MO HealthNet for the Aged, Blind, and Disabled (MHABD) Manual

0815.010.00 Applications for Claimants Not Currently Receiving Medicaid

IM-136, September 1, 2020; IM- #33, March 29, 2012

If an institutionalized individual or his/her spouse with whom he/she is residing, or was residing with prior to institutionalization, is not currently receiving MO HealthNet for the Aged, Blind, and Disabled (MHABD), an MHABD application must be received:

  1. Obtain a signed Application for MO HealthNet (IM-1MA).  Refer to the Application section 0105.010.00 SIGNING THE APPLICATION, of the Income Maintenance manual for more information on who may sign the application.
  2. If the participant is entering or has entered a MO HealthNet (MHN) certified bed in a nursing facility, verify that the preadmission screening (DA-124 C) has been completed and that the participant is medically certified for the appropriate level of care.

    NOTE: Review the DA-124 in the Eligibility System. See the “FACILITY AND PLACEMENT INFORMATION DETAILS” User Guide.

  3. Determine if the participant meets the December 1973 eligibility requirements for PTD, AB or OAA.
  4. For children under age 18 who do not qualify under MO HealthNet for Disabled Children (MHDC), determine eligibility based on MHF (See 1810.000.00 MO HealthNet for Families (MHF)) criteria; for poverty level children, or MHK (See 1830.000.00 MO HealthNet for Kids (MHK) Non-Chip Coverage). 

Note:  Children institutionalized temporarily who are eligible at this level of care, will be immediately dis-enrolled from Managed Care.