Memorandums and Practice Points

FROM: MANDI ADAMS, INTERIM DIRECTOR SUBJECT: 2025 FAMILY MO HEALTHNET (MAGI) COST OF LIVING ADJUSTMENT (COLA) FOR SSA/SSI INCOME   DISCUSSION: Effective April 1, 2025, MAGI cases will be updated to reflect a 2.5% COLA for Social Security Administration (SSA) and Supplemental Security Income (SSI) participants. Cases Adjusted Cases that include income types Social Security read more…

FROM: MANDI ADAMS, INTERIM DIRECTOR SUBJECT: NURSING HOME COVERAGE FOR PARTICIPANTS ON QUALIFYING MODIFIED ADJUSTED GROSS INCOME (MAGI) LEVELS OF CARE MANUAL REVISION # 0815.005.00 0815.030.00 1040.010.00 1040.015.15  1040.020.10  1040.020.40.15 1040.020.40.20  DISCUSSION: Participants on MAGI levels of care, with the exception of Uninsured Women’s Health Services (UWHS) and Extended Women’s Health Services (EWHS), can qualify read more…

FROM: MANDI ADAMS, INTERIM DIRECTOR SUBJECT: 2025 UPDATE OF POVERTY INCOME GUIDELINES FOR MAGI PROGRAMS MANUAL REVISION # APPENDIX A APPENDIX A (PE) APPENDIX B APPENDIX D APPENDIX E APPENDIX I FORM REVISION# IM-4PRM   DISCUSSION: Effective April 1, 2025, the Federal Poverty Level (FPL) income guidelines increase for all MAGI programs, including Presumptive Eligibility read more…

FROM: KIM EVANS, DIRECTOR SUBJECT: UPDATES TO MISSOURI SUN BUCKS (SUMMER EBT) APPLICATION FORM REVISION # MOSB-1 DISCUSSION: The Missouri SuN Bucks (Summer-EBT) Application (MOSB-1) application was revised with the following: Updated terminology regarding NSLP (National School Lunch Program) eligibility. Updated benefit/application year to 2024/2025 school year. Updated request for last 4 of SSN to read more…

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 increased to $4,198 effective January 1, 2025. Additional information regarding 1619 eligibility is available in manual section read more…

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 $7,909 per month effective April 1, 2025. For applications taken on or after April 1, 2025, use $7,909 to determine read more…

FROM: KIM EVANS, DIRECTOR SUBJECT: NON-MAGI FEDERAL POVERTY LEVEL ADJUSTMENT MANUAL REVISION # Appendix J Appendix K   DISCUSSION: Effective April 1, 2025, 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…

FROM: KIM EVANS, DIRECTOR SUBJECT: MULTI-LANGUAGE INTERPRETER SERVICES (IM-4 MLIS) ADDED TO SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) NOTICES – RELEASE NUMBER 2   DISCUSSION: Beginning March 3, 2025, the IM-4 MLIS (FA650) form will be included in the mailings of the following SNAP notices: FA150 Claimant Action Notice FA510 Adverse Action Notice FA544 SNAP Change read more…

FROM: KIM EVANS, DIRECTOR SUBJECT: CITIZENS OF MICRONESIA, THE MARSHALL ISLANDS, AND PALAU ELIGIBLE FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AND TEMPORARY ASSISTANCE (TA) MANUAL REVISION # 1105.010.05 0205.040.05.05 1105.010.10 0205.040.05.15 1105.010.10.40 0205.040.05.25 1105.097.00   1105.099.00   DISCUSSION: Micronesia, The Marshall Islands, and Palau have a Compact of Free Association (COFA) with the United States, read more…

FROM: KIM EVANS, DIRECTOR SUBJECT: UPDATE TO THE TEMPORARY ASSISTANCE APPLICATION (IM-1TA) FORM REVISION # IM-1TA IM-1TA SPANISH IM-1TA DARI IM-1TA PASHTO   DISCUSSION: The IM-1TA has been updated to include a new link and Quick Response (QR) code informing veterans of resources available to them and their family. Continue to accept the 02/2024 version read more…

