M E M O R A N D U M

IM-65  04/10/00  Healthy Children and Youth Pamphlet


SUBJECT:
Healthy Children and Youth Pamphlet  FORMS MANUAL REVISION #11:  IM-50 (Healthy Children and Youth)
 
DISCUSSION:
The Healthy Children & Youth Program pamphlet has been revised to reflect current terminology and managed care issues.   Send this pamphlet with all Medicaid and MC+ approval letters when a person under age 21 is being approved. 

With this revision, the IM-50, Healthy Children and Youth, is obsolete.  Information from this form is now included on the IM-
1UA and provided to the client in the above pamphlet.  If application is made using the IM-2 (Application for Benefits), it will be necessary to discuss the HCY (EPSDT) program with the applicant. 

Use normal procedures to order the revised pamphlet from the warehouse.  Destroy your current supply of the pamphlet and begin using the 01/00 revision immediately.

Approval notices for Medical Assistance for Families (MAF) or any other MC+ program must include the Important Information sheet (MC-4) and Healthy Children & Youth pamphlet for individuals under 21 years of age.  No other information pamphlets are to be included with these notices, unless the family is also being approved for Temporary Assistance. 

If being approved for Temporary Assistance and MAF, the following information should be included with the approval notification:

Healthy Children and Youth
MC-4  Important Information Sheet
IM-4 Hearing Rights

The following pamphlets should be discussed and provided to the individual applying for Temporary Assistance during the application interview.

Division of Child Support Enforcement, What's This About Child Support and What It Means to Establish Paternity for your baby.  (if applicable).
Child Care Assistance Program
Child Care Resource and Referral
Direct Deposit 
Electronic Benefit Transfer (EBT)
Have You Heard About Benefits for Working Families?
 
NECESSARY ACTION:
  • Review this memorandum with appropriate staff.

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  • Obtain a supply of the new Healthy Children & Youth pamphlet (01-00) from the warehouse using normal procedures.

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  • Begin using the new pamphlet upon receipt.

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  • File the revised Healthy Children and Youth pamphlet in the IM Forms Manual with the IM-4's.
    • CSW
    Distribution #2
    [ Memorandum Table of Contents ]