Memorandums and Practice Points

2024 IM Memos

IM-34 REVISIONS TO TICKET TO WORK HEALTH ASSURANCE (TWHA) FLYER

FROM: KIM EVANS, DIRECTOR SUBJECT: REVISIONS TO TICKET TO WORK HEALTH ASSURANCE (TWHA) FLYER FORM REVISION # IM-4TWHA IM-4TWHA (SPANISH)   DISCUSSION: The IM-4TWHA was updated to provide information for how participants eligible for the TWHA program can make their premium payments. The flyer has been updated in English and Spanish and is available in read more…

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IM-33 SNAP MANUAL UPDATE TO CLARIFY EXEMPTIONS TO ABLE BODIED ADULTS WITHOUT DEPENDENTS (ABAWD) TRAINING/WORK REQUIREMENTS AND VERIFICATION

FROM: KIM EVANS, DIRECTOR SUBJECT: SNAP MANUAL UPDATE TO CLARIFY EXEMPTIONS TO ABLE BODIED ADULTS WITHOUT DEPENDENTS (ABAWD) TRAINING/WORK REQUIREMENTS AND VERIFICATION MANUAL REVISION # 1105.035.15   DISCUSSION: Supplemental Nutrition Assistance Program (SNAP) Manual section 1105.035.15 Exemptions to Able Bodied Adults Without Dependents Training/ Work Requirement and Verification has been updated regarding a request for read more…

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IM-32 JULY 2024 ANNUAL NON-MAGI PROGRAM ADJUSTMENTS AND BLIND PENSION (BP) SUPPLEMENTAL AID TO THE BLIND (SAB) GRANT ADJUSTMENT

FROM: KIM EVANS, DIRECTOR SUBJECT: JULY 2024 ANNUAL NON-MAGI PROGRAM ADJUSTMENTS AND BLIND PENSION (BP) SUPPLEMENTAL AID TO THE BLIND (SAB) GRANT ADJUSTMENT MANUAL REVISION # APPENDIX A APPENDIX B APPENDIX J APPENDIX K   DISCUSSION: Supplemental Aid to the Blind (SAB) and Blind Pension (BP) Effective July 1, 2024, SAB and BP grants increase read more…

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IM-31 DOCUMENTS ADDED THAT VERIFY BOTH CITIZENSHIP AND IDENTITY FOR ALL MO HEALTHNET (MHN) PROGRAMS

FROM: KIM EVANS, DIRECTOR SUBJECT: DOCUMENTS ADDED THAT VERIFY BOTH CITIZENSHIP AND IDENTITY FOR ALL MO HEALTHNET (MHN) PROGRAMS MANUAL REVISION # 1805.020.05.05   DISCUSSION: Effective June 3, 2024, due to requirements in the 2024 Centers for Medicaid and Medicare Services (CMS) Final Rule, verification of birth using Department Health-Birth Name Inquiry (IBTH) or verification read more…

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IM-30 EXTENSION OF THE TEMPORARY RECONSIDERATION PERIOD POLICY FOR ALL MO HEALTHNET (MHN) PROGRAMS

FROM: KIM EVANS, DIRECTOR SUBJECT: EXTENSION OF THE TEMPORARY RECONSIDERATION PERIOD POLICY FOR ALL MO HEALTHNET (MHN) PROGRAMS MANUAL REVISION # 0840.005.05 1880.020.00   DISCUSSION: Temporary reconsideration period policy for all MHN programs introduced in IM-28 RECONSIDERATION PERIOD DURING THE TRANSITION PERIOD FOR ALL MO HEALTHNET (MHN) PROGRAMS has been extended. Continue to follow the read more…

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IM-29 UPDATES TO 1619 POLICY

FROM: KIM EVANS, DIRECTOR SUBJECT: UPDATES TO 1619 POLICY MANUAL REVISION # 0850.000.00 0850.005.00 0850.005.05 0850.005.10 0850.005.15 0850.005.20 0850.010.00 0850.020.00   DISCUSSION: Updates have been made to 1619 policy in the MO HealthNet for the Aged, Blind, and Disabled (MHABD) Manual. Updates include revisions to remove outdated information, including verifying 1619 status and processes, and read more…

