MEMORANDUM

2012 Memorandums

IM-#88      11/02/12

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 REGULATION 13CSR 40-2.395 EFFECTIVE OCTOBER 30, 2012
MANUAL REVISIONS:
0810.010.15.02; and
0810.010.15.05

DISCUSSION:

13 CSR 40-2.395 Spend Down Program was published in the Code of State Regulations September 30, 2012 and is effective October 30, 2012. 

MANUAL REVISIONS

Income Maintenance Manual section 0810.010.15.02 has been revised to clarify procedures for determining patient responsibility when:

Because the regulation requires medical providers to provide any additional information required to establish that the individual has incurred a medical expense and the Family  Support Division Provider Form can be accepted as documentation of the expense that the participant is responsible to pay, it is only in rare circumstances, such as a catastrophic loss of provider billing records, that the portion subject to third party payment can not be identified. