   DISCUSSION: The purpose of this memorandum is to introduce a new section in the Family Healthcare manual Income Evidence sub-chapter regarding Self-Employment. Highlighted in this section is: What can be used as verification of self-employment income read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  FAMILY HEALTHCARE (MAGI) MANUAL APPENDIX H UPDATE – ME 30 AND ME 70 ARE NEWBORN QUALIFYING ME CODES MANUAL REVISION #122 APPENDIX H ME CODES CHART   DISCUSSION: The purpose of the memorandum is to advise that Appendix H ME Codes Chart in the Family Healthcare (MAGI) Manual read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  TEMPORARY ASSISTANCE (TA) MANUAL UPDATES – ADDING SECTION FOR APPLICATIONS RECEIVED WITH NO RESIDENTIAL OR MAILING ADDRESS MANUAL REVISION #121 0203.015.00              DISCUSSION: The purpose of this memorandum is to notify staff that Manual Section 0203.015.00 Application Received with no Residential or Mailing Address has been added to read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  BLIND PENSION (BP) RESIDENCY REQUIREMENT MANUAL REVISION #120 0505.035.00   DISCUSSION: This memorandum announces manual revision of the residency requirement for Blind Pension applicants.  This update enforces previous statutory requirements. Section 209.030 RSMo requires that a person applying for BP must have: been a resident of Missouri for read more…

FROM:  REGINALD MCELHANNON, INTERIM DIRECTOR SUBJECT:  FOOD STAMPS DISCONTINUING EXPEDITE POSTPONE SERVICES WAIVER MANUAL REVISION #119 1125.000.00 1125.005.00 1125.017.00  1125.025.00 1125.030.00   DISCUSSION: Effective immediately, the Family Support Division (FSD) will discontinue the waiver that allows FSD to certify and issue benefits to households that meet expedited service criteria but are unable to complete the read more…

FROM:  REGINALD E. McELHANNON, ACTING DIRECTOR SUBJECT:  USING CLIENT STATEMENT INCOME VERIFICATION MANUAL REVISION #118 1102.015.05  Gross Income   DISCUSSION: FAMIS is updated and will now pend for verification if Client Statement (CS) is entered for income verification for Food Stamps.  The system would previously allow CS for income verification and approve based on this read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  INCREASE IN VENDOR MAXIMUM MONTHLY MAINTENANCE STANDARD AND MINIMUM AND MAXIMUM SPOUSAL SHARE MANUAL REVISION#117 1030.035.10 1030.035.20 1030.035.25 APPENDIX B   DISCUSSION: Effective January 1, 2020, the Maximum Monthly Maintenance Standard, and the minimum and maximum spousal share amounts are increased.    MAINTENANCE STANDARDS The new Maximum Monthly read more…

FROM:  REGINALD McELHANNON, INTERIM DIRECTOR SUBJECT:  CLARIFICATION OF VETERANS’ BENEFIT INCOME AND UPDATE OF AGENT ORANGE SETTLEMENT FUND PAYMENTS FOR ALL PROGRAMS MANUAL REVISION #116 1600.010.15.15 1025.015.15 0410.015.10 0805.015.30 0805.015.10 0610.010.00 1805.030.20.10 1110.020.30 1115.015.85 2010.045.10.05 0210.015.35.40 0210.015.05   DISCUSSION: The purpose of this memorandum is to inform staff of updates to Veterans’ Benefits and Agent read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  INTRODUCTION OF IM-29 MAGI FORM FORM#36 IM 29 MAGI   DISCUSSION: The purpose of this memorandum is to introduce the IM-29 MAGI form.  This form will be sent manually when participants have duplicate DCNs that have been merged in MEDES. NECESSARY ACTION: Review this memorandum with appropriate staff read more…

FROM: REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED FOR PATIENTS IN PRIVATE INSTITUTIONS MANUAL REVISION #115 1020.015.00   DISCUSSION: In the past individuals were ineligible for MO HealthNet for the Aged, Blind, and Disabled because they were residing in a private institution and receiving care: Due to membership read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT: MO HEALTHNET SPEND DOWN PROVIDER FORM REVISION FORM REVISION #35 MO HealthNet Spend Down Provider Form   DISCUSSION: The MO HealthNet Spend Down Provider form has been revised.  A fillable box has been added to the signature line.  A typed signature is allowed on the MO HealthNet Spend Down read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  CERTIFICATION OF NEED FOR PSYCHIATRIC SERVICES (IM-71) REVISED AND ADDED TO FORMS MANUAL FORM REVISION #34 IM-71   DISCUSSION: The IM-71 Certification of Need for Psychiatric Services has been revised and added to the Forms Manual.  Revisions include: Update Division of Family Services (DFS) to Family Support Division read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  NEW MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD) MANUAL   DISCUSSION: In order to streamline and improve ease of access to MHABD policies, the MHN Program and Policy Unit is working to combine the following manuals into one manual: December 1973 Eligibility Requirements (1000.000.00) Medical Assistance read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) APPLICATION ONLY AUTHORIZED REPRESENTATIVE (APO) MANUAL REVISION #114 0803.020.10.20   DISCUSSION: The MHABD manual has been updated to clarify that authorization for an authorized representative (AR), appointed to assist only with an application for benefits will end when the read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  PRE-NEED BURIAL CONTRACTS – MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL REVISION MANUAL REVISION #113 1030.020.10.05 1030.020.10.10 1030.020.10.15 1030.020.10.25                                  DISCUSSION: Effective August 28, 2009 participants have three options for pre-need burial contracts.  Please review the MHABD manual section 1030.020.10.15 Agreements On or After August read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  PERSONAL FUNERAL TRUST ACCOUNTS AS A RESOURCE FOR THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAM                        MANUAL REVISION #112 1030.020.00 1030.020.10 1030.020.10.15 1030.020.10.20 1030.020.20                                  DISCUSSION: The purpose of this memorandum is to introduce Personal Funeral Trust (PFT) accounts as a resource for the read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  DESIGNATED BURIAL FUNDS – MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL REVISION MANUAL REVISION #111 1030.020.15                                  DISCUSSION: If the participant does not own a pre-need burial contract, life insurance policy, or Personal Funeral Trust account, or the total amount of the contracts are less read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  CASH SURRENDER VALUE (CSV) EXEMPTION FOR THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAM MANUAL REVISION #110 1030.020.20                               DISCUSSION: Policy regarding the CSV Exemption has been updated.  Each participant is allowed read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  LIFE INSURANCE – MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL REVISION MANUAL REVISION #109 1030.020.05 1030.020.10.20   DISCUSSION: The revised MHABD manual section 1030.020.05 Life Insurance discusses updated policy regarding how to apply the cash surrender value (CSV) of a life insurance policy. If a read more…

FROM:  REGINALD McELHANNON , INTERIM DIRECTOR SUBJECT:  RESOURCES FALL BELOW LIMIT IN MONTH OF APPLICATION- MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAM            MANUAL REVISION #108 1030.000.05   DISCUSSION: The manual section 1030.000.05 Resources Fall Below Limit in Month of Application has been revised. The policy has not changed.  The manual was revised read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  FOOD STAMP FFY 2020 OCTOBER MASS ADJUSTMENT MANUAL REVISIONS:#107                     1105.015.04.05 1115.035.05 1115.035.25 1115.035.25.15 1115.099.00 1135.010.07.05 0815.030.10.10.10 Appendix B Appendix J   DISCUSSION: The October Food Stamp Mass Adjustment  occurred over the weekend of September 7, 2019.  All policies and updated information will go into effect for all applicants read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD)  REVISIONS SPEND DOWN POLICY MANUAL REVISIONS MANUAL REVISION #106 0810.010.15.05 0810.010.15.01   DISCUSSION: The purpose of this memorandum is to inform staff that the title of manual section 0810.010.15.05 has been changed to Allowable Medical Expenses for Spend Down.  read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  ALLOWABLE DEDUCTIONS – ALIMONY DEDUCTION FOR THE MAGI PROGRAM MANUAL REVISION #105 1805.030.20.15   DISCUSSION: The purpose of this memorandum is to address an additional change to MAGI Allowable Deductions for Alimony payments.  The 2018 Tax Reform introduced changes to when alimony payments can be used as a read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  DOMESTIC RELATIONS ORDERS FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) AND MAGI MANUAL REVISION #104 0805.015.30 0410.015.10 1805.030.20.05   DISCUSSION: The purpose of this memo is to introduce policy regarding Domestic Relations Orders (DRO).  A DRO is a court ordered division of property granting a read more…