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IM-28 COMPACT OF FREE ASSOCIATION (COFA) MIGRANTS ELIGIBLE FOR CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP)

FROM: KIM EVANS, DIRECTOR SUBJECT: COMPACT OF FREE ASSOCIATION (COFA) MIGRANTS ELIGIBLE FOR CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) MANUAL REVISION # 1805.020.10.20   DISCUSSION: Effective immediately, COFA migrants are considered qualified non-citizens for the purpose of CHIP eligibility. Through amendments made by the Consolidated Appropriations Act of 2021, Congress amended 8 U.S. Code § 1641 read more…

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IM-27 UPDATED SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL SECTION, SNAP ELECTRONICALLY STOLEN BENEFITS (ESB) AND FORM IM-111

FROM: KIM EVANS, DIRECTOR SUBJECT: UPDATED SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL SECTION, SNAP ELECTRONICALLY STOLEN BENEFITS (ESB) AND FORM IM-111 MANUAL REVISION # 1150.015.00   DISCUSSION: SNAP Manual section 1150.015.00 SNAP ELECTRONICALLY STOLEN BENEFITS, Form IM-111, and online Form IM-111 were updated to remove language regarding law enforcement or police reports as these are read more…

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IM-26 APRIL 2024 – QUARTERLY FORMS UPDATE

FROM: KIM EVANS, DIRECTOR SUBJECT: APRIL 2024 – QUARTERLY FORMS UPDATE   DISCUSSION: Income Maintenance forms and documents are reviewed and revised quarterly, and as necessary. New forms and documents are created as required or requested. All new and revised IM forms show a revision date of 04/2024, unless otherwise stated. New and Revised Forms read more…

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IM-25 NEW NON-EMERGENCY MEDICAL TRANSPORTATION (NEMT) RIDE TOOL

FROM: KIM EVANS, DIRECTOR SUBJECT: NEW NON-EMERGENCY MEDICAL TRANSPORTATION (NEMT) RIDE TOOL   DISCUSSION: For participants who need NEMT, MO HealthNet’s vendor, Medical Transportation Management (MTM), created a new tool that allows participants the opportunity to book new rides, review existing rides, make changes to rides and cancel rides from their computer or phone. Participants read more…

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IM-24 EXTENSION OF THE TEMPORARY RETURNED MAIL POLICY FOR ALL MO HEALTHNET (MHN) PROGRAMS

FROM: KIM EVANS, DIRECTOR SUBJECT: EXTENSION OF THE TEMPORARY RETURNED MAIL POLICY FOR ALL MO HEALTHNET (MHN) PROGRAMS MANUAL REVISION # 1885.020.00   DISCUSSION: Temporary returned mail policy for all MHN programs introduced in IM-40 RETURNED MAIL REQUIREMENTS DURING THE TRANSITION PERIOD FOR ALL MO HEALTHNET (MHN) PROGRAMS has been extended. Continue to follow the read more…

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IM-23 FAMILY MO HEALTHNET (MAGI) MANUAL UPDATE TO EXCLUDE INCOME FOR CERTAIN TAX DEPENDENTS

FROM: KIM EVANS, DIRECTOR SUBJECT: FAMILY MO HEALTHNET (MAGI) MANUAL UPDATE TO EXCLUDE INCOME FOR CERTAIN TAX DEPENDENTS MANUAL REVISION # 1805.030.20.10   DISCUSSION: MAGI Manual section 1805.030.20.10 Income Excluded Under MAGI is updated to reflect policy changes with Child Tax Dependent income and Qualifying Relative Dependent income. These two income types, based on IRS read more…

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IM-22 MO HEALTHNET (MHN) POLICY UPDATES FOR CONTINUOUS ELIGIBILITY FOR CHILDREN (CEC)

FROM: KIM EVANS, DIRECTOR SUBJECT: MO HEALTHNET (MHN) POLICY UPDATES FOR CONTINUOUS ELIGIBILITY FOR CHILDREN (CEC) NON-MAGI MANUAL REVISION # 0405.000.00 0840.000.00 0430.010.00 0840.010.00 0805.000.00 0840.015.00 0805.020.00 0840.020.00 0810.010.00 0855.000.00 0810.010.05 0855.005.45 0815.030.20 1305.000.00 0815.070.00 1320.000.00 0825.000.00 1320.005.00 0825.010.00 1320.010.00 0825.040.00   MAGI MANUAL REVISION # 1805.070.00 1840.025.05 1805.000.05 1840.025.10 1805.005.00 1840.030.15 1810.030.10 1885.000.00 1840.020.00 read more…