FROM: KIM EVANS, DIRECTOR SUBJECT: FEBRUARY 2025 – 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 01/2025, unless otherwise stated. New and Revised Forms read more…

FROM: KIM EVANS, DIRECTOR SUBJECT: APPLICATION FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) UPDATE FORM REVISION # FS-1 FS-1 (Spanish) FS-1 (Dari) FS-1 (Pashito) FS-1 (Large Print) AEM (Online) FS-1 DISCUSSION: The “Application for SNAP (FS-1)” was updated with the following: Formatting changes were made throughout the application; A new field was added to the household read more…

FROM: KIM EVANS, DIRECTOR SUBJECT: FAMIS UPDATES FOR REQUESTS FOR INFORMATION (FA325) AND DIVISION OF ASSETS REQUEST FOR VERIFICATION (FA479) DISCUSSION: Updates were completed to the FAMIS eligibility system to allow participants to see a relevant date for each type of requested verification. As each program may request verification for one or more months to read more…

FROM: KIM EVANS, DIRECTOR SUBJECT: NEW PRESUMPTIVE ELIGIBILITY (PE) EMAIL AND REMINDER TO CLOSE PE MANUAL REVISION # 1900.030.00 1900.030.10 1900.030.30   DISCUSSION: Presumptive Eligibility (PE) is not consistently being closed upon approval or denial of ongoing full MO HealthNet (MHN) coverage. This causes duplicate coverage which can cause billing issues and be counted as read more…

FROM: KIM EVANS, DIRECTOR SUBJECT: REVISION TO NON-MAGI DISABILITY VERIFICATION POLICY MANUAL REVISION # 1060.005.00 1050.005.15   DISCUSSION: MO HealthNet Non-MAGI disability policy was updated in the December 1973 Eligibility Requirements Manual. 1060.005.00 Verification of Disability was revised to: Add that a Social Security favorable decision letter or determination can be used as proof of read more…

FROM: KIM EVANS, DIRECTOR SUBJECT: FAMIS INCOME CODE SHEET UPDATED   DISCUSSION: The FAMIS Income Code Sheet has been updated. The acronym ADM has been changed to Non-MAGI to reflect updated terminology.   NECESSARY ACTION: Review this memorandum with appropriate staff.       KE/mr

FROM: KIM EVANS, DIRECTOR SUBJECT: UPDATES TO ADMINISTRATIVE DISQUALIFICATION HEARING FORMS IM-160, IM-161 AND IM-161 INSTRUCTIONS UPDATE FORM REVISION # IM-160 IM-161 DISCUSSION: The Advance Notice of your Administrative Disqualification Hearing (IM-160) and The Waiver of Administrative Disqualification Hearing Consent Agreement (IM-161) forms were revised with the following: Clarification to contact the Administrative Hearing Office, read more…

FROM: KIM EVANS, DIRECTOR SUBJECT: HEARINGS MANUAL UPDATE AND OBSOLETING THE APPLICATION FOR STATE HEARING IM-87 MANUAL REVISION # 0130.020.20.25 0130.005.10.25 0130.020.20.30 0130.020.20.15 0130.020.60 0130.020.70.30 0130.020.70.10 0130.020.90.10 0130.020.70.15 1105.035.50 0240.020.05 1130.040.00   1840.030.15   DISCUSSION: The IM-87 Application for State Hearing form is now obsolete. Any link or reference to the IM-87 has been removed read more…

FROM: KIM EVANS, DIRECTOR SUBJECT: OBSOLETING SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) MANUAL SECTIONS MID-CERTIFICATION REVIEW FOR SNAP ONLY CASES AND FOR SNAP/IM COMBINATION CASES MANUAL REVISION # 1140.020.05 (Obsolete) 1140.020.10 (Obsolete)   DISCUSSION: The following manual sections contain outdated and/or redundant information: 1140.020.05 Mid-Certification Review for SNAP Only Cases 1140.020.10 Mid-Certification Review SNAP/IM Combination Relevant read more…