FROM: REGINALD McELHANNON, INTERIM DIRECTOR SUBJECT: INCREASE IN VENDOR MINIMUM MONTHLY MAINTENANCE STANDARDS AND SHELTER STANDARDS ADJUSTMENTS IN VENDOR MANUAL REVISION #103 0815.030.10.10.10 0815.030.10.10.20 APPENDIX B   DISCUSSION: Effective July 1, 2019, the Minimum Monthly Maintenance Needs Allowance (MMMNA) and Shelter Standard for Vendor cases are increased. FAMIS adjusted all Vendor cases on June 8, read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  MANUAL ADDITION TO GENERAL INFORMATION MANUAL FOR CASE REVIEWS FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED PROGRAM MANUAL REVISION #102 0107.020.00   DISCUSSION: The purpose of this memo is to introduce the addition of the manual section Case Reviews for MO HealthNet for the Aged, Blind, read more…

FROM:  REGINALD E. MCELHANNON, INTERIM DIRECTOR SUBJECT:  MANDATORY FOOD STAMP UTILITY STANDARD POLICY UPDATE MANUAL REVISIONS #101 1115.035.25.15 Mandatory Utility Standards 1115.035.25.25 Special Situations   DISCUSSION: The purpose of this memo is to inform staff of the update to Food Stamp policies, 1115.035.25.15 Mandatory Utility Standards and 1115.035.25.25 Special Situations. This update clarifies that when read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT: GATEWAY TO BETTER HEALTH (GTBH) EXTENSION AND EX PART Manual Revision #100 1600.005.00 1600.030.00 1600.030.05   DISCUSSION: The purpose of this memo is to announce that the Centers for Medicare and Medicaid Services (CMS) has authorized the extension of the GTBH waiver through December 31, 2022. This memo is to read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  MANUAL REVISION FOR VALUE OF REAL PROPERTY FOR MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD) PROGRAM MANUAL REVISION #99 1030.010.20 VALUE OF REAL PROPERTY   DISCUSSION: The December 1973 Eligibility Requirements manual has been updated to provide current information about verifying the value of real property. read more…

FROM:  REGINALD E. McELHANNON, ACTING DIRECTOR SUBJECT:  PRESUMPTIVE ELIGIBILITY (PE) FORM REVISIONS FOR MAGI FORM REVISION #33 PE-2 WORKSHEET PE-2 Worksheet Instructions PE-3 PE-3TEMP   DISCUSSION: The purpose of this memorandum is to share revisions to the following three (3) Presumptive Eligibility (PE) forms: Qualified Entity Presumptive Eligibility Determination Worksheet (PE-2 Worksheet) Clarification of: What read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  AVAILABLE RESOURCES AND MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD) ANNUAL REINVESTIGATIONS   MANUAL REVISION #98 0840.005.00 1030.000.00   DISCUSSION: The purpose of this memorandum is to inform staff that MHABD policy manual sections 1030.000.00 Available Resources and 0840.005.00 Annual Reinvestigation have been updated to add participant’s read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  FOOD STAMP MANUAL REVISION NON-TIMELY RECERTIFICATION CHANGE MANUAL REVISIONS #97 1130.015.10 Non-timely Recertifications   DISCUSSION: The purpose of this memo is to inform staff of the Food Stamp Manual update regarding non-timely recertifications.  Food and Nutrition Service (FNS) provided clarification for coding applications that are received after the read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) AUTHORIZED REPRESENTATIVE FAMIS ENHANCEMENT   DISCUSSION: This is the fifth in a series of enhancements to FAMIS to provide current information to the Authorized Representative (AR) as well as the MHABD participant. IM-77 November 14, 2016 introduced the first read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  TEMPORARY ASSISTANCE MANUAL UPDATES ADDING INFORMATION ON CANCEL CLOSES AND CANCEL REJECTS MANUAL REVISION #96 0203.095.00 0225.070.00   DISCUSSION: The purpose of this memorandum is to notify staff that 0203.095.00 Cancel Rejections and 0225.070.00 Cancel Closes have been added to the Temporary Assistance (TA) manual. The new sections read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  UPDATE TO LEGAL BASIS FOR MO HEALTHNET FOR PREGNANT WOMEN (MPW), SHOW-ME HEALTHY BABIES (SMHB), AND NEWBORN (NBN)-AUTOMATIC MO HEALTHNET ELIGIBILITY MANUAL REVISION-#95 1850.010.00 1855.010.00 1860.005.00   DISCUSSION: The purpose of this memorandum is to introduce updates to the Legal Basis information in the following sections: 010.00 MO read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  MO HEALTHNET OUTREACH PROJECT WITH LICENSED CHILDCARE PROVIDERS AND FAMILY SUPPORT DIVISION   DISCUSSION: Senate Bill 583 (2010) requires the Department of Social Services (DSS) to collaborate with licensed childcare providers in an effort to reach the uninsured children of Missouri. Each year, to comply with Senate Bill read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  FOOD STAMP MANUAL REVISIONS OF CURRENT INVESTIGATION PROCESSES MANUAL REVISIONS #94 1145.005.00 REFERRAL FOR INVESTIGATION-WIU 1145.010.00 DISQUALIFICATION PROCESS 1145.010.05 WIU Returns Claim/Referral Without Investigating   1145.010.10 WIU Recommends Administrative Disqualification                          DISCUSSION: The purpose of this memo is to inform staff of the Food Stamp Manual updates regarding read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  MILEAGE REIMBURSEMENT INCREASE MANUAL REVISION #93 Appendix J   DISCUSSION: State mileage reimbursement rates increased from $.37 per mile to $.43 per mile effective 07/01/2019. Use the current rate of $.43 per mile when calculating mileage expenses. FAMIS updates were completed on 07/31/2019 to reflect this new rate read more…

FROM:  REGINALD E. MCELHANNON, INTERIM DIRECTOR SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD) APPLICATION FOR OTHER BENEFITS LETTER FORM:#32 APPLICATION FOR OTHER BENEFITS LETTER   DISCUSSION: The purpose of this memorandum is to introduce the Application for Other Benefits Letter to be used at annual review for participants of MO HealthNet for read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  REVISED MAGI TRANSITIONAL MO HEALTHNET SUSPENSION NOTICE, IM-55 A, B, AND C INSTRUCTIONS AND IM-58 INSTRUCTIONS FORM REVISION #31 IM-58 IM-58 Instructions IM-55 A, B, and C Instructions   DISCUSSION: The purpose of this memorandum is to advise the Transitional MO HealthNet Suspension Notice (IM-58) was updated to read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO) APPENDIX C UPDATE MANUAL REVISION: #92 Appendix C   DISCUSSION:  The purpose of this memorandum is to inform staff of changes made to the JCAHO facilities Appendix C in the Medical Assistance for the Aged, Blind, and Disabled (MHABD) read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  INTRODUCTION OF GOOD FAITH EFFORT TO SELL EXCESS REAL PROPERTY FOR MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD) PROGRAM MANUAL REVISION #91 1030.010.30 FORM REVISION #28 IM-70   DISCUSSION: The purpose of this memorandum is to introduce the policy addition to the December 1973 Eligibility Requirements read more…

FROM:  REGINALD McELHANNON, INTERIM DIRECTOR SUBJECT:  SIGNATURE REQUEST LETTER UPDATE CLARIFICATION   DISCUSSION: This memo clarifies the Signature Request Letter, updated with IM-54 March 25, 2019, can be used with unsigned applications for the MAGI and MO HealthNet for the Aged, Blind, and Disabled (MHABD) programs or unsigned MAGI reviews.  Policy surrounding MHABD annual reviews read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  DEPARTMENT OF HEALTH AND SENIOR SERVICES (DHSS) REFERRAL LETTERS FOR USE IN THE HOME AND COMMUNITY BASED SERVICES (HCB) UNIT                            FORM REVISION #27 DHSS Referral Letter DHSS Referral Letter- Spend Down   DISCUSSION: The Home read more…

FROM:  REGINALD E. McELHANNON, ACTING DIRECTOR SUBJECT:  ADDING AUTOMATIC WITHDRAWAL AUTHORIZATION FORMS TO THE IM FORMS MANUAL FORMS #26 CHIP AUTOMATIC WITHDRAWAL AUTHORIZATION SPEND DOWN AUTOMATIC WITHDRAWAL         AUTHORIZATION TICKET TO WORK AUTOMATIC WITHDRAWAL   AUTHORIZATION   DISCUSSION: Automatic withdrawal forms were added to the IM Forms Manual. These forms are to be used for participants read more…

FROM:  REGINALD E. McELHANNON,  INTERIM DIRECTOR SUBJECT:  RELEASING INFORMATION TO THE DEPARTMENT OF HEALTH AND SENIOR SERVICES (DHSS) MANUAL REVISION #90 0130.005.05.24   DISCUSSION: This memorandum introduces revisions to section 0130.005.05.24 Release of Records in Cases of Financial Exploitation of the Elderly of the General Information Manual. The Release of Records in Cases of Financial read more…

MISSOURI DEPARTMENT OF SOCIAL SERVICES FAMILY SUPPORT DIVISION P.O. BOX 2320 JEFFERSON CITY, MISSOURI   TO:  ALL FAMILY SUPPORT OFFICES FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  IDENTIFYING DEPARTMENT OF HEALTH AND SENIOR SERVICES (DHSS) NON-MEDICAL ELIGIBLE (NME) CONSUMER DIRECTED SERVICES (CDS) PARTICIPANTS MANUAL REVISION #89                           0810.010.15.15.15            DISCUSSION: The purpose of this memorandum is to inform read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  PRIOR QUARTER COVERAGE FOR MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD) MANUAL REVISION #88 0810.015.00   DISCUSSION: The purpose of this memorandum is to inform staff that prior quarter coverage for MHABD may be requested up to and including 12 months from the application date. MHABD read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  FOOD STAMP CLARIFICATION OF DEPENDENT IMMIGRANTS OF VETERANS AND ACTIVE DUTY SERVICE REQUIREMENT MANUAL REVISION #87 1105.010.10.20   DISCUSSION: This memorandum introduces updated Food Stamp Manual section, 1105.010.10.20 Immigrants with Military Connections. Immigrants with military connections can receive benefits without a waiting period.  This includes dependents of a veteran or read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  STATE EMPLOYEE HEALTH INSURANCE UNDER THE MO HEALTHNET CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) MANUAL REVISION #86 1840.010.15.12   DISCUSSION: The purpose of this memorandum is to introduce policy clarifications to section 1840.010.15.12 State Employee Health Insurance of the MAGI manual.  This section discusses how access to state employee read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  DEDUCTING POST ELIGIBILITY MEDICAL EXPENSES FROM THE SURPLUS OF MO HEALTHNET VENDOR PARTICIPANTS MANUAL REVISION # 85 0815.030.10.15   DISCUSSION: Participants who receive  MO HealthNet for the Aged, Blind, and Disabled (MHABD) vendor coverage may deduct certain medical expenses from the surplus amount- health insurance premiums and Post read more…

FROM:  REGINALD E. McELHANNON, ACTING DIRECTOR SUBJECT:  TEMPORARY ASSISTANCE MANUAL UPDATE TO CLARIFY GIFT INCOME AS INCLUDED OR EXCLUDED INCOME MANUAL REVISION #84 0210.015.05   DISCUSSION: The purpose of this memorandum is to notify staff that clarification was added to policy 0210.015.05 Sources of Earned, Unearned, and Educational Income. For unearned income source of ‘gifts’ read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  FOOD STAMP STANDARD MEDICAL DEDUCTION EXPENSE CLARIFICATION MANUAL REVISION #83 1115.035.15.05   DISCUSSION: This memorandum provides clarification to the amount of the Food Stamp Standard Medical Deduction (SMD).  The Standard Medical Deduction (SMD) is $135 ($170 – $35 = $135).    The Food Stamp Manual section, 1115.035.15.05 Amount of read more…

FROM:  REGINALD E McELHANNON, INTERIM DIRECTOR SUBJECT:  CLARIFICATION FOR UPDATING SSI INCOME FOR MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD) VENDOR PARTICIPANTS MANUAL REVISION #82 0815.030.05 DISCUSSION: The purpose of this memorandum is to inform FSD staff of updated policy regarding how SSI income is treated when a participant enters a nursing home read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  UPDATED CANCEL CLOSE INSTRUCTIONS FOR FAMIS CASES MANUAL REVISION #81 0840.015.10   DISCUSSION: The purpose of this memorandum is to notify staff of the correct process for cancel closing Temporary Assistance (TA), Adult MO HealthNet (MHN), Child Care (CC) and Food Stamp (FS) cases in FAMIS. This email read more…

FROM: REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  REMOVAL OF AUTOMATIC HEARING REQUIREMENTS FOR TANF DRUG TESTING MANUAL REVISION #80 0240.025.10   DISCUSSION: The purpose of this memorandum is to notify staff that manual section 0240.025.10 is revised. This part of the manual now reflects removal of the automatic hearing requirement related to drug testing for read more…

FROM:  REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  VERIFICATION OF APPLICATION FOR OTHER BENEFITS AT APPLICATION FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAMS, AND SUPPLEMENTAL NURSING CARE (SNC) MANUAL REVISION #79 1000.005.00 APPLICATION FOR OTHER BENEFITS 0840.005.00.05 APPLICATION FOR OTHER BENEFITS AT ANNUAL REVIEW   DISCUSSION: Application for other benefits is a read more…

FROM:  REGINALD E MCELHANNON, ACTING DIRECTOR SUBJECT:  NEW IM-1MAC ADDENDUM TO REQUEST CASH BENEFITS FOR MO HEALTHNET FOR THE AGED, BLIND AND DISABLED PARTICIPANTS FORM REVISION #25 IM-1MAC DISCUSSION: The purpose of this memorandum is to inform Family Support Division staff of a new form that has been added to the forms manual.  The IM-1MAC read more…

FROM:  REGINALD E. McELHANNON, ACTING DIRECTOR SUBJECT: LOSS OF TRANSITIONAL MO HEALTHNET (TMH) ELIGIBILITY AND SUSPENDED TMH UPDATES MANUAL REVISION # 1820.050.30 1820.050.40 DISCUSSION: The purpose of this memorandum is to advise staff of updates to sections 1820.050.30 Loss of TMH Eligibility after First Six Months and 1820.050.40 Suspended TMH Eligibility in Second Six Month read more…

MISSOURI DEPARTMENT OF SOCIAL SERVICES FAMILY SUPPORT DIVISION P.O. BOX 2320 JEFFERSON CITY, MISSOURI   TO:  ALL FAMILY SUPPORT OFFICES FROM:  REGINALD E. McELHANNON, ACTING DIRECTOR SUBJECT:  CHIP Affordable Insurance Definition – Calculator Appendix G Update MANUAL REVISION #77 Appendix G Appendix F   DISCUSSION: This memorandum introduces updates to the CHIP Affordability Calculator. The read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  INTRODUCING MO HEALTHNET CHART FOR INFORMATION REQUESTS DISCUSSION: The purpose of this memo is to introduce the new MO HealthNet Chart for Information Requests. This chart provides information for staff to use to determine if authorized representatives, or other entities that are requesting information about a participant’s case, are valid read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT: APPLICATION FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (IM-1MA) REVISION FORM REVISION #24 IM-1ABDS   DISCUSSION: The purpose of this memorandum is to introduce changes to the IM-1MA Application for MO HealthNet (Medicaid). Page (1) of the IM-1ABDS has been revised to include the Greene County Family Support read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  UPDATED TO THE GATEWAY TO BETTER HEALTH APPLICATION                   FORM REVISION #23 Gateway to Better Health Application (IM-1MAGW)   DISCUSSION: The MO HealthNet/Gateway to Better Heath Application/Eligibility Statement has been updated to reflect the primary health care center’s name change to CareSTL Health read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  MAGI FLOATING RENEWAL UPDATE MANUAL REVISION #75 1880.010.00   DISCUSSION: The purpose of this memorandum is to advise on changes to the 1880.010.00 Floating Renewal section of the Family Healthcare Manual-MAGI. The Floating Renewal section has been updated to remove tax filing status/tax filing relationship as a qualifying change in read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  MEDICAL REVIEW TEAM (MRT) PROCESS FOR MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD) APPLICATIONS MANUAL REVISION #74 1060.005.10   DISCUSSION: The purpose of this memorandum is to inform staff of a change in the process for submitting medical records to MRT on new applications for MHABD.  There is read more…