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IM-21 UPDATED PROCEDURES FOR CONDUCTING INTERNAL IRS FIELD OFFICE INSPECTIONS

FROM: KIM EVANS, DIRECTOR SUBJECT: UPDATED PROCEDURES FOR CONDUCTING INTERNAL IRS FIELD OFFICE INSPECTIONS   DISCUSSION: There are new procedures for handling internal inspections of field offices and the handling of Federal Tax Information (FTI). Field offices are required to submit the Internal Inspection Report/Field Office to Central Office annually. This process is now an read more…

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IM-20 INTRODUCING EXPERIAN VERIFY FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)

FROM:  KIM EVANS, DIRECTOR SUBJECT:  INTRODUCING EXPERIAN VERIFY FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL REVISION # 0110.025.05 0110.060.00 0110.060.05 0110.060.10 0110.060.15 1102.005.05 1102.015.05 1802.030.00 1805.030.05   DISCUSSION: Starting April 2, 2024, Experian Verify is available through a partnership with the Food and Nutrition Service (FNS) to verify earned income information for SNAP-related case read more…

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IM-19 RESTARTING CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) PREMIUMS, MO HEALTHNET SPEND DOWN (MHSD) PAYMENTS, AND TICKET TO WORK HEALTH ASSURANCE (TWHA) PREMIUM PAYMENTS; CONTINUOUS ELIGIBILITY FOR CHILDREN

FROM: KIM EVANS, DIRECTOR SUBJECT: RESTARTING CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) PREMIUMS, MO HEALTHNET SPEND DOWN (MHSD) PAYMENTS, AND TICKET TO WORK HEALTH ASSURANCE (TWHA) PREMIUM PAYMENTS; CONTINUOUS ELIGIBILITY FOR CHILDREN   DISCUSSION: In May, 2024, the “unwinding” period, as a result of the Public Health Emergency (PHE), will be over, and normal operations will read more…

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IM-18 INTRODUCING THE NON-MAGI APPLICATION LETTER

FROM: KIM EVANS, DIRECTOR SUBJECT: INTRODUCING THE NON-MAGI APPLICATION LETTER FORM REVISION # IM-2NMA   DISCUSSION: A new letter, Non-MAGI Application Letter (IM-2NMA) was created to help Family Support Division (FSD) staff. The IM-2NMA will be mailed with an Aged, Blind, and Disabled Supplement (IM-1ABDS) and/or a Medical Review Team Packet (IM-61MRT). These forms will read more…

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IM-17 REVISION TO APPLICATION REQUEST (IM-1REQ) LETTER FOR FAMILY SUPPORT DIVISION (FSD) APPLICATIONS

FROM: KIM EVANS, DIRECTOR SUBJECT: REVISION TO APPLICATION REQUEST (IM-1REQ) LETTER FOR FAMILY SUPPORT DIVISION (FSD) APPLICATIONS FORM REVISION # IM-1REQ   DISCUSSION: The Application Request (IM-1REQ) form has been updated and now includes information for applications mailed to participants when an obsolete application was submitted. The form was also updated to be used for read more…

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IM-16 2024 MO HEALTHNET OUTREACH PROJECT WITH DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION, LICENSED CHILDCARE PROVIDERS, AND FAMILY SUPPORT DIVISION

FROM: KIM EVANS, DIRECTOR SUBJECT: 2024 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 read more…

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IM-15 INTRODUCING THE NATIONAL ACCURACY CLEARINGHOUSE (NAC) MATCHES FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)

FROM: KIM EVANS, DIRECTOR SUBJECT: INTRODUCING THE NATIONAL ACCURACY CLEARINGHOUSE (NAC) MATCHES FOR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL REVISION # 1105.015.15 1125.025.00 1141.010.15   DISCUSSION: The NAC is a system developed by the Food and Nutrition Service (FNS) to be used nationwide to compare data between states and prevent duplicate SNAP benefit issuances. read more…

