0800.000.00 – MO HealthNet for the Aged, Blind, and Disabled obsolete
0800.005.00 – Legal Basis obsolete
0803.020.00 – Authorized Representative(s) for MO HealthNet
- 0803.020.05 – Legal Basis
- 0803.020.10 – Appointment of an Authorized Representative
- 0803.020.30 – Signing by an Authorized Representative
- 0805.005.00 – December 1973 Eligibility Requirements
- 0805.010.00 – MA/GR Dual Eligibility
- 0805.015.00 – Financial Need
- 0805.015.05 – Persons Whose Income and Needs Are Considered
- 0805.015.10 – Income Exclusions
- 0805.015.15 – Overhead Expense of Producing Income
- 0805.015.20 – Determination of Gross Earned Income
- 0805.015.25 – Standard Deductions From Gross Earned Income
- 0805.015.30 – Non-Earned Income
- 0805.015.35 – Income Exemptions/Deductions
- 0805.015.40 – Types of Need Determination
- 0805.015.45 – Income Maximum
- 0805.020.00 – Medical Assistance for Disabled Children (MADC)
0810.000.00 – Medicaid Coverage
- 0810.005.00 – Medicaid Non-Spend Down Coverage
- 0810.010.00 – Medicaid Spend Down Coverage
- 0810.010.05 – Processing Spend Down Medicaid Cases
- 0810.010.10 – Notification of Spend Down Amount
- 0810.010.15 – Meeting Spend Down With Incurred Expenses
- 0810.010.15.01 – Documentation of Incurred Medical Expenses
- 0810.010.15.02 – Determining Patient Responsibility After Third Party Liability
- 0810.010.15.05 – Countable Medical Expenses for Spenddown
- 0810.010.15.10 – Authorizing Spenddown Coverage Based on Incurred Expenses
- 0810.010.15.15 – Preventing Medicaid Payment of Expenses Used to Meet Spenddown
- 0810.010.15.15.05 – Allowable Third Party Payment from State Funded Programs
- 0810.010.15.15.10 – Identifying DMH Medical Services Allowable for Spend Down
- 0810.010.15.15.15 – Identifying DHSS NME CDS Participants
- 0810.010.15.15.20 – Verification of DMH Medical Expenses
- 0810.010.15.15.25 – Verification of DHSS Medical Expenses
- 0810.010.20 – Spend Down Pay-In Option
- 0810.015.00 – Prior Quarter Coverage
- 0810.020.00 – Medicaid Coverage End Date on Closings
- 0810.025.00 – Eligibility For Buy-In (SMI Premium) for Medicare
- 0810.030.00 – Early Periodic Screening, Diagnosis, and Treatment (EPSDT)
- 0810.035.00 – Personal Care Services Program
- 0810.035.05 – Legal Reference (Personal Care Services)
- 0810.035.10 – Basic Eligibility Guidelines for Personal Care Services
- 0810.035.15 – Eligibility Determination (Division of Senior Services)
- 0810.035.20 – Family Support Division Responsibilities
- 0810.035.25 – Division of Medical Services Responsibilities
- 0810.035.30 – Personal Care Service Provider Responsibilities
- 0810.040.00 – The Respite Care Program (In-Home and Institutional)
- 0810.040.05 – In-Home Respite Care
- 0810.040.10 – Institutional Respite Care
- 0810.040.15 – Basic Eligibility Guidelines for Respite Care
- 0810.040.20 – Eligibility Determination (Division of Senior Services)
- 0810.040.25 – Family Support Division Responsibilities
- 0810.040.30 – Respite Care Provider Responsibilities
0815.000.00 – Vendor Eligibility
- 0815.000.05 – Missouri Care Options
- 0815.000.10 – Definitions for Vendor Coverage
- 0815.005.00 – Eligibility for Vendor Payments
- 0815.010.00 – Applications for Claimants Not Currently Receiving Medicaid
- 0815.015.00 – Claimants Currently Receiving Medical Assistance or SNC to Vendor
- 0815.020.00 – Initial Assessment and Medical Certification
- 0815.025.00 – Preadmission Screening for Entry Into Nursing Facilities
- 0815.030.00 – Vendor Surplus Computation
- 0815.030.05 – Determining Adjusted Gross Income
- 0815.030.10 – Determining Total Allowable Deductions
- 0815.030.10.05 – Personal Needs Allowance
- 0815.030.10.10 – Allotments
- 0815.030.10.10.05 – Maintenance Standards for Allotments
- 0815.030.10.10.10 – Determining the Allotment to the Community Spouse
- 0815.030.10.10.15 – Hearing Officer or Court of Law Sets Allotment Amount
- 0815.030.10.10.20 – Allotments for Minors and Dependents Living with the Community Spouse
- 0815.030.10.10.25 – Allotments for Minors Not Living With Community Spouse
- 0815.030.10.15 – Medical Deductions When Determining Surplus
- 0815.030.10.20 – Other Deductions
- 0815.030.15 – Effective Date of Surplus
- 0815.030.20 – Changes in Surplus Amount
- 0815.035.00 – Effective Date of Vendor Coverage for Claimants in a Nursing Facility
- 0815.035.05 – Effective Date of Vendor Coverage for Claimants in a Nursing Facility When No Level II Screening Is Required
- 0815.035.10 – Effective Date of Vendor Coverage for Claimants in a Nursing Facility When Level II Screening Is Required and Claimant Is Not found to be MR, MI or DD
- 0815.035.15 – Effective Date of Vendor Coverage for Claimants in a Nursing Facility When Level II Screening is Required and the Claimant is found to be MR, MI or DD
- 0815.040.00 – Effective Date of Vendor Coverage for MHC or IMR Level of Care
- 0815.045.00 – Prior Quarter Vendor
- 0815.050.00 – Claimant Not in Vendor Facility on the First Day of the Month of Application
- 0815.055.00 – Inpatient Psychiatric Services for Individuals Under Age 21
- 0815.060.00 – Claimants Between the Ages of 21 and 65 in State Mental Hospital
- 0815.065.00 – Individuals Under Age 18 in an Institution for the Intellectually Disabled or Nursing Facility
- 0815.070.00 – Claimant Leaves the Vendor Facility
- 0815.075.00 – Claimant Moves from One Type of Vendor Facility to Another
- 0815.080.00 – Entering a Vendor Case Into IMU5
- Appendix A – Accessing Vendor Numbers for Licensed Nursing Homes
- Appendix B – Maintenance Standards for Allotments
- Appendix C – JCAHO Facilities
- Appendix D – July 1996 Percentage of Need Standard
0820.000.00 – Eligibility Based on Receipt of HCB Waiver Services
- 0820.010.00 – Overview of Eligibility Criteria
- 0820.020.00 – Application Process
- 0820.030.00 – Eligibility Requirements
- 0820.035.00 – HCB and QMB
- 0820.040.00 – MO HealthNet Eligibility Date
- 0820.050.00 – Entering an HCB Case Into IMU5
- Appendix E – HCB Income Maximums
- 0825.010.00 – Overview of Eligibility Criteria
- 0825.020.00 – Application Process
- 0825.030.00 – Eligibility Requirements
- 0825.030.05 – Age
- 0825.030.10 – Social Security Number
- 0825.030.15 – Citizenship
- 0825.030.20 – Residence
- 0825.030.25 – Disability
- 0825.030.30 – Medical Need and Authorization for MOCDD Waiver Services
- 0825.030.35 – Income and Budgeting
- 0825.030.40 – Available Resources
- 0825.030.45 – Transfer of Property
