| TO: | ALL COUNTY OFFICES |
| FROM: | JANEL R. LUCK, DIRECTOR |
| SUBJECT: | OUT-OF-POCKET MEDICAL EXPENSES |
DISCUSSION:
This memorandum clarifies and updates the process for out-of-pocket medical expenses introduced in Income Maintenance Memorandum IM-3 dated January 7, 2008.
Approved medical expenses must be paid out-of-pocket expenses, not incurred charges. These expenses must be for months beginning August 2007 forward.
County staff is no longer required to send the IM-29 Notification of Spenddown coverage form to the participant. Effective immediately, county staff must complete the “FROM”, “TO”, and “RE” sections on the IM-29 Notification of Spendddown Coverage form and fax the IM-29 along with hard copy verification of paid approved out-of-pocket medical expenses and the participant's name and DCN to IM Program and Policy Unit. If expenses need to be applied to the current month this needs to be indicated on the fax cover sheet as PRIORITY. Fax verification to IM Program and Policy ATTN: Jessie Maupin, SOSA at (573) 751-3677.
The IM Program and Policy staff will then complete and mail the IM-29 to the participant once the out-of-pocket expenses are entered in the system. The IM Program and Policy staff will then send a copy of the notice via e-mail to the eligibility specialist so that it may be printed and filed in the participant's case record. This is to ensure that the dates on the letter correspond with the date the out-of-pocket expenses are completed and entered by Program and Policy staff.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.