MEMORANDUM

DISCUSSION:

The Family Assistance Management Information System (FAMIS) greatly reduces the amount of information required in hard copy form; however, it does not negate the responsibility of keeping certain forms and verification in the hard copy case file.

When MO HealthNet, Food Stamp, or Temporary Assistance reviews are completed using the FA-402, FA-545, or FA-202 review form, a copy of the review form and all hard copy verification used to determine continued eligibility must be maintained in the hard copy case file.

Examples of information that must be maintained in the hard copy case file include (but are not limited to):

• Any form requiring the applicant’s signature such as the
  
  • MO HealthNet paper application;
  • MO HealthNet Review Form (FA-402);
  • Mid Certification Review (FA-545);
  • Applications for Food Stamp Benefits (FS-1); and
  • Application for Temporary Assistance (IM-1);
  • Request for Application (FA-100);
  • Interview Summary (FA-102); and
  • Request for Replacement Benefits (IM-110).

    NOTE: A signed copy of the IM-1, FA-100 or the FA-102 MUST be maintained in the hard copy file for TA applications.

• Hard copy verification of eligibility information, such as income (pay stubs, IMES, IIVE, FA-311, Work Number, etc.), citizenship (SAVE, birth certificates, etc), relationships (marriage certificates, birth certificates).
• Hard copy correspondence from members of the eligibility unit.
• Hard copy correspondence to members of the eligibility unit generated outside of FAMIS.

  NOTE: This should be rare with document type and date sent referenced in EUMEMROL comments.

When a MO HealthNet review is completed using information from another acceptable program, such as the Food Stamp Program, a hard copy of the MO HealthNet review form is not necessary.

NECESSARY ACTION:

• Review this memorandum with appropriate staff.

LH/JH/KSO