IM-069 – SPEND DOWN AND TICKET TO WORK HEALTH ASSURANCE (TWHA) PREMIUM AMOUNT AS MEDICAL DEDUCTIONS FOR THE FOOD STAMP PROGRAM

FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  SPEND DOWN AND TICKET TO WORK HEALTH ASSURANCE (TWHA) PREMIUM AMOUNT AS MEDICAL DEDUCTIONS FOR THE FOOD STAMP PROGRAM                        

MANUAL REVISION #46

1115.035.15.10

 

DISCUSSION:

This memorandum provides clarification on how to treat MO HealthNet Spend Down and Ticket to Work Health Assurance (TWHA) premium amounts when entering them as Food Stamp (FS) medical expenses.

Once the Spend Down or TWHA premium case is approved, the premium amount is considered an anticipated medical expense for the FS case.  The premium amount should be entered as a FS medical expense. 

Use the following codes to enter the TWHA or Spend Down premium amount into FAMIS on the MEDEXP (FMXA) screen:

  • Use code MC to enter the Spend Down expense.
  • Use code TW to enter the TWHA expense.

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

PL/ks