FROM:  REGINALD E. McELHANNON, ACTING DIRECTOR SUBJECT:  Income Excluded Under MAGI – Crowdfunding     MANUAL REVISION #73 1805.030.20.10   DISCUSSION: The purpose of this memo and revision is to address the addition of Crowdfunding to 1805.030.20.10 Income Excluded Under MAGI.  Crowdfunding or otherwise known as Indiegogo, Fundly, Patreon, Smallknot, RocketHub, and GoFundMe.  The list is inclusive read more…

FROM: REGINALD E. McELHANNON, ACTNG DIRECTOR SUBJECT: ALLOWABLE DEDUCTIONS AND SPECIFIC TYPES OF INCOME FOR MAGI MANUAL REVISION #72 1805.030.20.15 1805.030.25.15   DISCUSSION: The purpose of this memorandum is to address changes to MAGI Allowable Deductions.  The 2018 Tax Reform introduced new schedules for the Internal Revenue Service (IRS) form 1040 (U.S. Individual Income Tax read more…

FROM:  REGINALD E. McELHANNON, ACTING DIRECTOR SUBJECT:  UPDATED REFERENCE LINKS AND AGE TO APPOINT AN AUTHORIZED REPRESENTATIVE FOR MAGI APPLICATIONS MANUAL REVISION #71 1802.020.30   DISCUSSION: The purpose of this memorandum is to advise of changes to the 1802.020.30 Signing by an Authorized Representative section of the Family Healthcare Manual – MAGI.  The Signing by read more…

TO:  ALL FAMILY SUPPORT OFFICES FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  UPDATE TO INCOME INCLUDED AND EXCLUDED UNDER MAGI MANUAL REVISION #70 1805.030.20.05                              1805.030.20.10 DISCUSSION: The purpose of this memorandum is to advise that the MAGI MO HealthNet Policy Manual sections 1805.030.20.05 Income Included Under MAGI and 1805.030.20.10 Income Excluded Under MAGI have been updated. Updates read more…

TO: ALL FAMILY SUPPORT OFFICES FROM: PATRICK LUEBBERING, DIRECTOR SUBJECT: FOOD STAMP MANUAL REVISION OF EXCESSIVE SHELTER MAXIMUM                       MANUAL REVISION # 69 1115.035.25     DISCUSSION: The purpose of this memorandum is to update the excess shelter maximum in the Food Stamp manual from $535.00 to $552.00, as updated during the October 2018 mass adjustment. NECESSARY ACTION: read more…

TO:  ALL FAMILY SUPPORT OFFICES FROM: PATRICK LUEBBERING, DIRECTOR SUBJECT: FOOD STAMP MANUAL REVISION OF UNITED STATES NON-CITIZEN NATIONALS POLICY MANUAL REVISION #68 1105.010.02 DISCUSSION: The purpose of this memo is to remove the requirement that an applicant “must state that he/she does not owe allegiance to a foreign state or country” from Food Stamp read more…

Department of Social Services Family Support Division PO Box 2320 Jefferson City, Missouri TO:  ALL FAMILY SUPPORT OFFICES FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  NEW CANCEL CLOSE/CANCEL REJECT INFORMATION FOR THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAMS                                  MANUAL REVISION #67 0840.015.10 0820.020.05.10   DISCUSSION: IM Manual sections 0840.015.10 Reopening Closed Cases, and read more…

TO:  ALL FAMILY SUPPORT DIVISION OFFICES FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  SUPPLEMENTAL AID TO THE BLIND AND BLIND PENSION MAXIMUM GRANT AMOUNTS DISCUSSION: The purpose of this memorandum is to notify staff there will be no increase in the maximum grant for Supplemental Aid to the Blind (SAB) and Blind Pension (BP) for fiscal year read more…

TO:  ALL FAMILY SUPPORT DIVISION OFFICES FROM: PATRICK LUEBBERING, DIRECTOR SUBJECT: REVISION OF CITIZENSHIP AND IMMIGRANT STATUS SECTION OF THE SUPPLEMENTAL AID TO THE BLIND (SAB) MANUAL MANUAL REVISION #66 0405.030.00 DISCUSSION: The purpose of this memo is to inform staff of a revision in SAB manual section 0405.030.00 Citizenship and Immigrant Status. This revision read more…

Department of Social Services Family Support Division PO Box 2320 Jefferson City, Missouri TO:   ALL FAMILY SUPPORT OFFICES FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  REVISIONS TO THE MISSOURI CHILDREN WITH DEVELOPMENTAL DISABILITIES (MOCDD) SECTION OF THE MEDICAL ASSISTANCE FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL                                  MANUAL REVISION #65 0825.030.35 DISCUSSION: The income and budgeting section read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  ANNUAL MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) ASSET LIMIT INCREASE MANUAL REVISION #64 0405.050.00  0805.020.10  0820.030.20 0825.030.40 1025.000.00  1030.000.00 1035.005.00  APPENDIX J APPENDIX K APPENDIX L   DISCUSSION: As a result of the implementation of HB1565 (2016), asset limits for MO HealthNet for the Aged, Blind, and read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND AND DISABLED MANUAL LANGUAGE UPDATES IN ELIGIBILITY SECTIONS MANUAL REVISION #63 0805.000.00 0805.005.00 0805.010.00   DISCUSSION: The purpose of this memorandum is to announce changes to language and program references that have been made to the sections of the Medical Assistance for the Aged, read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  TEMPORARY ASSISTANCE MANUAL UPDATE TO THE PROCESS FOR DETERMINING AN EXCLUSION FOR VICTIMS OF DOMESTIC VIOLENCE MANUAL REVISION #62 0255.010.00   DISCUSSION: The purpose of this memorandum is to notify staff that there has been an update to the policy 0255.010.00 Individuals Temporarily Excluded From Participation In Work Activities. This read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  UPDATE TO INCOME INCLUDED AND EXCLUDED FOR MAGI PROGRAMS MANUAL REVISION # 1805.030.20.05                              1805.030.20.10   DISCUSSION: The purpose of this memorandum is to advise that the MAGI MO HealthNet Policy Manual sections 1805.030.20.05 Income Included Under MAGI and 1805.030.20.10 Income Excluded Under MAGI have been updated. Updates include: Changes in read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  OBSOLETE FAMIS MANUAL SECTIONS MANUAL REVISION # 0910.000.00-0910.055.055   DISCUSSION: The purpose of this memorandum is to announce that the following sections of the FAMIS Manual are now obsolete: Obsolete FAMIS Manual Section Replaced by MAGI Manual Section 0910.000.00-0910.005.05 Transitional Medical Assistance (TMA) 1820.000.00-1820.060.10.10 Transitional MO HealthNet (TMH) 0940.000.00-0940.025.00 MHF read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  ADDING CANCEL CLOSE LANGUAGE TO MANUAL IM-33 MAGI FORM FORM REVISION # IM-33MAGI   DISCUSSION: The purpose of this memorandum is to advise of added language to the manual IM-33MAGI notice form. Language has been added to the reinstatement box option in order to explain: benefits are now reinstated with read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  IM-1U 90 DAY LETTER UPDATE                             IM-1U’s Returned After 90 Days (PDF)   DISCUSSION: The purpose of this memorandum is to advise the IM-1U’s Returned After 90 Days Letter has been updated. The following was changed: Letterhead was read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  2019 MO HEALTHNET CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) PREMIUM ADJUSTMENT MANUAL REVISION #59 Appendix A Appendix E   DISCUSSION: The purpose of this memorandum is to introduce the CHIP premium adjustment effective July 1, 2019. Premiums are required for families with income above 150% of the Federal Poverty Level (FPL). read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  AFFORDABLE INSURANCE DEFINITION MANUAL REVISION #58 1840.010.15.05   DISCUSSION: This memorandum introduces updates made to the MAGI MO HealthNet Policy manual section 1840.010.15.05 Affordable Insurance Definition which includes instructions for calculating the affordability amount manually. This section of policy has been updated to reflect the new Federal Poverty Limit (FPL) read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  REVISIONS TO THE AREAS OF COOPERATION AND SANCTIONS FOR REFUSAL TO COOPERATE SECTIONS OF THE TEMPORARY ASSISTANCE MANUAL. MANUAL REVISION #57 0205.060.10 0205.060.35   DISCUSSION: The purpose of this memorandum is to notify staff that the below sections of the Temporary Assistance Manual have been revised to reflect current Temporary read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  INTRODUCTION OF FAMILY MO HEALTHNET (MAGI) APPENDIX H ME CODES CHART AND NEWBORN CLARIFICATION MANUAL REVISION #56 1860.010.00 1860.010.20 MANUAL ADDITION # Appendix H ME CODES CHART   DISCUSSION: The purpose of this memorandum is to introduce Appendix H ME Codes Chart  in the Family MO HealthNet  (MAGI) manual.  This read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  DISABILITY AND SUBSTANTIAL GAINFUL ACTIVITY CALCULATIONS FOR THE TICKET TO WORK HEALTH ASSURANCE (TWHA) PROGRAM MANUAL REVISION #55 0855.005.25   DISCUSSION: The purpose of this memorandum is to introduce changes made to the 0855.005.25 Disability section of the Medical Assistance for the Aged, Blind, and Disabled (MHABD) manual. Earnings are read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  DECEMBER 1973 ELIGIBILITY REQUIREMENTS MANUAL REVISIONS FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAMS MANUAL REVISION #54 1025.010.00 1040.015.10.05 1040.015.10.05.00 1040.015.10.05.05 1040.015.10.05.10 1040.020.30   DISCUSSION: This memorandum introduces revisions to the December 1973 Eligibility Requirements Manual. The Cash and Securities section 1025.010.00 Definition has been revised to read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  INTRODUCTION OF THE VETERANS ADMINISTRATION (VA) INCOME GUIDE FOR ALL PROGRAMS AND REVISIONS TO VA INCOME FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAMS  MANUAL REVISION #53 0805.015.10 0805.015.35 0815.030.05   DISCUSSION: This memorandum is to introduce the Veterans Administration Income Guide and to announce the revision read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  GATEWAY TO BETTER HEALTH (GTBH) EXTENSION AND EX PARTE MANUAL REVISION #52 1600.005.00 1600.030.00 1600.030.05   DISCUSSION: The purpose of this memo is to announce that the Centers for Medicare and Medicaid Services (CMS) has authorized the extension of the GTBH waiver through December 31, 2022. This memo is to read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  FAMILY HEALTHCARE PROGRAM DESCRIPTIONS UPDATE   DISCUSSION: The purpose of this memorandum is to advise the Family Healthcare Programs description on dss.mo.gov has been updated.  The following has been updated: Adding abbreviations for each program Removing statements that managed care is provided in all counties beginning 2017 as this is read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  REVISED SPEND DOWN FREQUENTLY ASKED QUESTIONS   DISCUSSION: The purpose of this memo is to inform staff that the Spend Down Frequently Asked Questions document has been updated to reflect current information, per feedback from the Spend Down Unit.  Staff should utilize this resource as a supplement to current Spend read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MEDICAL REVIEW POLICY CHANGE MANUAL REVISION #51   1060.005.00 1060.005.15 1060.005.25   DISCUSSION: This memorandum introduces revisions to the Disability Section of the December 1973 Eligibility Requirements Manual.  The Disability section defines Permanent and Total Disability (PTD), and provides instruction to staff read more…

