MO HealthNet for the Aged, Blind, and Disabled (MHABD) Manual – Table of Contents

0810.035.20 FAMILY SUPPORT DIVISION RESPONSIBILITIES

The FSD Income Maintenance worker is responsible for:

  1. Determining the claimant’s Medicaid eligibility;
  2. Making referrals to the Division of Senior Services workers for the claimant’s assessment for the services;
  3. Processing referrals from the Division of Senior Services for Title XIX application procedures;
  4. Communicating with the Division of Senior Services worker regarding:
    • the joint application process; and
    • any changes in circumstances.

    The request for Personal Care Services may originate through any of the following sources:

    • claimant/family
    • physician
    • hospital
    • long-term care facility
    • Division of Senior Services worker
    • other

    When the IM worker receives a request for Personal Care Services, from any of the above sources, the worker will:

    1. Verify the claimant’s current Title XIX status:
      1. If the claimant is currently Title XIX eligible, the worker will notify the Division of Senior Services worker of current Title XIX eligibility dates, by using the (IM-54) Referral for Services form or by verbal confirmation.
      2. If the claimant is not currently Title XIX eligible, the worker will:
        • Take an IM application.
        • If the request was from a source other than the Division of Senior Services worker, notify the Division of Senior Services worker of the request for Personal Care Services, by sending: An IM-54, Referral for Services form indicating Title XIX eligibility determination in process and Personal Care Services requested.
    2. Complete the IM eligibility determination; and
    3. Notify the Division of Senior Services worker of Title XIX eligibility or ineligibility.  (On approvals, beginning and ending Title XIX dates must be reported to the Division of Senior Services worker, for Title XIX billing purposes.)  The IM-54 or a copy of the approval or rejection letter may be used as the vehicle for notifying the Division of Senior Services worker.The IM worker will keep the Division of Senior Services worker informed of any changes of circumstances affecting the client’s Title XIX eligibility, on an ongoing basis, including the results of reinvestigations and any changes in Title XIX eligibility dates.