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IM-14 2024 UPDATE OF POVERTY INCOME GUIDELINES FOR MAGI PROGRAMS

FROM: KIM EVANS, DIRECTOR SUBJECT: 2024 UPDATE OF POVERTY INCOME GUIDELINES FOR MAGI PROGRAMS MANUAL REVISION # 1805.030.20.10 APPENDIX A APPENDIX A (PE) APPENDIX B APPENDIX D APPENDIX E APPENDIX I FORM REVISION # IM-4PRM   DISCUSSION: Effective April 1, 2024, the Federal Poverty Level (FPL) income guidelines increase for all MAGI programs, including Presumptive read more…

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IM-13 2024 FAMILY MO HEALTHNET (MAGI) COST OF LIVING ADJUSTMENT (COLA) FOR SSA/SSI INCOME

FROM: KIM EVANS, DIRECTOR SUBJECT: 2024 FAMILY MO HEALTHNET (MAGI) COST OF LIVING ADJUSTMENT (COLA) FOR SSA/SSI INCOME   DISCUSSION: Effective April 1, 2024, MAGI cases will be updated to reflect a 3.2% COLA for Social Security Administration (SSA) and Supplemental Security Income (SSI) participants. Cases Adjusted Cases that include income types Social Security Adult read more…

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IM-12 INCREASE IN AVERAGE PRIVATE PAY NURSING RATE FOR TRANSFER OF PROPERTY PENALTIES

FROM: KIM EVANS, DIRECTOR SUBJECT: INCREASE IN AVERAGE PRIVATE PAY NURSING RATE FOR TRANSFER OF PROPERTY PENALTIES MANUAL REVISION # APPENDIX J APPENDIX N   DISCUSSION: The average private pay nursing care rate increased to $7,536 per month effective April 1, 2024. For applications taken on or after April 1, 2024, use $7,536 to determine read more…

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IM-11 NON-MAGI FEDERAL POVERTY LEVEL ADJUSTMENT

FROM: KIM EVANS, DIRECTOR SUBJECT: NON-MAGI FEDERAL POVERTY LEVEL ADJUSTMENT MANUAL REVISION # Appendix J Appendix K   DISCUSSION: Effective April 1, 2024, the Federal Poverty Level (FPL) income guidelines increase for the following programs: MO HealthNet Non-Spend Down (MHNS) MO HealthNet Spend Down (MHSD) Ticket to Work Health Assurance (TWHA) Qualified Medicare Beneficiary (QMB) read more…

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IM-10 TEMPORARY ASSISTANCE (TA) VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, SEXUAL HARASSMENT, OR STALKING AND APPLICATION FOR TA (IM-1TA) AND REINVESTIGATION FORM UPDATES

FROM: KIM EVANS, DIRECTOR SUBJECT: TEMPORARY ASSISTANCE (TA) VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT, SEXUAL HARASSMENT, OR STALKING AND APPLICATION FOR TA (IM-1TA) AND REINVESTIGATION FORM UPDATES MANUAL REVISION # 0204.000.00 0204.010.000 FORM REVISION # IM-1TA IM-1TA-SPANISH IM-1TA-DARI IM-1TA-PASHTO FA-202   DISCUSSION: Manual Update: The Consolidated Appropriations Act establishes standards and procedures for TA applicants, read more…

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IM-09 CLARIFICATION ADDED TO MID-CERTIFICATION REVIEW (MCR) POLICY FOR RETURNING INCOMPLETE OR UNSIGNED REVIEWS

FROM: KIM EVANS, DIRECTOR SUBJECT: CLARIFICATION ADDED TO MID-CERTIFICATION REVIEW (MCR) POLICY FOR RETURNING INCOMPLETE OR UNSIGNED REVIEWS MANUAL REVISION # 1140.020.00   DISCUSSION: A note specifying to allow the household 10 days to return an incomplete or unsigned review was added to 1140.020.00 Mid-Certification Reviews. When returning an incomplete or unsigned MCR, the date read more…

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IM-08 UPDATE TO 1619 THRESHOLD

