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

0880.015.00 Voluntary Repayment

IM-177, December 16, 2019

Participants with resources in excess of the resource limit can choose to make voluntary payments to MO HealthNet Division (MHD) to decrease countable resources and debt to the state as a result of receipt of MO HealthNet.

A participant must contact MHD Cost Recovery Unit to discuss voluntary payments. Participants can call 573-751-2005.

NOTE: Do not give case specific advice regarding estate recovery.  Encourage participants and/or representatives to contact MO HealthNet Division.

NOTE: MHD CANNOT accept real property or personal property for voluntary repayment.

EXAMPLE: Tori has active MHABD coverage. She moves into a vendor facility in December 2019. She is no longer able to maintain her rental property and it becomes a countable resource. She lists it for sale for the fair market value of $80,000. The rental property is now excluded from counted resources as she is making a good faith effort to sell it.

In September 2020, Tori sells the rental property for $80,000. The $80,000 is not a countable resource during September (the month it was converted from a real property to a liquid resource). It becomes a countable resource beginning in October 2020. That month, Tori’s authorized representative contacts MHD to discuss making a voluntary payment to MHD to maintain her eligibility. The $80,000 payment is applied to the amount MHD has paid for Tori’s vendor coverage and any Estate Recovery claim on Tori’s estate after her death.