Memorandums and Practice Points

FROM:  KIM EVANS, DIRECTOR SUBJECT:  AFFORDABLE INSURANCE QUOTES UPDATED ON FAMILY MO HEALTHNET (MAGI) APPENDIX G MANUAL REVISION # APPENDIX G   DISCUSSION: The purpose of this memorandum is to notify staff that Appendix G has been updated with 2021 insurance quotes from the Federally Facilitated Marketplace (FFM).  Affordable insurance determinations for Children’s Health Insurance read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OPTION TO WAIVE REQUIREMENT TO OFFER OR GRANT FACE-TO-FACE INTERVIEWS DISCUSSION: The Food and Nutrition Service (FNS) has approved Missouri’s Statewide SNAP Interview option effective December 28, 2020 through June 30, 2021.  This option allows temporary changes to the SNAP in order to help keep read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 NINTH EXTENSION OF PANDEMIC SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (P-SNAP) EMERGENCY ALLOTMENTS   DISCUSSION: The Families First Coronavirus Response Act (FFCRA) allows for Emergency Allotments (EA) of supplemental benefits for the Supplemental Nutrition Assistance Program (SNAP/Food Stamps) to be issued to eligible SNAP households.  The P-SNAP program raises a household’s read more…

FROM:   KIM EVANS, DIRECTOR SUBJECT:  INTRODUCTION OF THE IM-7A ALTERNATIVE ACCOUNT VERIFICATION FORM FORM REVISION # IM-7A DISCUSSION:  The purpose of this memo is to introduce the Alternative Account Verification Form, IM-7A. The IM-7A was created in an effort to provide an additional verification option to verify financial accounts. Use this form in the event read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  CLARIFICATION AND CHANGES TO 5% DISREGARD FOR FAMILY MO HEALTHNET (MAGI) MANUAL REVISION # 178 1805.030.20.20.05 Appendix A Appendix B   DISCUSSION: The purpose of this memorandum is to advise staff of changes to the 5% disregard income calculation for Family MO HealthNet (MAGI) eligibility determinations.  Due to receiving a read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OPTION TO WAIVE INTERVIEW REQUIREMENT AT RECERTIFICATION   DISCUSSION: The Food and Nutrition Service (FNS) has approved Missouri’s Statewide SNAP Interview option effective December 28, 2020 through June 30, 2021.  This option allows the Family Support Division (FSD) to waive the interview requirement for all read more…

FROM: KIM EVANS, DIRECTOR SUBJECT: APPLICATION FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (IM-1MA) REVISION FORM REVISION # IM-1MA DISCUSSION:  The purpose of this memorandum is to introduce changes made to the IM-1MA Application for MO HealthNet (Medicaid).  The IM-1MA has been revised to include the following changes: Addition of the FSD.Documents@dss.mo.gov email address which may read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  ACCUITY AND THE FAIR CREDIT REPORTING ACT (FCRA) NOTIFICATION REQUIREMENTS FORM REVISION # IM-50AA DISCUSSION: This memo is to introduce staff to mandatory reporting requirements and notices that must be provided to participants/applicants when certain actions are taken and Accuity Asset Verification System was used in the eligibility determination. Due read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  GUIDANCE ON SIGNING MO HEALTHNET (MHN) APPLICATIONS DURING THE COVID-19 PUBLIC HEALTH EMERGENCY (PHE) DISCUSSION: Regulations allow for the electronic signing of MHN applications. With the exception of web applications, Family Support Division (FSD) does not have policy in place regarding the acceptance of electronic signatures on MHN applications. Current read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  NEW FORM FOR MO HEALTHNET FOR FAMILIES (MAGI) ONGOING COVERAGE SIGNATURE REQUEST (IM-1SSL) FORM REVISION # IM-1SSL Ongoing Coverage Signature Request DISCUSSION: The purpose of this memorandum is to introduce a new form, the IM-1SSL Ongoing Coverage Signature Request. This form is to be used for completing an ex parte read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  MANUAL UPDATE AND IIVE CLARIFICATION FOR ALL INCOME MAINTENANCE (IM) PROGRAMS MANUAL REVISION # 0110.025.10 DISCUSSION: The purpose of this memorandum is to clarify when to utilize IIVE information and to inform staff of an update to the General Information Manual.   Section 0110.025.10 Unearned Income provides clarification that IIVE should read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  2021 INCREASE IN SUBSTANTIAL GAINFUL ACTIVITY (SGA) MANUAL REVISION # APPENDIX D APPENDIX J DISCUSSION: The Social Security Administration announced an increase to the SGA amount.  Effective January 1, 2021, the monthly SGA amount for: statutorily blind individuals is $2,190.00 non-blind individuals is $1,310.00 The Income Maintenance (IM) policy manual read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 VERIFICATION FOR FAMILY HEALTHCARE PROGRAMS (MAGI) UPDATE AND CLARIFICATION DISCUSSION: The purpose of this memorandum is to provide clarification to Memo IM-19 COVID-19 Verifications for Family Healthcare Programs (MAGI).  IM-19 introduced temporary policy to allow Family Support Division (FSD) to waive many eligibility verification requirements for MAGI programs during read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  UPDATING INCOME SOURCES FOR THE GATEWAY TO BETTER HEALTH (GTBH) MANUAL MANUAL REVISION # 1600.010.15.15                                DISCUSSION: The purpose of this memorandum is to inform staff that the GTBH Manual section, 1600.010.15.15 Sources of Earned and Unearned Income, was updated to remove sources that are not included sources of income for read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INCREASE IN VENDOR MAXIMUM MONTHLY MAINTENANCE STANDARD AND MINIMUM AND MAXIMUM SPOUSAL SHARE MANUAL REVISION # 1030.035.10 1030.035.20 1030.035.25 APPENDIX B DISCUSSION: Effective January 1, 2021, the Maximum Monthly Maintenance Standard, and the minimum and maximum spousal share amounts are increased.    MAINTENANCE STANDARDS The new Maximum Monthly Maintenance Standard read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INCREASE IN RESOURCE LIMITS FOR QUALIFIED MEDICARE BENEFICIARY (QMB), SPECIFIED LOW INCOME MEDICARE BENEFICIARY (SLMB), AND QUALIFYING INDIVIDUALS (QI-1 OR SLMB2) PROGRAMS MANUAL REVISION # 0865.010.15 Appendix J Appendix K Appendix L DISCUSSION: Effective January 1, 2021, the QMB, SLMB, and SLMB2 resource limits increased.  For a single individual, the read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  JANUARY 2021 COLA ADJUSTMENT OF SSA/SSI/VA/RR INCOME FOR ALL INCOME MAINTENANCE PROGRAMS EXCEPT MAGI MANUAL REVISION# 0410.010.15 0805.020.15 1030.010.05 APPENDIX E APPENDIX J APPENDIX K APPENDIX L DISCUSSION: In January 2021, all Social Security Administration (SSA), Supplemental Security Income (SSI), Veterans Administration (VA), and Railroad Retirement (RR) participants will receive read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INTRODUCTION TO THE ELECTRONIC VERIFICATION SYSTEM (EVS) MANUAL ADDITION # 0110.060.00 0110.060.15.10 0110.060.25 0110.060.45 0110.060.05 0110.060.15.15 0110.060.30 0110.060.10 0110.060.15.20 0110.060.35 0110.060.15 0110.060.15.25 0110.060.40 0110.060.15.05 0110.060.20 FORM REVISION # Authorization for Verification (IM-6EVS)  DISCUSSION: Several new eligibility tools are being implemented by the Family Support Division (FSD). These tools are designed read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 EIGHTH EXTENSION OF PANDEMIC SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (P-SNAP) EMERGENCY ALLOTMENTS DISCUSSION: The Families First Coronavirus Response Act (FFCRA) allows for Emergency Allotments (EA) of supplemental benefits for the Supplemental Nutrition Assistance Program (SNAP/Food Stamps) to be issued to eligible SNAP households.  The P-SNAP program raises a household’s SNAP read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  ALLOWING ADDITIONAL MEDICAL SOURCES TO PROVIDE MEDICAL RECORDS FOR DISABILITY DETERMINATIONS FOR THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAM MANUAL REVISION # 1060.005.05 DISCUSSION: The Medical Review Team (MRT) uses medical evidence to determine if a MO HealthNet applicant or participant meets disability requirements in situations read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  CORRECTION TO DATE FIELD ON THE NOTICE OF POST ELIGIBILITY MEDICAL EXPENSE REDUCTION IN SURPLUS (IM-62 PEME) FORM FORM REVISION # IM-62 PEME DISCUSSION: The IM-62 PEME form was revised to correct an error in the date field. Staff must now enter the date the form is created and sent read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  PUBLIC ADMINISTRATOR LIAISONS FOR ALL INCOME MAINTENANCE PROGRAMS DISCUSSION: The purpose of this memorandum is to inform staff of updated Public Administrator (PA) liaisons. Public Administrators have a designated Family Support Division (FSD) staff member with whom they, their deputies, or their staff can discuss and resolve issues on behalf read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  BLIND PENSION RESIDENCY REQUIREMENT UPDATED ON ONLINE INFORMATION PAGE DISCUSSION: The Blind Pension online information page has been updated to better explain the eligibility requirement of Missouri residency. A participant meets the residency requirement to receive Blind Pension when he/she intends to remain in Missouri if: the participant has been read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) DISCONTINUING EXPEDITE POSTPONE SERVICE CLARIFICATION AND OBSOLETING MANUAL SECTION-POSTPONED INTERVIEW MANUAL REVISION #       1120.045.05 DISCUSSION: This memorandum is to notify staff that the Postponed Interview (1120.045.05) manual section of SNAP policy is now obsolete. When a SNAP application is screened for expedite services, identity must read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  UPDATED VERSION OF THE MO 650-2616 (HIPAA) AUTHORIZATION FOR DISCLOSURE OF CONSUMER MEDICAL/HEALTH INFORMATION FORM POSTED  DISCUSSION: The purpose of this memorandum is to inform staff the most recently revised version of the MO 650-2616 (HIPAA – Authorization for Disclosure of Consumer Medical/Health Information) has been posted in the IM Forms read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  REVISION OF THE IM-31A PQ MAGI FORM REVISION # IM-31A PQ MAGI DISCUSSION: The purpose of this memo is to introduce changes to the IM-31A PQ MAGI form.  This form is used to request prior quarter information that may not have been captured on the IM-1SSL application form.  The new read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  SUPPLEMENTAL NURSING CARE (SNC) MANUAL CORRECTION MANUAL REVISION # 0605.010.00 DISCUSSION: The SNC manual section was missing instructions that clarified the actions necessary when an individual is found ineligible for SNC. Instructions have been added to section 0605.010.00 No change in process is necessary for staff.  FAMIS is programmed to read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  CHANGE TO FAMIS FORM FA-110 AND MAILING OF ELECTRONIC BENEFIT TRANSFER (EBT) CARDS FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) EXPEDITE BENEFITS DISCUSSION: This memorandum is to notify staff of changes to FAMIS form FA-110 Expedited Food Stamp notice and the mailing of EBT cards for initial Supplemental Nutrition Assistance Program read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL REVISION IMMIGRANT ELIGIBILITY MANUAL REVISION # 1102.015.10 Immigrant Eligibility DISCUSSION: The purpose of this memo is to inform staff of the SNAP Manual and system update regarding Immigrant Eligibility. Food and Nutrition Service (FNS) provided clarification for certification periods for individuals who are non-citizens read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  CORRECTION OF THE TELEPHONE NUMBERS AND ADDRESS ON THE IM-4 MO HEALTHNET FOR NURSING HOME CARE FLYER  FORM REVISION # IM-4 MO HealthNet for Nursing Home Care Flyer DISCUSSION: The purpose of this memorandum is to notify staff that phone numbers and an address on the IM-4 MO HealthNet for read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  ADOPTION SUBSIDY ADDED AS MAGI EXCLUDED INCOME MANUAL REVISION # 1805.030.20.10                         DISCUSSION: The purpose of this memorandum is to correct manual section 1805.030.20.10 Income Excluded Under MAGI as per Memo IM-#28 from 5/11/2016.  Adoption Subsidy is now included on read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 SIXTH EXTENSION OF PANDEMIC SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (P-SNAP) EMERGENCY ALLOTMENTS DISCUSSION: The Families First Coronavirus Response Act (FFCRA) allows for Emergency Allotments (EA) of supplemental benefits for the Supplemental Nutrition Assistance Program (SNAP) to be issued to eligible SNAP households. The P-SNAP program raises a household’s SNAP allotment read more…

FROM: KIM EVANS, DIRECTOR SUBJECT: CORRECTION OF LINK IN THE BREAST AND CERVICAL CANCER TREATMENT MANUAL MANUAL REVISION # 1305.025.05  DISCUSSION: The purpose of this memo is to correct a link in the Breast and Cervical Cancer Treatment manual. The link to a map of Show Me Healthy Women providers is found at: https://health.mo.gov/living/healthcondiseases/chronic/showmehealthywomen/providermap.php NECESSARY read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  REVISION OF MAGI HOUSEHOLD COMPOSTION FOR TAX FILERS SECTION IN THE MO HEALTHNET FOR FAMILIES (MAGI) MANUAL MANUAL REVISION # 1805.030.10.10 DISCUSSION: Section 1805.030.10.10 MAGI Household Composition for Tax Filers is updated to clarify separated individuals do not count in one another’s MAGI household. NECESSARY ACTION: Review this memorandum with read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  NET OPERATING LOSS AND CARRYOVER USED FOR INCOME CALCULATIONS FOR FAMILY MO HEALTHNET PROGRAMS MANUAL REVISION # 1805.030.20.05 DISCUSSION: The Internal Revenue Service (IRS) defines Net Operating Loss (NOL) as when deductions exceed your gross income for the year. This is most commonly used to refer to a business loss. read more…

FROM: KIM EVANS, DIRECTOR SUBJECT: COVID-19 SEVENTH EXTENSION OF PANDEMIC SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (P-SNAP) EMERGENCY ALLOTMENTS DISCUSSION: The Families First Coronavirus Response Act (FFCRA) allows for Emergency Allotments (EA) of supplemental benefits for the Supplemental Nutrition Assistance Program (SNAP) to be issued to eligible SNAP households. The P-SNAP program raises a household’s SNAP allotment read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  FOOD STAMP PROGRAM NAME CHANGE TO SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)                                    DISCUSSION: This memorandum is to notify staff that the Food Stamp Program name changed to Supplemental Nutrition Assistance Program (SNAP) effective September 23, 2020.  The change is in compliance with Food and Nutrition Services (FNS) Federal Regulation 7 read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL REVISION DELAYS IN PROCESSING MANUAL REVISION # 1130.025.00 Delays in Processing DISCUSSION: The purpose of this memo is to inform staff of the SNAP Manual update regarding Delays in Processing. The manual will now explain that the eligibility system will default to the client read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  OCTOBER SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)/FOOD STAMP MASS ADJUSTMENT MANUAL REVISIONS: 1105.015.04.05 1115.035.05 1115.035.25 1115.035.25.15 1115.099.00 1135.010.07.05 1115.035.25.40 0815.030.10.10.10 Appendix B Appendix J DISCUSSION: The October SNAP/Food Stamp Mass Adjustment occurred over the weekend of September 12, 2020. All policies and updated information will go into effect for all applicants and read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  REVISION OF THE VENDOR COMMUNITY SPOUSE ALLOTMENT SECTION OF THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED MANUAL, AND UPDATE OF THE VENDOR WORKER INITIATED BUDGET CALCULATION AREA (WIBCA) FOR COMMUNITY SPOUSE ALLOTMENTS MANUAL REVISION # 0815.030.10.10.10 DISCUSSION: The purpose of this memorandum is to inform staff the MO read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  REVISION OF THE LOOK BACK PERIOD FOR TRANSFERS OF PROPERTY OCCURING ON OR AFTER FEBRUARY 8, 2006 MANUAL REVISION # 1040.010.00 1040.015.25 DISCUSSION: The purpose of this memorandum is to inform staff of manual revisions to Section 1040.010.00 and 1040.015.25 of the December 1973 Eligibility Requirements. Revisions have been made read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  UPDATES TO MAGI MANUAL APPENDICES A AND I     MANUAL REVISION # APPENDIX A APPENDIX I                DISCUSSION: The purpose of this memorandum is to update Appendices A and I due to the effect of COVID-19 changes. Appendix A now shows effective dates from April 1, 2020 through March 31, 2021. Because read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  REVISION TO ON-LINE DESCRIPTION OF THE CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) DISCUSSION: The purpose of this memo is to announce that the on-line description of the Children’s Health Insurance Program (CHIP) at https://mydss.mo.gov/healthcare has been updated. Viewers are advised to refer to the Family Healthcare Program Description document at the read more…