FROM: KIM EVANS, DIRECTOR SUBJECT: UPDATE TO 1619 THRESHOLD MANUAL REVISION # 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 decreased to $3,690 effective January 1, 2024. Additional information regarding 1619 eligibility is available in manual section read more…

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IM-07 REVISION TO SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) TYPES OF MEDICAL COSTS ALLOWED

FROM: KIM EVANS, DIRECTOR SUBJECT: REVISION TO SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) TYPES OF MEDICAL COSTS ALLOWED MANUAL REVISION # 1115.035.15.10   DISCUSSION: SNAP policy section 1115.035.15.10 Types of Medical Costs Allowed has been renamed to 1115.035.15.10 Types of Medical Expenses Allowed. Additional changes are listed below: Policy and terminology is expanded, updated and re-formatted. read more…

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IM-06 JANUARY 2024 – QUARTERLY FORMS UPDATE

FROM: KIM EVANS, DIRECTOR SUBJECT: JANUARY 2024 – QUARTERLY FORMS UPDATE   DISCUSSION: Income Maintenance forms and documents are reviewed and revised quarterly, and as necessary. New forms and documents are created as required or requested. All new and revised IM forms show a revision date of 01/2024, unless otherwise stated. Revised IM forms with read more…

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IM-05 UPDATES TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) RECONCILIATION – COVERED EARNINGS SECTION

FROM: KIM EVANS, DIRECTOR SUBJECT: UPDATES TO THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) RECONCILIATION – COVERED EARNINGS SECTION MANUAL REVISION # 1105.098.20   DISCUSSION: Some immigrants must have 40 qualifying quarters of coverage under Title II of the Social Security Act or be credited with such quarters to be eligible for SNAP. 1105.098.20 Reconciliation – read more…

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IM-04 REVISION TO MO HEALTHNET (MHN) POLICY ALLOWING ACTIVE PARTICIPANTS TO MOVE FROM ONE MHN PROGRAM TO ANOTHER

FROM: KIM EVANS, DIRECTOR SUBJECT: REVISION TO MO HEALTHNET (MHN) POLICY ALLOWING ACTIVE PARTICIPANTS TO MOVE FROM ONE MHN PROGRAM TO ANOTHER MANUAL REVISION # 0840.010.00 0840.015.05 1890.000.00 1890.010.00 1890.010.10 1890.010.20   DISCUSSION: MHN policy is updated with requirements for active participants moving from one program to another when a change in circumstance occurs, or read more…

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IM-03 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) APPLICATION, FS-1, UPDATED

FROM: KIM EVANS, DIRECTOR SUBJECT: SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) APPLICATION, FS-1, UPDATED FORM REVISION # FS-1 FS-1 (Dari) FS-1 (Spanish) FS-1 (Pashto) FS-1 (Large Print)     DISCUSSION: The SNAP Application (FS-1) has been updated with the following changes: Instructions to return the form were added, New Able-Bodied Adults without Dependents (ABAWD) ages were read more…

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IM-02 2024 AFFORDABLE INSURANCE QUOTES UPDATED ON FAMILY MO HEALTHNET (MAGI) APPENDIX G

FROM: KIM EVANS, DIRECTOR SUBJECT: 2024 AFFORDABLE INSURANCE QUOTES UPDATED ON FAMILY MO HEALTHNET (MAGI) APPENDIX G MANUAL REVISION # APPENDIX G   DISCUSSION: The CHIP Affordability Test Calculator, Appendix G, has been updated with 2024 insurance quotes from the Federally Facilitated Marketplace (FFM). Affordable insurance determinations for Children’s Health Insurance Program (CHIP) premium children read more…

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IM-01 NATIONAL ACCURACY CLEARINGHOUSE (NAC) PILOT WITH LEXISNEXIS EXPIRATION

FROM: KIM EVANS, DIRECTOR SUBJECT: NATIONAL ACCURACY CLEARINGHOUSE (NAC) PILOT WITH LEXISNEXIS EXPIRATION FORM REVISION # IM-39DPP obsolete IM-39DPR obsolete   DISCUSSION: The Family Support Division’s (FSD) participation in the NAC Pilot with LexisNexis ends on December 31, 2023, and access to the NAC Pilot portal will be revoked. Continue to follow policy 1105.015.15 Duplicate read more…

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