- TO:
- ALL COUNTY OFFICES
- FROM:
- ALYSON CAMPBELL, DIRECTOR
- SUBJECT:
- MO HEALTHNET FOR KIDS CHIP PREMIUM CHANGE
- FORMS MANUAL REVISION #3:
- IM-4(PRM)
- MANUAL REVISION #16:
- SECTIONS 0900.00.00 Appendix E;
- 0920.020.15
DISCUSSION:
Premiums are required for families with income above 150% of the Federal Poverty Level (FPL). Each year, the MO HealthNet Division (MHD) establishes the new premium amounts, by rule, for these families. Effective July 1, 2011, these premiums will change; the new premiums range from a minimum of $13 to a maximum based on family size and gross income, not to exceed 5% of the family's gross income. A premium chart with an effective date of July 1, 2011 is attached.
The MHD Premium Collections Unit is including an advance notice of the upcoming change to premiums with invoices mailed June 2011 to all eligible premium group families. A copy of the MO HealthNet Premium Change Notice is attached for information purposes only. Premiums paid in June for July coverage will not change. Premiums invoiced in July for August coverage will reflect the new premiums. Questions concerning premiums should be referred to the Premium Collections Unit at 1-877-888-2811.
FAMIS will send copies of the attached IM-4(PRM) with MO HealthNet CHIP premium group approval letters beginning July 1, 2011 for MO HealthNet for Kids premium eligibility units (EU's). A hard copy version is not being produced. The initial premium for families approved in June will be based on the April 2011 premium schedule.
Hearing requests for the premium change will be handled by the Family Support Division using normal hearing procedures. Evidence presented at the hearing must include a copy of the invoice from the Premium Collections Unit, a copy of the budget used to arrive at the monthly gross income, and the IM-4(PRM) reflecting the premium amounts based on income.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.
TM
Attachments: