Supplemental Nursing Care (SNC) Manual

0635.005.00 SPOUSE CASES

IM #15, March 7, 2011IM-#30 April 4, 2008

Spouse cases must be maintained together in the same county.

  • If there is an Adult MO HealthNet case in which one of the spouses is institutionalized and the community spouse is receiving benefits or is the payee for an active EU, the case is located in the community spouse’s county of residence.
  • If there is an Adult MO HealthNet case in which one of the spouses is institutionalized and the community spouse is not receiving benefits, the case is located in the institutionalized spouse’s county of residence.
  • If there is an Adult MO HealthNet case in which both spouses are institutionalized, the case is to be located in the county of residence of the spouse with the lowest DCN. The facility where the spouse with the lowest DCN resides is entered as the Supercase address with a living arrangement type ‘Nursing Home/Residential Care’ (NH). The other spouse’s facility address is captured on the Person Detail screen so they may receive correspondence.

NOTE: This policy is for counties that do not have special work initiatives approved by the Assistant Deputy Director for Income Maintenance Field Operations. Those counties with approval may continue to keep certain cases (i.e. nursing home cases, etc.) where they are currently located.