0840.000.00 Annual Renewals and Change in Circumstance

0840.005.00.05 Application for Other Benefits at Annual Renewal

IM-24 March 22, 2023; IM-113 August 6, 2019; IM-35 April 26, 2018

Federal Regulation 42 CFR 435.608 stipulates participants of MO HealthNet for the Aged, Blind, and Disabled (MHABD), and Supplemental Nursing Care (SNC), must take all necessary steps to obtain other benefits to which they are entitled receive unless the participant can show good cause for not doing so.

Other benefits include, but are not limited to, programs such as Qualified Medicare Beneficiary (QMB) and Specified Low Income Medicare Beneficiary (SLMB), OASDI, SSI, veteran’s compensation and pensions, railroad retirement, any annuities, unemployment compensation, and any other type of benefits the applicant/participant may be entitled to receive. Self-attestation is acceptable verification of agreement to apply for other benefits at application for MHABD programs, and SNC. Refer to 1000.005.00 Application for Other Benefits for additional information.

At annual renewal, a participant must provide verification he/she has:

  • a pending application for other benefits
  • a re-application after initial denial, or
  • a pending hearing/appeal

Use the Application for Other Benefits Letter to request acceptable verification if evidence is not provided with the annual renewal or is unavailable to staff.

Unless the participant claims and can show good cause for refusal to apply for and accept other benefits, action must be taken to close the case when the participant either fails to provide verification of application, re-application, pending hearing/appeal, or refuses to apply. Refer to the Application for Other Benefits training guide for additional instructions.