FROM:   KIM EVANS, DIRECTOR SUBJECT:   SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM CHANGE AND MANUAL REVISION TO INTRODUCE THE HOMELESS STANDARD DEDUCTION MANUAL REVISION # 1115.035.25.40 Homeless Standard Deduction DISCUSSION: The purpose of this memo is to inform staff of the SNAP, also known as Food Stamp Program, change and manual update regarding Homeless Standard Deduction required by read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  FACILITY NOTIFICATION INFORMATION SHEET (FNIS) REVISION FORM REVISION # IM-72 FNIS DISCUSSION: The purpose of this memo is to inform staff that the Facility Notification Information Sheet (FNIS) has been updated to include the form number. The form is added to the forms manual and will be listed as IM-72 read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  MISSOURI’S CHILDREN WITH DEVELOPMENTAL DISABILITIES (MOCDD) WAIVER SERVICES TELEPHONE NUMBER UPDATE MANUAL REVISION # 0825.020.00 DISCUSSION: The purpose of this memorandum is to inform staff of a change in the Medical Assistance for the Aged, Blind, and Disabled (MHABD) Manual. Section 0825.020.00 Application Process is updated to reflect a telephone read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL REVISIONS TO INCLUDE CORRECT ELIGIBILITY CRITERA FOR DISABLED CHILDREN UNDER AGE 18 IN A VENDOR FACILITY   MANUAL REVISION # 0815.005.00 Eligibility for Vendor Payments 0815.010.00 Applications for Participants Not Currently Receiving Medicaid 0815.055.05 Participants Under Age 18 Receiving Inpatient read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL UPDATE TO CASH REMAINING FROM AN ASSISTANCE CHECK OR OTHER BUDGETED MONTHLY INCOME MANUAL REVISION # 1025.015.01 DISCUSSION: The purpose of this memorandum is to update policy 1025.015.01 Cash Remaining From and Assistance Check or Other Budgeted Monthly Income to read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 FIFTH EXTENSION OF PANDEMIC SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (P-SNAP) EMERGENCY ALLOTMENTS DISCUSSION: The Families First Coronavirus Response Act (FFCRA) allows for Emergency Allotments (EA) of supplemental benefits for the Supplemental Nutrition Assistance Program (SNAP/Food Stamps) to be issued to eligible SNAP households. The P-SNAP program raises a household’s SNAP read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  UPDATES TO CLARIFY AND PROVIDE ADDITIONAL INFORMATION FOR INCOME EXCLUSIONS IN THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL MANUAL REVISION # 0805.015.10 DISCUSSION: Updates have been made to the manual section, 0805.015.10 Income Exclusions in the MO HealthNet for the Aged, Blind, and Disabled (MHABD) Manual. read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  UPDATE TO IM-1U RETURNED AFTER 90 DAYS LETTER FOR MO HEALTHNET FOR FAMILIES (MAGI) FORM REVISION #20 DISCUSSION: The purpose of this memo is to inform staff of updates to the IM-1U Returned After 90 Days Letter. The form has been assigned a form number, IM-1U90, and the contact phone read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  REVISION OF THE IM-29MAGI FORM   FORM REVISION # 20 IM-29MAGI DISCUSSION: The purpose of this memo is to introduce the revised IM-29MAGI form. The form is used to notify participants to begin using a corrected MO HealthNet number (DCN). Revisions to the form include the addition of fillable fields, formatting read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  MILEAGE REIMBURSEMENT DECREASE DISCUSSION: State mileage reimbursement rates will be decreased from $.43 per mile to $.37 per mile effective 09/01/2020. Use the current rate of $.37 per mile when calculating mileage expenses. FAMIS updates were completed on 08/15/2020 to reflect this new rate decrease. Appendix J of the MO read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INTEREST PAID ON BUSINESS LOAN FOR SELF-EMPLOYMENT FOR MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD) MANUAL REVISION # 0805.015.15 DISCUSSION: The purpose of this memorandum is to inform staff of manual revisions to Section 0805.015.15 of the MO HealthNet for the Aged, Blind, and Disabled Manual. Revisions have read more…

FROM:  KIM R. EVANS, DIRECTOR SUBJECT:  CORRECT SIXTY MONTHS TO FORTY-FIVE MONTHS IN THE TEMPORARY ASSISTANCE (TA) MANUAL MANUAL REVISION # 0210.015.30.20 DISCUSSION: A correction has been made to section, 0210.015.30.20 Two-Thirds Disregard, in the TA Manual. The reference to the sixty (60) months of lifetime eligibility has been corrected to forty-five (45) months of read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) AGE OUTS WILL NOW CLOSE DURING COVID-19 EMERGENCY PERIOD DISCUSSION: Centers for Medicare and Medicaid Services (CMS) provided clarification that CHIP premium levels of coverage (CHIP 73, CHIP 74, and CHIP 75) should close when the participant ages out of the program (age 19), during read more…

FROM:   KIM EVANS, DIRECTOR SUBJECT:   COVID-19 FOURTH EXTENSION OF PANDEMIC SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (P-SNAP) EMERGENCY ALLOTMENTS DISCUSSION: The Families First Coronavirus Response Act (FFCRA) allows for Emergency Allotments (EA) of supplemental benefits for the Supplemental Nutrition Assistance Program (SNAP/Food Stamps) to be issued to eligible SNAP households. The P-SNAP program raises a household’s SNAP read more…

FROM:   KIM EVANS, DIRECTOR SUBJECT:   MO HEALTHNET UPDATES FOR FORMER FOSTER CARE YOUTH MANUAL REVISION #59 1805.050.00 0875.000.00 DISCUSSION: The purpose of this memorandum is to advise staff of changes to the Former Foster Care Youth sections 1805.050.00 in the Family MO HealthNet (MAGI) manual and 0875.000.00 in the MO HealthNet for Aged, Blind, and read more…

FROM:   KIM EVANS, DIRECTOR SUBJECT:   QUALIFIED INCOME TRUSTS (QIT) ARE NOT ALLOWED FOR PROGRAM OF ALL INCLUSIVE CARE FOR THE ELDERLY (PACE) FORM UPDATE #19 QIT Form DISCUSSION: This memorandum announces the removal of the Program of All Inclusive Care for the Elderly (PACE) from programs designated as Qualified Income Trust (QIT) programs. A participant read more…

FROM:   KIM EVANS, DIRECTOR SUBJECT:   RETURNING AN UNSIGNED APPLICATION FOR SIGNATURE(S) MANUAL REVISION #58 0105.010.00 DISCUSSION: The Income Maintenance manual has been updated to clarify the requirement to send unsigned applications back to the applicant and the authorized representative or guardian for signature. NECESSARY ACTION: Review this memorandum with appropriate staff. KE/vb

FROM:   KIM EVANS, DIRECTOR SUBJECT:   MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) RETIREMENT USER GUIDE CORRECTION DISCUSSION: Income Maintenance Memo #87 announced a change to how retirement accounts are counted for MHABD resource determinations. A user guide was mentioned in that memo. An error was discovered on the user guide. This has been read more…

FROM:   KIM EVANS, DIRECTOR SUBJECT:   COVID-19 MISSOURI WORK ASSISTANCE (MWA), TEMPORARY ASSISTANCE (TA) ORIENTATION AND PERSONAL RESPONSIBILITY PLAN (PRP) SUSPENSIONS ENDING FOR THE TEMPORARY ASSISTANCE (TA) PROGRAM           DISCUSSION: The Family Support Division (FSD) waiver to suspend MWA work requirements, TA Orientation, and the Personal Responsibility Plan for TA participants will end effective July 31, 2020. read more…

FROM:   KIM EVANS, DIRECTOR SUBJECT:   CORRECTION ON CHIP AFFORDABILITY CALCULATOR MANUAL REVISION #57 Appendix G DISCUSSION: Due to an error on the file for the Affordability Calculator, a revised version is now in the MAGI Manual.  Please delete any previous version you have downloaded and use the new version. NECESSARY ACTION: Review this memorandum with read more…