FROM:  PATRICK LUEBBERING, ACTING DIRECTOR SUBJECT:  MO HEALTHNET OUTREACH PROJECT WITH DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION AND FAMILY SUPPORT DIVISION FORM REVISION #20 Outreach Flyer – English Outreach Flyer – Spanish   DISCUSSION: Senate Bill 583 (2010) requires the Department of Social Services (DSS) to collaborate with the Department of Elementary and Secondary Education read more…

FROM:  PATRICK LUEBBERING, ACTING DIRECTOR SUBJECT:  TEMPORARY ASSISTANCE APPLICATION PROCESSING MANUAL SECTION UPDATES MANUAL REVISION #: 50 0203.000.00 to 0203.120.05 0105.000.00 to 0105.045.00   DISCUSSION: The purpose of this memo is to inform staff of changes to the Application Processing section of the General Information Income Maintenance manual.  The Temporary Assistance (TA) and MO HealthNet read more…

FROM:                       PATRICK LUEBBERING, DIRECTOR SUBJECT:                AUTHORIZED REPRESENTATIVE FORM (IM-6AR) CLARIFICATION FORM REVISION #19 IM-6AR   DISCUSSION: This memorandum provides updates to the Authorized Representative Form (IM-6AR).  The box containing the following statement pertains only to MO HealthNet: If your authorized representative helps you apply, your authorization only last until the FSD makes a final read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  MANUAL UPDATE TO INCLUDE THE FULL NEED STANDARD ON STEPPARENT CASES AND MINOR PARENT DEEMING CASES FOR TEMPORARY ASSISTANCE MANUAL REVISION #49 0210.005.30 0210.005.45   DISCUSSION: The purpose of this memorandum is to notify staff that manual sections 0210.005.30 Minor Parent Lives with Parent(s) and 0210.005.45 Stepparent Cases have been read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  DATE OF DISCOVERY FOR THE FOOD STAMP POLICY CLARIFICATION MANUAL REVISION #48 1125.017.00   DISCUSSION: The Food Stamp manual has been updated to clarify the Date of Discovery example in section, 1125.017.00 Mail-In or Faxed Applications.   NECESSARY ACTION: Review this memorandum with appropriate staff.   PL/ks

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  UPDATE TO TIMEFRAME FOR HEARING EXHIBITS                               MANUAL REVISION #47 0130.020.70.25.20   DISCUSSION: The purpose of this memorandum is to inform Family Support Division (FSD) staff of a change in the FSD Hearings Manual.  Section 0130.020.70.25.20 FSD read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  TEMPORARY CENSUS EMPLOYEES EARNINGS   DISCUSSION: This memorandum introduces updates to the earned income code “CT – Census Income – Temporary” in FAMIS for the 2020 Census Child Care: Effective April 1, 2019, the CT – Census Income – Temporary is included income in the Child Care Subsidy program budget. read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  SPEND DOWN AND TICKET TO WORK HEALTH ASSURANCE (TWHA) PREMIUM AMOUNT AS MEDICAL DEDUCTIONS FOR THE FOOD STAMP PROGRAM                         MANUAL REVISION #46 1115.035.15.10   DISCUSSION: This memorandum provides clarification on how to treat MO HealthNet Spend Down and Ticket read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  FAMIS INCOME CODE CHART UPDATED   DISCUSSION: The FAMIS Income Code Chart has been updated.  Some types of income were incorrectly coded as included or excluded.  These have been updated.   NECESSARY ACTION: Review this memorandum with appropriate staff.   PL/vb

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  BURIAL PLOTS POLICY CLARIFICATION FOR THE FOOD STAMP PROGRAM FORM REVISION #45 1110.020.15   DISCUSSION: The purpose of this memo is to provide an update to the Food Stamp policy section, 1110.020.15 BURIAL PLOTS .  The update explains the exclusion of burial plots when there are multiple plots. Each Eligibility read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) WHEN RECEIVING MEDICARE DUE TO END STAGE RENAL DISEASE MANUAL REVISION #44 1060.005.00    DISCUSSION: Receipt of Medicare due to end stage renal disease (ESRD) is sufficient to establish disability for MHABD programs without a Medical Review Team (MRT) determination in read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  VERIFICATION OF REGAINED ELIGIBILITY FOR THE FOOD STAMP PROGRAM MANUAL REVISION #43 1105.035.35   DISCUSSION: This memo provides clarification to the Food Stamp Policy Manual section, 1105.035.35 Identifying and Tracking Non-Work Months.    The policy manual has been updated with CLARIFICATION information regarding how to address verifications when determining regained read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  HOME AND COMMUNITY BASED SERVICES (HCB) INCOME UPDATE MANUAL REVISION #43 0820.030.15   DISCUSSION: The Medical Assistance for the Aged, Blind, and Disabled (MHABD) manual has been updated to reflect a clarification of budgeting policy for HCB. The MHABD manual was previously updated to include several earned income deductions that read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  INCREASE IN AVERAGE PRIVATE PAY NURSING RATE FOR TRANSFER OF PROPERTY                   MANUAL REVISION #42 1040.020.40 1040.020.40.05                                                                  APPENDIX J                                                   DISCUSSION: The average private pay nursing care rate will increase to $6463.  Use $6463 to determine the number of months of read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  FOOD STAMP DEPENDENT CARE EXPENSE CLARIFICATION MANUAL REVISION #41 1115.035.10   DISCUSSION: This memorandum is to clarify Food Stamp (FS) expense for a sliding scale fee when there is a dependent care case.  When a child is authorized to a provider on a Child Care (CC) case and has a read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  IM-54A HOME AND COMMUNITY BASED SERVICES REFERRAL FORM REVISION FORM REVISION #18 IM-54A   DISCUSSION: The purpose of this memorandum is to introduce a revision to the Home and Community Based Services Referral form (IM-54A).  The IM-54A has been revised to include a new email address for staff to use read more…