- 0825.030.50 – MO HealthNet Eligibility under Other Categories
- 0825.040.00 – MO HealthNet Eligibility Date
- 0825.040.05 – Reinvestigations
0830.000.00 – Program of All-Inclusive Care for the Elderly (PACE)
0840.000.00 – Reviews and Interim Activities
- 0840.005.00 – Annual Reinvestigation
- 0840.010.00 – Changes in Circumstances
- 0840.010.05 – Adding a Spouse
- 0840.010.10 – Non-Spend Down to Spend Down
- 0840.010.15 – Spend Down to Non-Spend Down or MA-WD Non-Premium
- 0840.010.20 – Change to MA-WD Premium
- 0840.010.25 – Increase in Spend Down Amount
- 0840.010.30 – Decrease in Spend Down Amount
- 0840.010.35 – Change in Coverage – Spend Down and Ticket to Work
- 0840.015.00 – Closing of Cases
- 0840.020.00 – Suspending Incarcerated Participants
0845.000.00 – Location of Case Records
0850.000.00 – Individuals Qualifying Under Section 1619 of The Social Security Act
- 0850.005.00 – Eligibility Requirements for MA Based on Section 1619 Status
- 0850.010.00 – Case Processing Procedures Section 1619 Status Cases
- 0850.015.00 – Reviews (Section 1619 Status Cases)
- 0850.020.00 – Individuals Losing SSA 1619 Status
0855.000.00 – Ticket to Work Health Assurance (TWHA) Program
- 0855.005.00 – Eligibility Requirements for Ticket to Work Health Assurance (TWHA) Program
- 0855.010.00 – Case Processing Procedures
- 0855.015.00 – Reviews and Interim Changes
- 0855.020.00 – TWHA Couple Cases
- 0855.025.00 – HIPP
0860.000.00 – Qualified Disabled Working Individuals (QDWI)
- 0860.005.00 – Eligibility Requirements
- 0860.010.00 – Application Processing (QDWI)
0865.000.00 – Qualified Medicare Beneficiaries (QMB)
- 0865.005.00 – Legal Basis
- 0865.010.00 – Eligibility Requirements
- 0865.015.00 – Benefits Available to QMB Recipients
- 0865.020.00 – Application Processing (QMB)
- 0865.025.00 – Reinvestigations (QMB)
- 0865.030.00 – Special Procedures for System Opening and Closing of QMB Cases
- 0865.035.00 – QMB In Conjunction With Spenddown
- 0865.035.05 – Non-spenddown May Become Spenddown When Adding QMB
- 0865.035.10 – Special Procedures For QMB/Spenddown Combination approvals
- 0865.035.15 – Budgeting Procedure When MA and QMB Applications Are Approved In The Same Month
- 0865.035.20 – Medical Expenses Allowed In QMB/Spenddown Budgeting
- 0865.035.25 – QMB Benefits Guide
0870.000.00 – Specified Low-Income Medicare Beneficiaries (SLMB) and Qualifying Individuals (QI)
- 0870.005.00 – Legal Basis
- 0870.010.00 – Eligibility Requirements
- 0870.015.00 – Benefits Available to SLMB Recipients
- 0870.020.00 – Application Processing (SLMB)
- 0870.025.00 – Reinvestigations (SLMB)
- 0870.030.00 – System Approvals And Closings Of SLMB Cases
- 0870.030.05 – SLMB Group 1 is Approved for Another Type of Assistance
- 0870.030.10 – SLMB Recipient is Determined Ineligible at Approval of Another Type of Assistance
- 0870.030.15 – QMB Recipient is Determined SLMB Eligible at Approval for Another Type of Assistance
- 0870.030.20 – SLMB Eligibility Continues, Other Type of Assistance Closes
- 0870.030.25 – Both SLMB and Another Type of Assistance Close
- 0870.035.00 – SLMB In Combination With Spend Down Cases
- 0870.040.00 – QMB to SLMB Cases
- 0870.045.00 – Effect of COLA Increases On SLMB Cases