FROM:   KIM EVANS, DIRECTOR SUBJECT:    APPROVING MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) NURSING HOME CARE ON A DATE OTHER THAN THE DATE OF ADMISSION TO ALLOW PARTICIPANT TO DEPLETE RESOURCES BELOW THE RESOURCE LIMIT DISCUSSION: It is sometimes necessary to approve Nursing Home (vendor) Care on a date other than read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  CUSTOMER SERVICE CENTER OVERTIME DISCUSSION: Original memo issued July 6th is revised to include the option of accruing compensatory time. The purpose of this memo is to inform staff of extended weekend hours will resume July 11th 2020 for the Customer Service Center (CSC).  The CSC will be open from read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  2020 MO HEALTHNET OUTREACH PROJECT WITH DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION, LICENSED CHILDCARE PROVIDERS, AND FAMILY SUPPORT DIVISION DISCUSSION: Senate Bill 583 (2010) requires the Department of Social Services (DSS) to collaborate with the Department of Elementary and Secondary Education (DESE) and licensed childcare providers in an effort to read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) AUTHORIZED REPRESENTATIVE FAMIS ENHANCEMENT DISCUSSION: This is the sixth in a series of enhancements in the FAMIS system to provide current information to the Authorized Representative (AR) as well as the MHABD participant. Previous enhancements were introduced in the following memos: read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:   ALLOWED MEDICAL EXPENSE FOR SERVICE ANIMALS SNAP PROGRAM MANUAL REVISION #56 1115.035.15.10 DISCUSSION: The purpose of this memo is to inform staff of an allowable medical expense for service animals. The expenses, such as veterinarian visits and food associated with service animals, can be allowable expenses for the SNAP Program. read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  QUALIFIED MEDICARE BENEFICIARY (QMB) AND FAMILY MO HEALTHNET COVERAGE (MAGI) MANUAL REVISION #55 0865.020.10 DISCUSSION: The purpose of this memorandum is to advise staff of updates to the 0865.020.10 Filing a QMB Application section of the MO HealthNet for the Aged, Blind and Disabled manual. The following has been added: read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  UPDATES TO THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL REGARDING CHANGES IN CIRCUMSTANCE MANUAL REVISION #54 0840.010.00 0840.010.35                               0855.010.00 DISCUSSION: A new section has been added to the Changes in Circumstance section of the MHABD manual.  Policy regarding coverage changes between the Spend Down and Ticket read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  HEALTH INSURANCE PREMIUM PAYMENT (HIPP) APPLICATIONS UPDATED IN FORMS MANUAL FORM REVISION #18 HIPP-1 HIPP-1 (Spanish) HIPP-A HIPP-A (Spanish) DISCUSSION: The purpose of this memo is to notify staff that the following HIPP applications have been updated in the Forms Manual: HIPP-1 General Application for HIPP-MO HealthNet eligible only HIPP-1 read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  CLARIFICATION OF PROCESS FOR EMERGENCY MO HEALTHNET CARE FOR INELIGIBLE ALIENS (EMCIA) NEEDING MEDICAL REVIEW TEAM (MRT) DETERMINATION MANUAL REVISION #53 1700.020.00 DISCUSSION: This memorandum will announce the update of Income Maintenance manual section 1700.020.00 Ineligible Alien Status.  The IM manual has been updated with current instruction for processing applications read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  REVISION AND/OR ADDITION OF THE DOCUMENTS TO VERIFY CITIZENSHIP SECTION OF THE FAMILY HEALTHCARE (MAGI) MANUAL AND DECEMBER 1973 REQUIREMENTS MANUAL MANUAL REVISION #52 1010.005.00 1805.020.05.05 DISCUSSION: The purpose of this memo is to introduce an additional option to verify citizenship. Per the Child Citizenship Act of 2000, participants born read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INTERNAL REVENUE SERVICE (IRS) MATCH AND SAFEGUARD MANUAL             MANUAL REVISION #51 0160.000.00 0160.005.00 0160.010.00 0160.010.05 0160.015.00 0160.015.05 0160.015.10 0165.000.00 0165.000.05 0165.005.00 0165.010.00 DISCUSSION: The purpose of this memorandum is to notify staff of the revision of the Internal Revenue Service (IRS) Match and Safeguard Manual. The manual now reflects read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  REVISION OF THE PERSONAL NEEDS ALLOWANCE SECTION OF THE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL MANUAL REVISION #50 0815.030.10.05 DISCUSSION: Section 0815.030.10.05 Personal Needs Allowance is revised to explain that the $50 personal needs allowance is budgeted for vendor participants and does not exclude SSI recipients. read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INTRODUCTION OF A NEW INTERVIEW PHONE LINE NUMBER FOR FAMILY SUPPORT DIVISION (FSD) BENEFIT APPLICANTS DISCUSSION: The purpose of this memo is to inform staff of a new phone number for applicants to call to complete their interview. The new interview line phone number will be available on July 01, read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) INTERVIEWS RESUME DISCUSSION: The purpose of this memorandum is to inform staff that effective July 1, 2020 Supplemental Nutrition Assistance Program (SNAP/Food Stamp) interviews will resume for initial and recertification applications. The Food and Nutrition Service (FNS) has denied Missouri’s request to extend the read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  CUSTOMER SERVICE CENTER OVERTIME DISCUSSION: The purpose of this memo is to inform staff that extended weekend hours will resume July 11th 2020 for the Customer Service Center (CSC).  The CSC will be open from 8:00 am – 5:00 pm on Saturdays. Any available staff with Cisco phones and the read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  REVISED REQUEST FOR PARTICIPANT MO HEALTHNET REIMBURSEMENT (IM-64) FORM AND INSTRUCTIONS FORM REVISION #17 IM-64 IM-64 Instructions DISCUSSION: The Request for Participant MO HealthNet Reimbursement (IM-64) and the instructions for that form have been revised and updated. The form was updated to provide additional clarification to the participant about when read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  UPDATES TO INCOME INCLUDED FOR MAGI – CRYPTO CURRENCY AND LOTTERY/GAMBLING WINNINGS AND INTRODUCTION OF APPENDIX J MANUAL REVISION #49 1805.030.20.05 Appendix J   DISCUSSION: The purpose of this memorandum is to advise staff of updates to the Income Included Under MAGI section of the Family MO HealthNet (MAGI) Manual. read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 JULY 2020 ADJUSTMENT TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) INTERVIEW WAIVER DISCUSSION: The purpose of this memorandum is to inform staff that SNAP/Food Stamp telephone interviews will resume on July 1, 2020 for initial and recertification applications.   The Food and Nutrition Service (FNS) has approved Missouri the read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 –  SUSPENSION OF TEMPORARY ASSISTANCE (TA) DRUG TESTING/TREATMENT TO EXPIRE DISCUSSION: Due to COVID-19, adjustments were made to the TA Program. These updates were outlined on Memo #30 posted April 04, 2020 and on Memo # 66 posted May 26, 2020. Drug testing and drug treatment referrals will resume on read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INCIDENT RESPONSE MANUAL REVISION TO IM MANUAL LEGAL ASPECTS MANUAL REVISION #48 0130.005.10.65   DISCUSSION: The purpose of this memorandum is to introduce a new section 0130.005.10.65 Incident Response  in the IM Legal Aspects Manual. This section provides guidance for staff when an unauthorized disclosure of confidential information occurs and read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 THIRD EXTENSION OF PANDEMIC SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (P-SNAP) EMERGENCY ALLOTMENTS DISCUSSION: The Families First Coronavirus Response Act (FFCRA) allows for Emergency Allotments (EA) of supplemental benefits for the Supplemental Nutrition Assistance Program (SNAP/Food Stamps) to be issued to eligible SNAP households. The P-SNAP program raises a household’s SNAP/Food read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 MISSOURI WORK ASSISTANCE (MWA), TEMPORARY ASSISTANCE (TA) ORIENTATION AND PERSONAL RESPONSIBILITY PLAN (PRP) UPDATES TO THE TEMPORARY ASSISTANCE (TA) PROGRAM DISCUSSION: Due to the COVID-19 emergency, the Family Support Division (FSD) will continue to suspend MWA work requirements for TA participants through July 31, 2020. In addition, the completion read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 EXPIRATION OF FAMILY CRISIS HARDSHIP EXTENSION FOR TEMPORARY ASSISTANCE (TA) DISCUSSION: Due to the national health emergency which was declared March 13, 2020 in response to COVID-19, adjustments were made to the TA Program. These updates were outlined in Memo #30 posted April 04, 2020 and in Memo # read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 WORK REQUIREMENTS RESUME FOR ABLE BODIED ADULTS WITHOUT DEPENDANTS (ABAWD) DISCUSSION: Effective August 1, 2020 ABAWDs will be subject to work requirements.  Good cause for noncompliance due to COVID-19 will no longer be allowed.  The ABAWD work requirement screen (WORKREQ) will appear in the application flow as before.  Work read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 UPDATED MO HEALTHNET (MHN) COVERAGE FOR POSITIVE COVID-19 DIAGNOSIS DISCUSSION: IM Memo #20, dated March 25, 2020, introduced coverage for individuals testing positive for COVID-19, eligibility requirements, and the process for approving coverage. The process has changed, due to clarification of requirements from Centers for Medicare & Medicaid Services read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD) MANUAL AND FORM REVISION- MEDICAL DEDUCTIONS WHEN DETERMINING SURPLUS MANUAL REVISION #47 0815.030.10.15                                DISCUSSION: MHABD manual section 0815.030.10.15 Medical Expenses When Determining Surplus, has been revised.  Health Insurance Premiums:  Health insurance premiums for the institutionalized participant paid by the participant or read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  HEALTH INSURANCE PREMIUM PAYMENT (HIPP) APPLICATION UPDATED IN MEDES DISCUSSION: The purpose of this memo is to notify staff that the HIPP application (HIPP-1) has been updated in MEDES.   NECESSARY ACTION: Review this memorandum with appropriate staff.     KE/df    

FROM:  KIM EVANS, DIRECTOR SUBJECT:  UPDATES TO INCOME AND DEDUCTIONS SECTIONS OF THE FAMILY HEALTHCARE (MAGI) MANUAL MANUAL REVISION #46 1805.030.20.05 1805.030.20.15 1805.030.25 1805.030.25.05 1805.030.25.10 1805.030.25.15 DISCUSSION: The purpose of this memorandum is to address changes and clarifications to income and deduction information in the MAGI manuals.  Some of the changes include: Where to locate read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  UPDATE TO THE DEFINITION OF CASH AND SECURITIES SECTION OF THE DECEMBER 1973 ELIGIBILITY REQUIREMENTS MANUAL MANUAL REVISION #45 1025.010.00 DISCUSSION: The title of manual section 1025.010.00 Definition has been updated to Definition of Cash and Securities.  This section has also been revised to include information about Direct Express accounts read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  UPDATING MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD) MANUAL TO CORRECT OUTDATED LINK MANUAL REVISION #44 1010.000.00 DISCUSSION: 1010.000.00 CITIZENSHIP AND ALIEN STATUS (OAA, PTD, and AB) was updated to correct the link to the Family MO HealthNet (MAGI) manual and to remove the obsolete manual reference to read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 FOOD STAMP RECERTIFICATIONS RESUME DISCUSSION: The purpose of this memorandum is to inform staff that Food Stamp (FS) recertifications will be mailed to participants June 15-16, 2020 for cases due to recertify in July 2020.  Due to the FS recertification waiver, which expires in June, cases that were due read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 HAZARD PAY FOR ALL INCOME MAINTENANCE (IM) PROGRAMS DISCUSSION: The purpose of this memorandum is to discuss hazard pay for the Food Stamp (FS), Temporary Assistance (TA), Child Care (CC), and MO HealthNet (MHN) programs. Hazard pay is additional pay for performing hazardous duty or work involving physical hardship.  read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:   RETIREMENT ACCOUNTS AS AN AVAILABLE RESOURCE FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) AND BLIND PENSION (BP)   MANUAL REVISION #43  1025.015.07  0505.060.00,  0505.060.05  0505.060.10 1025.015.07.05  DISCUSSION: Retirement accounts are an available resource to an MHABD or BP participant if the funds can be accessed by the read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  DECREASE IN AVERAGE PRIVATE PAY NURSING RATE FOR TRANSFER OF PROPERTY PENALTIES MANUAL REVISION #42  1040.020.40    APPENDIX J APPENDIX N DISCUSSION: The average private pay nursing care rate will decrease to $6425 per month.  Use $6425 to determine the number of months of ineligibility for vendor level services for read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  FORMS FOR MULTIPLE PROGRAMS TRANSLATED INTO SPANISH DISCUSSION: The following forms have been translated into Spanish and the Spanish versions have been added to the Forms Manual: FORM NUMBER FORM NAME IM-1MA Medicaid Application/Eligibility Statement IM-1MAC Addendum to MO HealthNet Application:  Request for Optional Cash Benefit IM-1U MAGI MAGI Annual read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INCREASE IN VENDOR MINIMUM MONTHLY MAINTENANCE STANDARDS AND SHELTER STANDARDS ADJUSTMENTS IN VENDOR MANUAL REVISION #40 APPENDIX B DISCUSSION: Effective July 1, 2020, the Minimum Monthly Maintenance Needs Allowance (MMMNA) and Shelter Standard for Vendor cases are increased.  FAMIS adjusts all Vendor cases on June 7, 2020. This memorandum discusses read more…

FROM:  KIM EVANS, 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 2021, which begins July 1, 2020 read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  ANNUAL MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) ASSET LIMIT INCREASE MANUAL REVISION #39 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 Disabled (MHABD) program have increased effective July 1, read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INTRODUCTION OF THE THIRD PARTY LIABILITY (TPL) SECTION IN THE MAGI AND MO HEALTHNET FOR THE AGED, BLIND, OR DISABLED (MHABD) MANUALS MANUAL REVISION #38 1805.000.00 1805.045.00 0880.020.00 DISCUSSION: The purpose of this memo is to introduce sections 1805.045.00 and 0880.020.00 regarding Third Party Liability (TPL) in both the MAGI read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  CLARIFICATION OF TRANSFER OF PROPERTY PENALTY EXEMPTION FOR SPECIFIC MO HEALTHNET PROGRAMS MANUAL REVISION #37 1040.020.10 Investigation of Assets Transfer DISCUSSION: The purpose of this memorandum is to inform staff of the policy revisions located in section 1040.020.10 Investigation of Assets Transfer of the December 1973 Eligibility Requirements manual.  This read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  UPDATES TO REOPENING CLOSED CASES IN THE FAMILY HEALTHCARE (MAGI) MANUAL MANUAL REVISION #36 1885.030.00                                  DISCUSSION: The purpose of this memorandum is to advise on changes to the 1885.030.00 Reopening Closed Cases section of the Family Healthcare Manual-MAGI. Content of this section has been revised to: Clarify that coverage read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 MID-CERTIFICATION REVIEWS RESUME FOR THE FOOD STAMP PROGRAM DISCUSSION: The purpose of this memorandum is to inform staff that Food Stamp Mid-certification Reviews (MCRs) will be generated the weekend of June 6-7, 2020, for cases having an MCR due in July 2020.  MCRs due in March, April, May, and read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  IM-363 EXTENSION FOR HARDSHIP ACTION – FORM UPDATE DISCUSSION: The IM-363 has been updated to show the change from 60 month lifetime limit to 45 months. This form will be made into a fillable PDF and posted in the forms manual.   NECESSARY ACTION: Review this memorandum with appropriate staff. read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 PANDEMIC ELECTRONIC BENEFIT TRANSFER PROGRAM (P-EBT) MANUAL REVISION #35 1170.000.00 1170.005.00 1170.005.05 1170.010.00 1170.015.00 1170.015.05 DISCUSSION: The Families First Coronavirus Response Act allows supplemental benefits to be issued to eligible school-age children who would receive free or reduced price meals if school were in session. The Family Support Division read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  REVISING REFERENCES TO THE SIXTY (60) MONTH LIFETIME LIMIT TO READ FORTY-FIVE (45) MONTH LIFETIME LIMIT IN THE TEMPORARY ASSISTANCE (TA) MANUAL MANUAL REVISION # 34 0205.075.45 0235.010.05 0245.000.00 0245.010.00 0262.020.00 0270.025.00 DISCUSSION: This memorandum is to inform staff that the Temporary Assistance (TA) Manual has been updated to revise read more…

FROM: KIM EVANS, DIRECTOR SUBJECT:  COVID-19 EXTENSION OF STATEWIDE FOOD STAMP INTERVIEW WAIVER DISCUSSION: The Food and Nutrition Service (FNS) has approved an extension of Missouri’s Statewide Food Stamp Interview Waiver through June 30, 2020.  This waiver allows temporary changes to the Food Stamp Program in order to help keep Missourians safe and healthy during read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  TICKET TO WORK HEALTH ASSURANCE PROGRAM EXTENDED MANUAL REVISION: #33 0855.000.00 DISCUSSION: Senate Bill 514 (2019) extended the Ticket to Work Health Assurance (TWHA) program through August 28, 2025.  MHABD manual section 0855.000.00 Ticket to Work Health Assurance Program has been updated to reflect the extension of the program.   read more…