FROM:   PATRICK LUEBBERING, DIRECTOR SUBJECT:  IM-4 TWHA TICKET TO WORK HEALTH ASSURANCE PROGRAM BROCHURE UPDATE               FORMS MANUAL REVISION – # 1 IM-4 TWHA BROCHURE   DISCUSSION: The purpose of this memorandum is to introduce a revised brochure for the Ticket to Work Health Assurance Program (TWHA). The IM-4 read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  INTRODUCTION OF THE REQUEST TO WITHDRAW OR CLOSE FORM  FORM REVISION #16 REQUEST TO WITHDRAW OR CLOSE INSTRUCTIONS TO WITHDRAW OR CLOSE   DISCUSSION: This memorandum is to notify staff of the addition of the Request to Withdraw or Close Form and instructions to the IM Forms Manual.  This form read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  REVISED MO HEALTHNET REVIEW INFORMATION FORM (FA402) FORM REVISION #15 – FA-402   DISCUSSION: The FA402 generated by FAMIS and the paper version have been updated to include questions and declaration statements related to the changes made due to House Bill 2171, as described in IM-58 dated Sept. 28, 2018. read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:   UPDATE TO THE GATEWAY TO BETTER HEALTH APPLICATION FORM REVISION #14 Gateway to Better Health Application (IM-1MAGW)                     DISCUSSION: The MO HealthNet Gateway to Better Health Application/ Eligibility Statement has been updated to reflect the current Substantial Gainful Activity (SGA) income maximum read more…

FROM:PATRICK LUEBBERING, DIRECTOR SUBJECT:MO HEALTHNET FOR THE AGED, BLIND AND DISABLED MANUAL UPDATES REGARDING PERSONS AGED 22-64 IN STATE MENTAL HOSPITALS MANUAL REVISION #40 0815.020.00 0815.060.00   DISCUSSION: The purpose of this memorandum is to notify staff of updated policy regarding individuals aged 22-64 who reside in state mental hospitals.  Medical Assistance for the Aged, read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  ADMINISTRATIVE HEARINGS UNIT REORGANIZATION DISCUSSION: The Division of Legal Services reorganized the counties served by the Administrative Hearings Unit (AHU).  Attached is a listing of Counties Served per Regional Administrative Hearings Office. NECESSARY ACTION: Review this memorandum with appropriate staff. PL/vb

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  SIGNATURE REQUEST LETTER UPDATED FOR MO HEALTHNET APPLICATIONS AND REVIEWS FORM REVISION #13 SIGNATURE REQUEST LETTER   DISCUSSION: The Signature request letter has been updated so that it can be used with unsigned applications or unsigned reviews received for MO HealthNet for the Aged, Blind, and Disabled or MAGI Programs.  read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  SHOW ME HEALTHY BABIES (SMHB) COVERAGE FOR THE CHILD AFTER BIRTH MANUAL REVISION #39 1855.030.05   DISCUSSION: The purpose of this memorandum is to advise the 1855.030.05 Coverage for the Child After Birth section of the Family MO HealthNet (MAGI) manual has been updated. Updates include: Removing manual processes to read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  CORRECTION OF TYPO IN TMH MANUAL MANUAL REVISION #38 1820.050.40   DISCUSSION: The purpose of this memorandum is to correct a typo previously in TMH Manual section 1820.050.40.  The manual previously stated that “if the third quarterly report is not returned by the 21st of the 10th month the parents/caretaker read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  REFERRAL FOR FINANCIAL EXPLOITATION SECTION OF THE DECEMBER 1973 ELIGIBILITY REQUIREMENTS POLICY UPDATE MANUAL REVISION #37 1040.030.60   DISCUSSION: This memorandum introduces revisions to the Referral for Financial Exploitation section of the December 1973 Eligibility Requirements Policy Manual. The Referral for Financial Exploitation section has been expanded to include policy read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  CLARIFICATION ON MAGI PRE-POPULATED ANNUAL RENEWAL FORM TIMEFRAME MANUAL REVISION #36 1880.005.00   DISCUSSION: This memorandum provides clarification to the previously released memo, IM-08 January 25, 2019.  Participants are given 30 days to return the review; however, the IM-80 Adverse Action period does not begin until 10 days prior to read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  UPDATE OF POVERTY INCOME GUIDELINES FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED PROGRAMS  MANUAL REVISION #35 0805.015.45 0855.005.40.05 0855.005.45 0860.005.15.05 0860.005.15.10 0865.010.10.10 0865.010.10.25 0870.010.05 Appendix J, Adult Standards Chart Appendix K, MO HealthNet Aged, Blind, and Disabled Program Descriptions Appendix L, Aged, Blind, Disabled Income Chart Appendix M, read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  2019 UPDATE OF POVERTY INCOME GUIDELINES FOR MAGI MO HEALTHNET PROGRAMS MANUAL REVISION #34 1805.030.20.20.05 1800.000.00 APPENDIX A 1800.000.00 APPENDIX B 1800.000.00 APPENDIX D 1800.000.00 APPENDIX E FORM REVISION #12 IM-4PRM DISCUSSION: Effective April 1, 2019, the Federal Poverty Level (FPL) income guidelines are increased for: MO HealthNet for Kids read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  INDIVIDUALS ACTIVELY RECEIVING SSI/SSDI CAN RECEIVE MO HEALTHNET FOR FAMILIES MANUAL REVISION #33 1810.020.00 FORMS MANUAL # 11 SSI/SSDI Transition Letter   DISCUSSION: The purpose of this memorandum is to advise that participants who are actively receiving Supplemental Security Income (SSI) or Social Security Disability Income (SSDI) can receive MO read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  2019 MAGI COST OF LIVING ADJUSTMENT (COLA) FOR VETERANS ADMINISTRATION AND RAILROAD INCOME     DISCUSSION: This memorandum informs staff that Railroad Retirement (RR) and Veterans Administration (VA) participants received a 2.8% Cost of Living Adjustment (COLA) for MAGI programs effective January 2019.   Cases Adjusted Cases that include MEDES income read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  2019 MAGI COST OF LIVING ADJUSTMENT (COLA) FOR SSA/SSI INCOME                          DISCUSSION: Thi memorandum informs staff that Social Security Administration (SSA) and Supplemental Security Income (SSI) participants will receive a 2.8% Cost of Living Adjustment (COLA) for MAGI programs effective April 2019. Cases Expected to Adjust Cases that include read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  UPDATED PRESUMPTIVE ELIGIBILITY INCOME GUIDELINES MANUAL REVISION #32 APPENDIX A (1900.000.00)   DISCUSSION: The purpose of this memorandum is to update the income guidelines for Presumptive Eligibility due to the increase in the Federal Poverty Level (FPL). These guidelines are effective from April 1, 2019 through March 31, 2020. Appendix read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  INCREASE IN RESOURCE LIMITS FOR QUALIFIED MEDICARE BENEFICIARY (QMB), SPECIFIED MEDICARE BENEFICIARY (SLMB), AND QUALIFYING INDIVIDUALS (QI-1 OR SLMB2) PROGRAMS   MANUAL REVISION #31 0865.010.00 0865.010.15 APPENDIX J   DISCUSSION: Effective January 1, 2019, the QMB, SLMB, and SLMB2 resource limits increased.  For a single individual, the resource limit increased read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  TRUST SUBMISSION ON REQUEST FOR INTERPRETATION (IM-14)   MANUAL REVISION #30 1025.015.04 1025.015.04.01.01 1025.015.04.01.02    DISCUSSION: Income Maintenance manual sections have been updated with new instructions for submitting trusts for review by Program & Policy. Submit each Trust to Program & Policy, on a separate IM-14 through proper supervisory channels. read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  2019 UPDATE OF POVERTY INCOME GUIDELINES FOR TEMPORARY ASSISTANCE MANUAL REVISION #29 0210.005.30    DISCUSSION: The purpose of this memorandum is to notify staff that effective April 1, 2019, the Federal Poverty Level (FPL) income guidelines are increased for deeming major parent income for Temporary Assistance. 0210.005.30 Minor Parent Lives read more…

