- TO:
- ALL COUNTY OFFICES
- FROM:
- ALYSON CAMPBELL, DIRECTOR
- SUBJECT:
- MEDICAL ASSISTANCE FOR THE AGED, BLIND AND DISABLED MO HEALTHNET COVERAGE NON-SPEND DOWN AND SPEND DOWN POLICY MANUAL REVISIONS;
- MANUAL REVISION #6
- 0805.015.40;
- 0805.015.45;
- 0810.000.00;
- 0810.005.00;
- 0810.010.00;
- 0810.010.05;
- 0810.010.10;
- 0810.010.10.05;
- 0810.010.15;
- 0810.010.15.05;
- 0810.010.15.10;
- 0810.010.15.15;
- 0810.010.20;
- 0810.010.20.05;
- 0810.010.20.10;
- 0810.010.20.15
- 0810.015.00
- 0810.015.05;
- 0810.015.10; and
- 0810.020.00;
DISCUSSION:
The MO HealthNet for the Aged, Blind and Disabled (MHABD) policy manual is being revised. The manual revisions listed above contain no policy changes. The revised manual sections:
- Show the MO HealthNet legal reference;
- Reflect the program name change from Medicaid to MO HealthNet;
- Use the current names for the Family Support Division (FSD), MO HealthNet Division (MHD), and Department of Health and Senior Services (DHSS)
- Use other updated terminology such as claimant or recipient to participant, and worker or caseworker to eligibility specialist;
- Change Spend Down to two words to more accurately reflect that participants must spend down excess income (their monthly spend down obligation) to meet the Non-Spend Down income limits and have MO HealthNet coverage activated;
- Clarify that allowable expenses used to meet spend down are expenses incurred by the individual or spouse, whose income is used in determining eligibility, and are not subject to payment by a third party such as Medicare; and
- Require participant notification of Spend Down liability using the IM -29(SPDN).
Other revisions include case examples and clarification of existing policy and processes, and removal of references to IMU5.
NECESSARY ACTION:
- Review this memorandum with all appropriate staff.
- Reference MHABD policy manual as needed.