IM-061 – IM-54A HOME AND COMMUNITY BASED SERVICES REFERRAL FORM REVISION

FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  IM-54A HOME AND COMMUNITY BASED SERVICES REFERRAL FORM REVISION

FORM REVISION #18

IM-54A

 

DISCUSSION:

The purpose of this memorandum is to introduce a revision to the Home and Community Based Services Referral form (IM-54A)

The IM-54A has been revised to include a new email address for staff to use when sending referrals to the HCB Processing Center.  The new email address is FSD.HCBinformation@dss.mo.gov

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.

 

ATTACHMENTS:

IM 54A Home and Community Based Services Referral

 

PL/mc