FROM: REGINALD E. McELHANNON, INTERIM DIRECTOR SUBJECT:  IRS NOTICE LOG and IRS NOTICE LOG INSTRUCTIONS    DISCUSSION: Requests for Interpretation of Policy (IM-14), or policy clearances, were originally forms sent to Program and Policy staff regarding the application of program policy to specific cases. This is now an electronic process. General: For MAGI programs only read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  REASONABLE COMPATIBILITY CLARIFICATION MANUAL REVISION #28 1805.030.15                             DISCUSSION: The purpose of this memorandum is to advise the 1805.030.15 Reasonable Compatibility section of the Family Healthcare Manual- MAGI has been updated.    The manual has been updated to read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  ABLE BODIED ADULTS WITHOUT DEPENDENTS (ABAWD) RESET FOOD STAMP POLICY UPDATE MANUAL REVISION #27 1105.035.00   DISCUSSION: The purpose of this memo is to inform staff of an update to the Food Stamp Manual regarding resetting of ABAWD non-work months every 36 months.  This manual update is not a change read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  IM-4 MO HEALTHNET HEALTH CARE BROCHURE FORMS MANUAL UPDATE: #9     DISCUSSION: This memo introduces the new IM-4 MO HealthNet Health Care brochure.  The brochure is available in English and Spanish, and is located in the Forms Manual (VOLUME 1).   The IM-4 MO HealthNet Health Care brochure is also read more…

FROM:    PATRICK LUEBBERING, DIRECTOR SUBJECT:    UPDATED HEALTH INSURANCE PREMIUM PAYMENT PROGRAM FORMS (HIPP) FORMS MANUAL REVISION #8 HIPP-1 HIPP-A   DISCUSSION: The purpose of this memorandum is to replace the outdated Application for Health Insurance Premium Payment Program form (HIPP-1) in the Forms Manual and to add a second version, HIPP-A, which is read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  UNABLE TO LOCATE WILL NOT CLOSE INITIAL TMH  MANUAL REVISION #26 1820.030.30 DISCUSSION: The purpose of the memorandum is to clarify the 1820.030.30 Ineligibility in the First Six Months section of the Family Healthcare Manual – MAGI.  The Transitional MO HealthNet (TMH) section of the MAGI manual has been updated read more…

FROM: PATRICK LUEBBERING, DIRECTOR SUBJECT: CLARIFICATION OF ELIGIBILTY FOR THE INITIAL SIX MONTHS FOR TRANSITIONAL MO HEALTHNET (TMH) MANUAL REVISION # 1820.030.00 DISCUSSION: The purpose of this memorandum is to clarify the 1820.030.00 Eligibility For Initial Six Months section of the Family Healthcare Manual- MAGI. The Transitional MO HealthNet (TMH) section of the MAGI manual read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  UPDATE OF 1619 THRESHOLD AMOUNT MANUAL REVISION #24 0850.005.20 Appendix J   DISCUSSION: The threshold amount established by the Social Security Administration (SSA) to determine eligibility under Section 1619 of the Social Security Act has increased from $3,099 monthly to $3,141 monthly, effective January 1, 2019.   NECESSARY ACTION: Review read more…

  FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  CLARIFICATION ON WHO MAY APPOINT AN AUTHORIZED REPRESENTATIVE FOR MAGI APPLICATIONS   MANUAL REVISION #23 1802.020.30   DISCUSSION: The purpose of this memorandum is to clarify the 1802.020.30 Signing by an Authorized Representative section of the Family Healthcare Manual – MAGI.    The  Signing by an Authorized Representative section read more…

  TO:  ALL FAMILY SUPPORT OFFICES FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  REVISION OF LINKS IN BCCT MANUAL MANUAL REVISION #22 1305.005.00 1305.010.00 1305.015.00   DISCUSSION: The purpose of this memorandum is announce that the Breast and Cervical Cancer Treatment (BCCT) manual is updated with links to eligibility criteria in the Family MO HealthNet (MAGI) Manual. read more…

  TO:  ALL FAMILY SUPPORT OFFICES FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  SUBMITTING GOOD CAUSE DOCUMENTATION TO CHILD SUPPORT    MANUAL REVISION #21 1805.040.10.15.05   DISCUSSION: The purpose of this memorandum is to clarify where to submit Child Support Good Cause documentation. When Family Support Division receives documentation and determines that an individual should be given read more…

TO:  ALL FAMILY SUPPORT OFFICES FROM: PATRICK LUEBBERING, DIRECTOR SUBJECT:  MANAGED CARE AND MEDICARE   MANUAL REVISION #20 1805.060.00   DISCUSSION: The purpose of this memorandum is to clarify eligibility for individuals enrolled in Medicare. Individuals enrolled in Medicare cannot also receive Managed Care.  If someone receiving Medicare requests coverage under a Family MO HealthNet read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  MAGI MANUAL UPDATES TO MO HEALTHNET FOR PREGNANT WOMEN (MPW) PRIOR QUARTER MANUAL REVISION #19 1850.030.00   DISCUSSION: MAGI manual section 1850.030.00 Prior Quarter (PQ) has been revised to add clarification regarding prior quarter coverage for MO HealthNet for Pregnant Women (MPW) participants.  The updates include information on the following: read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  TITLE V INCOME FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD)            DISCUSSION: Title V income was incorrectly excluded from income for MHABD determinations made in FAMIS.  This has been corrected.  Effective January 27, 2019, FAMIS will begin counting earned income coded as Title read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  CLARIFICATION OF TRANSITIONAL MO HEALTHNET MANUAL SECTION REGARDING UNTIMELY AGENCY ACTION MANUAL REVISION #19 1820.030.50 DISCUSSION: The purpose of this memorandum is to announce a Transitional MO HealthNet (TMH) clarification.  The clarification aligns the time limits allowed when Family Support Division does not enter income changes timely and the household read more…

FROM:   PATRICK LUEBBERING, DIRECTOR SUBJECT:  ADDITION OF SHOW-ME HEALTHY BABIES TO MYDSS   DISCUSSION: The purpose of this memorandum is to announce that information regarding eligibility and benefits for the Show-Me Healthy Babies program has been added on the on-line https://mydss.mo.gov/ site. In the choices of services on the Health Care page is the option read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  AWAY FROM HOME FOR MAGI CASES MANUAL REVISION #17 1802.020.45.15 1885.035.00   DISCUSSION: This memorandum introduces two new policy sections to the MAGI MO HealthNet Policy manual: 1802.020.45.15 Absence from the Home at Application, and 1885.035.00 Away from Home.  These sections explain how to treat an application and interim change read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  UPDATE TO THE DISABILITY APPLICANT COVER LETTER FORM REVISION #7 Disability Applicant Cover Letter DISCUSSION: When sending the Disability Applicant Cover Letter to applicants for MO HealthNet for Aged, Blind or Disabled individuals who are under 65 years old and not receiving Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  OTHER PROPERTY AS AN AVAILABLE RESOURCE FOR MO HEALTHNET FOR THE AGED, BLIND OR DISABLED PROGRAMS MANUAL REVISION #16 1030.027.00 1030.027.05 1030.027.10 1030.027.15 1030.027.20 1030.027.25 1030.027.30 1030.027.35 DISCUSSION: New sections regarding the treatment of property as a resource for MHABD programs has been added to the December 1973 Eligibility Requirements manual. Sections read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  REVISIONS TO THE MISSOURI’S CHILDREN WITH DEVELOPMENTAL DISABILITIES (MOCDD) SECTION OF THE MEDICAL ASSISTANCE FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL MANUAL REVISION #15 0825.020.00 0825.030.30 0825.030.35 DISCUSSION: This memorandum addresses updates to Application Process 0825.020.00, Medical Need and Authorization for MOCDD Waiver Services 0825.030.30, and Income and Budgeting 0825.030.35. The read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  WAIVER OF ADMINISTRATIVE HEARING DISQUALIFICATION CONSENT AGREEMENT FORM REVISION #6 IM-161 DISCUSSION: The IM-161 WAIVER OF ADMINISTRATIVE HEARING DISQUALIFICATION CONSENT AGREEMENT had a typo in the heading that states “IF A OR BE IS CHECKED”; this has been corrected to A or B. NECESSARY ACTION: Review this memorandum with staff that would read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  ADDITIONAL EMAIL ADDRESS FOR MAGI FSD-CS REFERRALS MANUAL REVISION #14 1805.040.05 DISCUSSION: The purpose of this memorandum is to advise the MAGI MO HealthNet Policy manual section 1805.040.05 Referral to FSD-CS has been updated to state the following: All child support referral forms (CS-201) for MAGI cases where the non-custodial/alleged parent is read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  OBSOLETE FAMILY HEALTHCARE (FAMIS) MANUAL SECTION FOR TRANSITIONAL MEDICAL ASSISTANCE MANUAL REVISION #13 0910.000.00-0910.055.55 DISCUSSION: The purpose of this memorandum is to announce that manual section 09100.000.00 Transitional Medical Assistance in the Family Healthcare Manual (FAMIS) is now obsolete.  It has been replaced by manual section 1820.000.00 Transitional MO HealthNet in the read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  UPDATES TO TRANSITIONAL MO HEALTHNET QUARTERLY REPORTS FORMS MANUAL REVISION #5 IM-55A IM-55B IM-55C DISCUSSION: The purpose of this memorandum is to introduce an updated version of the Transitional MO HealthNet Quarterly Reports. All fields are now fillable. The fields containing the participants’ name and address and the Family Support Division office read more…