FROM:  KIM R. EVANS, DIRECTOR SUBJECT:  UPDATE OF 1619 THRESHOLD AMOUNT MANUAL REVISION #32 0850.005.20 Appendix J    Appendix K Appendix L DISCUSSION: The threshold amount established by the Social Security Administration (SSA) to determine eligibility under Section 1619 of the Social Security Act has increased to $3,165 monthly, effective March 2, 2020.   NECESSARY ACTION: read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  ASSESSMENT OF ASSETS FOR DIVISION OF ASSETS MANUAL REVISION #31 1030.035.15 DISCUSSION:   Section 1030.035.15 Assessment of Assets has been updated to explain completion of an assessment of assets and requirements for nursing homes to provide information to new residents.   NECESSARY ACTION: Review this memorandum with appropriate staff.   read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  GOOD CAUSE DETERMINATIONS MANUAL UPDATE FOR TEMPORARY ASSISTANCE (TA) MANUAL REVISION #30 0205.060.25 DISCUSSION: The purpose of this memorandum is to notify staff that 0205.060.25 Determining Good Cause has been updated in the Temporary Assistance (TA) manual. This section has been updated to reflect that Family Support Division (FSD) Income read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  SPEND DOWN NOTICE (IM-29 (SPND)) REVISION FORM REVISION #16 DISCUSSION: The Spend Down Notice IM-29(SPND) has been updated to correct a formatting error on page 2.  No other changes were made to the notice.   NECESSARY ACTION: Review this memorandum with appropriate staff. Begin using the revised IM-29(SPND) with revision read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  MANUAL UPDATE AND IMES CLARIFICATION FOR ALL INCOME MAINTENANCE (IM) PROGRAMS MANUAL REVISION #29 0110.025.05 DISCUSSION: The purpose of this memorandum is to clarify when to utilize Income Maintenance and Employment Security interface (IMES) information and to inform staff of an update to the General Info Manual.  In section 0110.025.05 read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 UPDATE TO MEMO #30 POSTED 04/04/2020 – TEMPORARY UPDATES TO THE TEMPORARY ASSISTANCE (TA) PROGRAM (EXTENDING THROUGH JUNE 2020) DISCUSSION: On April 04, 2020 IM Memo #30 was posted. This memo included temporary updates to the Temporary Assistance Program due to the Proclamation on Declaring a National Health Emergency read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 SECOND EXTENSION OF PANDEMIC SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (P-SNAP) EMERGENCY ALLOTMENTS DISCUSSION: The Families First Coronavirus Response Act (FFCRA) allows for Emergency Allotments (EA) of supplemental benefits for the Supplemental Nutrition Assistance Program (SNAP/Food Stamps) to be issued to eligible SNAP households.  The P-SNAP program raises a household’s Food read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  REVISION OF THE IM-29OPE FORM     FORM REVISION #15 IM-29OPE DISCUSSION: The purpose of this memo is to introduce the revised IM-29OPE form.  The IM-29OPE form is used to notify Spend Down participants when spend down has been met by using out of pocket expenses.  Revisions to the form include formatting read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  NET WORTH (CHIP ONLY) SECTION OF THE GENERAL INFORMATION MANUAL SECTION OBSOLETE MANUAL REVISION #28 0110.45.00 DISCUSSION: The purpose of this memorandum is to announce that the Net Worth (CHIP only) section of the General Information Manual is now obsolete.   NECESSARY ACTION: Review this memorandum with appropriate staff.   read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  UPDATE TO MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) POLICY REGARDING PRE-NEED BURIAL CONTRACTS PURCHASED ON OR AFTER AUGUST 28, 2009 MANUAL REVISION #27  1030.020.10.15 DISCUSSION: Policy regarding Pre-Need Burial Contracts purchased on or after August 28, 2009 has been revised.  Additional information has been added to distinguish read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  UPDATE TO MID-CERTIFICATION REVIEW (MCR) FORM (FA-546) FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) DISCUSSION: The purpose of this memo is to update the wording of the MCR (FA-546) to include in the return information that it can be returned by mail to the return address or to any local Family read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  CORRECTION OF THE TELEPHONE NUMBER ON THE IM-4 MO HEALTHNET FOR NURSING HOME CARE FLYER   FORM REVISION #14 DISCUSSION: The purpose of this memorandum is to notify staff that the phone number on the IM-4 MO HealthNet for Nursing Home Care flyer has been corrected.  The previous phone number listed read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:   FOOD STAMP PROGRAM FORM IM-109 IN-HOME SERVICE PROVIDER AND DIVISION OF AGING PARTICIPANT EBT FOOD STAMP AGREEMENT FORM REVISION #13 IM-6AR  DISCUSSION: This memorandum is to notify staff, effective immediately, form IM-109 IN-HOME SERVICE PROVIDER AND DIVISION OF AGING PARTICIPANT EBT FOOD STAMP AGREEMENT is obsolete. Participants wishing to appoint read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  UPDATE TO THE GATEWAY TO BETTER HEALTH APPLICATION FORM REVISION #12 IM-1MAGW DISCUSSION: The MO HealthNet Gateway to Better Health Application/ Eligibility Statement IM-1MAGW has been updated to reflect the current Substantial Gainful Activity (SGA) income maximum of $1260.00 and the primary health care centers have been updated to reflect read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  TRUST SUBMISSION ON REQUEST FOR INTERPRETATION OF POLICY (IM-14) FOR MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD) PROGRAMS MANUAL REVISION #26 1025.015.04 1040.020.05.05 1040.030.00 1040.030.30.30 DISCUSSION: The purpose of this memorandum is to inform staff of the Income Maintenance manual sections which have been updated to include current read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  FOOD STAMP MANUAL UPDATE FOR UNCERTAIN/IRREGULAR INCOME MANUAL REVISION #25 1115.015.20 Uncertain/Irregular Income DISCUSSION: The purpose of this memo is to inform staff of the updates made to the Food Stamp policy 1115.015.20 Uncertain/Irregular Income.  This update includes definitions of excluded, uncertain income such as overtime, bonuses or commission that read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  ONLINE EBT PURCHASING          MANUAL REVISION #24 0150.035.00 0150.035.10 0150.035.20 0150.035.30 0150.035.40 0150.035.50 DISCUSSION: Effective May 14, 2020, Electronic Benefits Transfer (EBT) cards can be used to make qualifying purchases with United States Department of Agriculture (USDA) approved online retailers. Currently Missouri has two retailers, Walmart and read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  FOOD STAMP MANUAL CLARIFICATION OF CHILD SUPPORT EXCLUSION TERMINOLOGY MANUAL REVISION #23 1115.035.20 1115.035.35 1115.095.10 1115.035.20.15 1115.035.20.05 1115.035.20.20 DISCUSSION: The purpose of this memo is clarify child support payments as an exclusion from the gross income calculation, instead of a deduction as it was previously referenced. This clarification is made read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INTRODUCING THE IM-4 HOME AND COMMUNITY BASED (HCB) SERVICES FLYER AND IM-4 SUPPLEMENTAL NURSING CARE (SNC) FLYER FORM REVISION #11 IM-4 HCB IM-4 SNC DISCUSSION: New flyers are available for distribution and use. Home and Community Based (HCB) Services Flyer  (IM-4 HCB) provides information about services available and how to read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INTRODUCTION OF FAMILY MO HEALTHNET (MAGI) APPENDIX I FAMILY HEALTHCARE PROGRAM DESCRIPTIONS MANUAL REVISION #22 APPENDIX I  DISCUSSION: The purpose of this memorandum is to add the Family Healthcare Program Descriptions as Appendix I in the Family MO HealthNet (MAGI) manual.  This appendix is a comprehensive list of MO HealthNet read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  REVISING TEMPORARY ASSISTANCE (TA) MANUAL SECTIONS WITH CONSISTENT WORDING TO CLARIFY WHO IS SCREENED FOR DRUG USE MANUAL REVISION #21 0240.005.00 0240.005.25             DISCUSSION: The TA Manual sections 0240.005.00 and 0240.005.25 are updated to clarify that only the TA Head of Households that are age eighteen (18) or older are identified read more…

