MEMORANDUM

2012 Memorandums

IM-#57      07/03/12

DEPARTMENT OF SOCIAL SERVICES
FAMILY SUPPORT DIVISION
P.O. BOX 2320
JEFFERSON CITY, MISSOURI
TO:
ALL COUNTY OFFICES
FROM:
ALYSON CAMPBELL, DIRECTOR
SUBJECT:
SPEND DOWN NOTIFICATION IM-29(SPND) FORM REVISION WITH SPEND DOWN PAYMENT OPTION PAGE
FORMS MANUAL REVISION #13

DISCUSSION:

The Spend Down Notification (IM-29(SPND)) form has been revised. The revision notifies participants:

The revised form also includes a Spend Down Payment Option page.

Eligibility specialists must use the IM-29(SPDN) to notify participants:

If they have not met their spend down, this form explains their options for meeting spend down. If participants have provided partial bills, they may send a partial payment to MHD by sending the Spend Down Payment Option page with their check or money order.

SPEND DOWN PAYMENT OPTION

The participant can provide proof of additional incurred medical expenses to meet spend down, or they can complete the Spend Down Payment Option page and mail in a partial payment to MHD Premium Collections (spend down), PO Box 808001, Kansas City, MO 64180-8001.

This page is also used by participants who send in medical expenses that are currently owed to be applied toward their spend down for up to 3 future months.

Instructions have been created for the IM-29(SPND) and are available in the forms manual.

NECESSARY ACTION:

ATTACHMENTS:

AC/ks


2012 Memorandums