FROM:  PATRICK LUEBBERING, DIRECTORSUBJECT:  REVISIONS TO SOCIAL SECURITY NUMBER AND CITIZENSHIP SECTIONS OF DECEMBER 1973 MANUALMANUAL REVISION #12 1005.010.00 1010.000.00 DISCUSSION: The purpose of this memorandum is to notify staff of updated links in the December 1973 Eligibility Requirements manual for Social Security number and citizenship. The links have changed from the obsolete Family Healthcare (FAMIS) manual read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  CLARIFICATION OF TICKET TO WORK HEALTH ASSURANCE PROGRAM (TWHA) PREMIUM PAYMENTSMANUAL REVISION #11 0855.005.45.05 DISCUSSION: The purpose of this memorandum is to introduce changes to the MO HealthNet Ticket to Work Health Assurance (TWHA) section of the MO HealthNet Manual. Clarification has been added to section 0855.005.45.05 Premium Collection Process to provide read more…

FROM:  PATRICK LUEBBERING, DIRECTORSUBJECT: 2019 INCREASE IN SUBSTANTIAL GAINFUL ACTIVITY (SGA)MANUAL REVISION #10 APPENDIX D DISCUSSION: The Social Security Administration announced an increase to the SGA amount. Effective January 1, 2019, the monthly SGA amount for: statutorily blind individuals is $2,040.00. non-blind individuals is $1,220.00. The Income Maintenance (IM) policy manual section: Appendix D has been updated read more…

FROM:  PATRICK LUEBBERING, DIRECTORSUBJECT:  SPEND DOWN NOTICE (IM-29SPDN) AND INSTRUCTIONS NOW AVAILABLE IN SPANISHFORMS MANUAL #4 IM-29SPDN (SPANISH) IM-29SPDN instructions (SPANISH) DISCUSSION: This memorandum is to notify staff of the availability of the Spanish version of the IM-29SPDN and instructions. Both forms are now available in Spanish in the Forms Manual. NECESSARY ACTION: Review this memorandum with read more…

FROM:  PATRICK LUEBBERING, DIRECTORSUBJECT: REVISED SPEND DOWN NOTICE (IM-29 (SPND))FORMS MANUAL #3 IM-29 SPDN DISCUSSION: The Spend Down Notice (IM-29 (SPND)) has been revised. The revision includes updates to wording and format to make it more easily understood. Changes include: bold type to draw attention to information concerning whether the spend down has been met, or if read more…

FROM:PATRICK LUEBBERING, DIRECTORSUBJECT:REVISION OF ACHIEVING BETTER LIFE EXPERIENCE (ABLE) MANUAL SECTIONSMANUAL REVISION #9 1025.015.17 0805.015.10 DISCUSSION: The purpose of this memorandum is to announce a revision to the 1025.015.17 Achieving Better Life Experience (ABLE) Account section of the December 1973 Eligibility Requirements Manual and the 0805.015.10 Income Exclusions section of the Medical Assistance for the read more…

FROM:PATRICK LUEBBERING, DIRECTORSUBJECT:CLARIFICATION OF MO HEALTHNET FOR FAMILIES (MHF) ELIGIBILITYMANUAL REVISION #8 1810.020.00 DISCUSSION: The purpose of this memorandum is to share a clarification of eligibility for MO HealthNet for Families (MHF). As previously stated, parents or caretaker relatives receiving SSI cannot receive MHF. It is now clarified that a parent receiving SSI should be read more…

FROM:  PATRICK LUEBBERING, DIRECTORSUBJECT:  REASONABLE COMPATIBILITY WITH MORE THAN ONE INCOME IN THE HOUSEHOLDMANUAL REVISION #7 1805.030.15.10 DISCUSSION: The purpose of this memorandum is to clarify policy regarding reasonable compatibility when there is more than one income in a household. EXAMPLE: Husband and wife apply for their children’s coverage. Mom has one source of income and read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  MAGI PRE-POPULATED ANNUAL RENEWAL FORM (IM-1U) TIMEFRAMEMANUAL REVISION #6 1880.005.00 DISCUSSION: This memorandum provides an update to the MAGI Pre-populated Renewal Form 1880.005.00 section in the Annual Renewal policy. Effective immediately the participant has 30 calendar days to return the pre-populated Annual Renewal form (IM-1U). Previously the participant had 45 days read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT: FOOD STAMP STUDENT ELIGIBILITY POLICY UPDATE MANUAL REVISION #5 1135.025.00 – STUDENTS IN INSTITUTIONS OF HIGHER EDUCATION DISCUSSION: The purpose of this memo is to inform staff of the update to Food Stamp policy 1135.025.00 STUDENTS IN INSTITUTIONS OF HIGHER EDUCATION to clarify student eligibility. The updates explain Eligible Student codes read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:   BLIND PENSION MANUAL UPDATE DUE TO HOUSE BILL 2171 MANUAL REVISION #4 0505.025.00 0505.025.05 0505.025.10 0505.050.00 0505.060.00 0505.060.05 DISCUSSION: House Bill 2171 (2018) revised Sections 209.030 and 209.040 RSMo and updated several eligibility factors for the Blind Pension (BP) program, see IM Memorandum #58 for further details. These changes are effective read more…

FROM:  PATRICK LUEBBERING, DIRECTORSUBJECT:   RETURN ADDRESS INFORMATION ADDED TO MO HEALTHNET APPLICATIONSFORMS MANUAL REVISION #1 DISCUSSION: In order to streamline the application process for paper applications, the following online printable applications have been updated to include the preferred return address and fax number: IM-1BC IM-1MA IM-1QMB/SLMB The return information added is: Missouri Department of Social Services read more…

FROM:  PATRICK LUEBBERING, DIRECTORSUBJECT:  UPDATED SIGNATURE REQUEST LETTERFORMS REVISION #1 IM-1SSL Signature Request Letter DISCUSSION: The IM-1SSL Signature Request letter has been updated with a new format. Staff should return any original unsigned IM-1SSL application with the IM-1SSL Signature Request Letter and an FSD addressed envelope to the customer within three business days. Please refer to IM-#036, read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD) DESIGNATED BURIAL FUNDS MANUAL REVISION #3 1030.020.15 DISCUSSION: The purpose of this Memorandum is to update the December 1973 Eligibility Requirements manual section 1030.020.15 Designated Burial Funds, to correct a mathematical error in the calculation of the example provided. This example has read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  QUALIFIED INCOME TRUST CONSIDERATION AS A RESOURCE OR INCOME MANUAL REVISION #2 0805.015.10 0820.030.15 1025.015.04.01.02 1030.035.20.05 DISCUSSION: 42 UCS 1396p(d)(4)(B) created an avenue for individuals receiving or applying for MO HealthNet for the Aged, Blind or Disabled program under the Home and Community Based (HCB) waiver services, Program for All-Inclusive Care read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:  CLARIFICATION ON WAIVED INTERVIEWS FOR ELDERLY AND DISABLED HOUSEHOLDS MANUAL REVISION #1 1130.015.15 DISCUSSION: This memorandum provides clarification to the previously released memo, IM-#136 Dated 11/20/17. The Food and Nutrition Services (FNS) has provided additional information regarding waiving recertification interviews for elder and disabled households. To waive an interview at recertification for read more…

FROM:  PATRICK LUEBBERING, DIRECTOR SUBJECT:    UPDATES REGARDING AUTHORIZED REPRESENTATIVE INFORMATION THE FOR MO HEALTHNET FOR THE AGED, BLIND OR DISABLED (MHABD) PROGRAMS                               MANUAL REVISION #59                               0130.020.00 – 0130.040.00                       read more…