FROM:  KIM R. EVANS, DIRECTOR SUBJECT:  FOOD STAMP MANUAL UPDATE FOR CLAIMS PROCESS MANUAL REVISION #20        1142.010.00 CLAIMS PROCESS 1142.020.00 CLAIMS REFERRAL PROCEDURES AND DETERMINATION OF DATE OF DISCOVERY 1142.025.00 PROCESSING TIME/MONITORING DISCUSSION: The purpose of this memo is to inform staff of the updates made to the Food Stamp policies 1142.010.00 read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INDIVIDUAL FOOD STAMP SANCTIONS FOR REFUSING AN OFFER OF SUITABLE EMPLOYMENT DISCUSSION: The purpose of this memo is to remind staff that Food Stamp participants who are not exempt from the work requirements must accept a bona fide offer of suitable employment. If an active EU member refuses an offer read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) DEFINITIONS RELATED TO ANNUITIES MANUAL REVISION #19                                1030.030.05 1030.030.10 DISCUSSION: The December 1973 Eligibility Requirements, IM Manual sections 1030.030.05 Definitions Related to Annuities, and 1030.030.10 Determining read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL REVISIONS TO QUALIFIED MEDICARE BENEFICIARY (QMB) AND SPECIFIED LOW-INCOME MEDICARE BENEFICIARY (SLMB) SECTIONS MANUAL REVISION #18 0865.010.05.15 0865.020.10 0870.010.00 DISCUSSION: Updates were made to sections of the MO HealthNet for the Aged, Blind, and Disabled manual regarding Qualified Medicare Beneficiary read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 PANDEMIC SNAP REPLACEMENT BENEFIT POLICY DISCUSSION: The purpose of this memo is to inform staff how to replace COVID-19 Pandemic SNAP benefits due ­­­­­to­­­­­ a household misfortune. COVID-19 P-SNAP benefit have been issued statewide. Most households have received additional benefits taking them to the maximum for their household size. read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  AFFORDABLE INSURANCE QUOTES UPDATED ON MAGI APPENDIX G MANUAL REVISION: #17 APPENDIX G DISCUSSION: The purpose of this memorandum is to notify staff that Appendix G has been updated with 2020 insurance quotes from the Federally Facilitated Marketplace (FFM).  Affordable insurance determinations for CHIP premium children must still be completed read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  EMPLOYMENT AND TRAINING RESOURCES DISCUSSION: The Missouri Department of Social Services sponsors Workforce Development programs to help low-income Missourians – youth and adult – achieve long-term employment success. This memo provides Family Support Division (FSD) employees with resources they can share to help parents connect with resources. Programs are free read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITIES (CARES) ACT IMPACT OF SMALL BUSINESS ADMINISTRATION (SBA) LOANS AND GRANTS TO ADULT AND FAMILY MO HEALTHNET PROGRAM PARTICIPANTS DISCUSSION: The CARES Act Public Law No: 116-136 was signed on March 27, 2020 to provide economic relief for small businesses impacted by the read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 VERIFICATION OF UNEMPLOYMENT COMPENSATION BENEFITS RESULTING FROM THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FOR ALL PROGRAMS DISCUSSION: Memo IM-37, dated April 29, 2020, introduced 3 new types of Unemployment Compensation funds that were created on March 27, 2020, as a result the Coronavirus Aid, Relief, and read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  FILLABLE PDF VERSIONS OF PRESUMPTIVE ELIGIBILITY (PE) FORMS FORM REVISION #10   PE-2 Worksheet PE-3 PE-3 TEMP DISCUSSION: The purpose of this memo is to introduce fillable PDF versions of the: Qualified Entity Presumptive Eligibility Determination Worksheet (PE-2 Worksheet); MO HealthNet Presumptive Eligibility Authorization (PE-3); and MO HealthNet TEMP/SMHB-PE Authorization read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 EXTENSION OF STATEWIDE FOOD STAMP RE-CERTIFICATION WAIVER DISCUSSION: The Food and Nutrition Service (FNS) has granted Missouri an extension to the Statewide Food Stamp Re-certification Waiver discussed in 2020 IM Memo #17 dated 3/23/2020. This extension affects households that are required to recertify in June 2020. To prevent Food read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  MANDATORY EXPEDITE SCREENING QUESTION ADDED TO FSINTRVW (FM1B) SCREEN FOR FOOD STAMP APPLICATIONS         MANUAL REVISION #16 1120.01500 DISCUSSION: The purpose of this memo is to introduce a new mandatory field on the FSINTRVW (FM1B) screen. Staff who register initial or late non-timely recertification Food Stamp applications in FAMIS, will need read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) TICKET TO WORK HEALTH ASSURANCE (TWHA) PREMIUM REDUCTION DUE TO THE FAMILIES FIRST CORONAVIRUS RESPONSE ACT (FFCRA) MANUAL REVISION # MHABD Standards Appendix J DISCUSSION: On March 18, 2020, HR 6021 Families First Coronavirus Response Act (FFCRA) (Pub. L. 116-127) read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19: NEW TYPES OF UNEMPLOYMENT COMPENSATION BENEFITS RESULTING FROM THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FOR THE MO HEALTHNET, FOOD STAMP, CHILD CARE, AND TEMPORARY ASSISTANCE PROGRAMS DISCUSSION: On March 27, 2020, the Coronavirus Aid, Relief, and Economic Security (CARES) Act was signed into law. This act read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 EXTENSION OF PANDEMIC SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (P-SNAP) EMERGENCY ALLOTMENTS DISCUSSION: The Families First Coronavirus Response Act (FFCRA) allows for Emergency Allotments (EA) of supplemental benefits for the Supplemental Nutrition Assistance Program (SNAP/Food Stamps) to be issued to eligible SNAP households. The P-SNAP program raises a household’s Food Stamp read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 ECONOMIC IMPACT PAYMENTS RESULTING FROM THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FOR THE MO HEALTHNET, FOOD STAMP, TEMPORARY ASSISTANCE AND CHILD CARE SUBSIDY PROGRAMS MANUAL REVISION #15 MO HealthNet 0805.015.10  1025.015.01.02  Food Stamps 1110.020.30  1115.015.90 Temporary Assistance 0205.005.30.10  0210.015.35.40 DISCUSSION: Economic Impact Payments (EIP), also known read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 FAMILY HEALTHCARE (MAGI) CHIP 75 THIRTY DAY WAITING PERIOD WAIVED DISCUSSION: Waive the thirty day waiting period for participants approved for Children’s Health Insurance Program (CHIP) 75 for any application received on or after March 18, 2020.  Enter CHIP Special Needs evidence in MEDES to prevent the thirty day read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INTRODUCTION OF STATE AND FEDERAL GOVERNMENT DISASTER RELIEF PAYMENTS POLICY FOR MO HEALTHNET FOR THE AGED, BLIND AND DISABLED (MHABD) MANUAL REVISION #14 0805.015.10 1025.015.01.01 DISCUSSION: The purpose of this memorandum is to introduce a policy addition to the December 1973 Eligibility Requirements manual, 1025.015.01.01 State or Federal Government Disaster read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 REQUIREMENT TO CERTIFY MAIL TO BLIND PENSION PARTICPANTS TEMPORARILY SUSPENDED DISCUSSION: The Department of Social Services (DSS) has suspended the requirement that correspondence between DSS and Blind Pension participants must be sent by certified mail. This change will give the Family Support Division more flexibility in its communication system read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  FILLABLE PDF VERSION OF THE APPLICATION FOR PRESUMPTIVE ELIGIBILITY (PE) FORM REVISION: #09 PE-1SSL (PDF) DISCUSSION: The purpose of this memo is to introduce a fillable PDF version of the Application for Presumptive Eligibility (PE-1SSL).  This does not replace the paper version, but may be used instead by Qualified Entities. read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 TEMPORARY UPDATES TO THE TEMPORARY ASSISTANCE (TA) PROGRAM              DISCUSSION: On March 13, 2020, a national health emergency was declared in response to COVID-19. Due to this emergency, the Family Support Division (FSD) recognizes that some Temporary Assistance (TA) eligibility factors may be difficult to satisfy due to unavailability read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19-GOOD CAUSE FOR ABLE BODIED ADULTS WITHOUT DEPENDENTS (ABAWD) DISCUSSION: Effective April 1, 2020 ABAWDs will not be subject to work requirements. Good cause will be allowed as declared in the Families First Coronavirus Response Act. A system change has been implemented to waive counties statewide from the ABAWD work read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 STATEWIDE FOOD STAMP INTERVIEW WAIVER DISCUSSION: The Food and Nutrition Service (FNS) has approved temporary changes to Food Stamp interview requirements effective March 18th, 2020 through May 31, 2020 in response to the COVID-19 health emergency.  This waiver will allow temporary changes to the Food Stamp Program in order read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 PANDEMIC SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (P-SNAP) DISCUSSION: The Families First Coronavirus Response Act allows for supplemental benefits for the Supplemental Nutrition Assistance Program (SNAP, also known as Food Stamps) to be issued to eligible SNAP households.  These benefits will be issued by the Family Support Division (FSD) as part read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  2020 UPDATE OF POVERTY INCOME GUIDELINES FOR MAGI MO HEALTHNET PROGRAMS MANUAL REVISION #13 – 1805.030.20.20.05, 1840.010.15.05, 1800.000.00 APPENDIX A, 1800.000.00 APPENDIX B, 1800.000.00 APPENDIX D, 1800.000.00 APPENDIX E, 1800.000.00 APPENDIX I FORM REVISION #8 – IM-4PRM DISCUSSION: Effective April 1, 2020, the Federal Poverty Level (FPL) income guidelines are increased for: MO HealthNet for Kids (MHK); Children’s read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  UPDATE TO INCOME INCLUDED AND EXCLUDED FOR MAGI PROGRAMS MANUAL REVISION:#12 – 1805.030.20.10 DISCUSSION: The purpose of this memorandum is to advise that MAGI manual section 1805.030.20.10 Income Excluded Under MAGI has been updated: An increase in the tax filer threshold for earned income from a child has increased to $12,200 read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  2020 UPDATED PRESUMPTIVE ELIGIBILITY INCOME GUIDELINES MANUAL REVISION #11 – APPENDIX A (1900.000.00) DISCUSION: 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, 2020 through March 31, 2021. Appendix read more…

