IM-056 – MO HEALTHNET FOR THE AGED, BLIND AND DISABLED MANUAL UPDATES REGARDING PERSONS AGED 22-64 IN STATE MENTAL HOSPITALS

FROM:PATRICK LUEBBERING, DIRECTOR

SUBJECT:MO HEALTHNET FOR THE AGED, BLIND AND DISABLED MANUAL UPDATES REGARDING PERSONS AGED 22-64 IN STATE MENTAL HOSPITALS

MANUAL REVISION #40

0815.020.00
0815.060.00

 

DISCUSSION:

The purpose of this memorandum is to notify staff of updated policy regarding individuals aged 22-64 who reside in state mental hospitals.  Medical Assistance for the Aged, Blind, and Disabled manual sections 0815.020.00 Initial Assessment and Medical Certification and 0815.060.00 APPLICANTS OR PARTICIPANTS BETWEEN THE AGES OF 21 AND 65 IN STATE MENTAL HOSPITAL have been updated to reflect the following:

  • Individuals aged 22-64 who reside in state mental hospitals are not eligible for MO HealthNet for the Aged, Blind or Disabled (MHABD) coverage.
  • Individuals of ANY age who reside in state mental hospitals may receive Qualified Medicare Beneficiary (QMB) or Specified Low-Income Medicare Beneficiaries (SLMB) coverage if they are otherwise eligible.

Staff should disregard previous direction to approve individuals aged 22-64 who reside in state mental hospitals for MHABD Non-Spend Down/Spend Down, Vendor, or Mental Health Care (MHC) coverage.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

PL/kp