FROM:  KIM  EVANS, DIRECTOR SUBJECT:  2020 UPDATE OF POVERTY INCOME GUIDELINES FOR TEMPORARY ASSISTANCE (TA) MANUAL REVISION #10 – 0210.005.30 DISCUSSION: The purpose of this memorandum is to notify staff that effective April 1, 2020, 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:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 VERIFICATION FOR FOOD STAMPS (FS), TEMPORARY ASSISTANCE (TA), AND CHILD CARE (CC) Originally posted March 27, 2020; revised April 1, 2020 to include the note highlighted below. DISCUSSION: During the COVID-19 health emergency, staff should be flexible while working with participants to obtain verification.  Participants may have limited resources read more…

FROM:  KIM EVANS, DIRECTOR  SUBJECT:  UPDATE OF POVERTY INCOME GUIDELINES FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) PROGRAMS MANUAL REVISION #09 – Appendix J, Adult Standards Chart, Appendix K, MO HealthNet Aged, Blind, and Disabled Program Descriptions, Appendix L, Aged, Blind, Disabled Income Chart, Appendix M, Medicare Cost Savings Program DISCUSSION: Effective April read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 MO HealthNet (MHN) Coverage for Positive COVID-19 Diagnosis DISCUSSION: FSD will provide MO HealthNet coverage for individuals between the ages of 19 and 64 who have a positive COVID-19 diagnosis and meet current MHABD eligibility guidelines, including income and resources.  Applications for individuals who have a positive COVID-19 diagnosis read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 VERIFICATIONS FOR FAMILY HEALTHCARE PROGRAMS (MAGI)            DISCUSSION: On March 13, 2020 a national health emergency was declared in response to COVID-19.  This allows The Centers for Medicare and Medicaid Services (CMS) to approve waivers for states to have all points of eligibility temporarily waived with the exceptions of citizenship read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19 EMERGENCY MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED VERIFICATION REQUIREMENT CHANGES DISCUSSION: This memorandum will introduce temporary changes to the MO HealthNet for the Aged, Blind, and Disabled (MHABD) verification requirements due to the COVID-19 emergency. For the duration of the emergency, MHABD programs will accept self-attestation for read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  COVID-19-APPROVED STATEWIDE FOOD STAMP RE-CERTIFICATION WAIVER DISCUSSION: On March 13, 2020 a national health emergency was declared in response to COVID-19.  The Food and Nutrition Service (FNS) has approved a waiver to extend certification periods for all households who are required to re-certify during March, April and May 2020.  This read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  FORMS ADDED TO IM FORMS MANUAL TO VERIFY VETERAN’S ADMINISTRATION (VA) INCOME FOR VENDOR PARTICIPANTS FORM REVISION #07 – FA-312 VA Vendor, FA-313 VA Vendor Letter DISCUSSION: When a participant is receiving VA income and enters a vendor facility, their income may or may not change depending on what type of VA read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) APPLICATIONS FOR INDIVIDUALS BEING DISCHARGED FROM A STATE MENTAL HOSPITAL FORM REVISION: #06 – FSD DBH Cover Sheet       DISCUSSION: The purpose of this memo is to update the coversheet that the Department of Mental Health’s (DMH) Division of Behavioral Health read more…

FROM:   KIM EVANS, DIRECTOR SUBJECT:  MANUAL REVISION FOR QUALIFIED INCOME TRUSTS FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) MANUAL REVISION # 08 1025.015.04.01.02   DISCUSSION: Qualified Income Trusts (QIT) allow participants to place a portion of their income in a trust to enable the participant to qualify for Home and Community Based read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:   2020 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 1.6% Cost of Living Adjustment (COLA) for MAGI programs effective January 2020. Cases Adjusted Cases that included income types RR and/or read more…

FROM:  KIM EVANS,  DIRECTOR SUBJECT:  INTRODUCTION OF NEW FORMS FOR SUSPENDED MO HEALTHNET (MHN) BENEFITS FOR INCARCERATED PARTICIPANTS FORMS REVISION #05 IM-150 SUSPENDING MO HEALTHNET PARTICIPANTS IM-151 REQUESTING INPATIENT COVERAGE IM-152 REPORTING RELEASE OF MO HEALTHNET PARTICIPANTS   DISCUSSION: IM Memo #11 from February 19, 2020,  introduced new suspension policy for individuals who 1885.040.00 Suspension read more…

FROM:  KIM EVANS,  DIRECTOR SUBJECT:  INTRODUCTION OF SUSPENSION OF MO HEALTHNET BENEFITS FOR INCARCERATED PARTICIPANTS FOR ALL MO HEALTHNET PROGRAMS MANUAL REVISION #07 0105.040.30 0840.020.00 1020.005.00 1885.015.00 1885.040.00 FORMS REVISION #04 IM-33 SUSPENSION IM-80 Suspension   DISCUSSION: The 2018 SUPPORT for Patients and Communities Act (H.R. 6, P.L. 115-271) and SB 514 (2019) enacted RSMo read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  CLARIFICATION FOR UPDATING VETERANS ADMINISTRATION (VA) INCOME FOR MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED (MHABD) VENDOR PARTICIPANTS   DISCUSSION:   The purpose of this memorandum is to clarify policy regarding how VA income is treated when a participant enters a nursing home (vendor) facility. When a participant enters read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INTRODUCTION OF THE IM-4 MO HEALTHNET FLYER FORM REVISION #03 Flyer   DISCUSSION: The purpose of this memorandum is to introduce the new Flyer.  This replaces the IM-4 MO HealthNet brochure, which is now obsolete.  The flyer contains information relevant to both Managed Care and Fee for Service participants.       read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INTRODUCTION OF THE IM-4 VENDOR PLANNING AND IM-4 MO HEALTHNET FOR NURSING HOME CARE FLYERS                                   FORM REVISION #02 IM-4 Vendor Planning Flyer IM-4 MO HealthNet for Nursing Home Care Flyer   DISCUSSION: The purpose read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INTRODUCTION OF THE IM-4 MEDICARE SAVINGS PROGRAM (MSP) FLYER FORM REVISION #01 IM-4 Medicare Savings Program (MSP) Flyer               DISCUSSION: The purpose of this memorandum is to introduce the new IM-4 Medicare Savings Program (MSP) Flyer.  This replaces the IM-4 Qualified Medicare Beneficiaries (QMB) brochure read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INTRODUCTION OF THE RELATIONSHIPS SECTION IN THE DECEMBER 1973 ELIGIBILITY REQUIREMENTS MANUAL MANUAL REVISION #06 1013.000.00   DISCUSSION: The purpose of this memorandum is to introduce a policy addition to the December 1973 Eligibility Requirements manual, 1013.000.00 Relationships. This section addresses observed and unobserved marriages in Missouri, defines certain relationships, read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  BLIND PENSION (BP) DRIVER LICENSE OR PERMIT AND OPERATING A MOTOR VEHICLE DISQUALIFICATIONS MANUAL REVISION #05 0505.025.05 0505.025.10   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 (2018) and IM Memorandum read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  UPDATE TO THE INCOME MAINTENANCE (IM) MANUAL FAX POLICY   MANUAL REVISION #04 0107.010.10   DISCUSSION: The General Information section of the IM Manual has been updated.  Section 0107.010.10 Fax Policy has been updated to include the policy on Safeguarding Federal Tax Information (FTI).  This policy is effective immediately.   read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  CORRECTION OF MAXIMUM ALLOTMENT TO A COMMUNITY SPOUSE MANUAL REVISION #03 Appendix J   DISCUSSION: Memorandum IM172 dated December 2, 2019 included an error in the amount of the Maximum Allotment to Community Spouse effective January 1, 2020.   The correct amount is $3216.   The following have been updated: Appendix J read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INCREASE IN RESOURCE LIMITS FOR QUALIFIED MEDICARE BENEFICIARY (QMB), SPECIFIED LOW INCOME MEDICARE BENEFICIARY (SLMB), AND QUALIFYING INDIVIDUALS (QI-1 OR SLMB2) PROGRAMS MANUAL REVISION #02 0865.010.00 0865.010.15 Appendix J Appendix K Appendix L   DISCUSSION: Effective January 1, 2020, the QMB, SLMB, and SLMB2 resource limits increased.  For a single read more…

FROM:  KIM EVANS, DIRECTOR SUBJECT:  FIRST RELEASE OF THE NEW MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED MANUAL MANUAL REVISION #01 0800.000.00 to 0800.005.00 Obsolete Section 1 Chapter 1: 1.0 Section 1 Chapter 1: 1.5 Section 1 Chapter 1: 1.10   DISCUSSION: The purpose of this memorandum is to inform staff of the release read more…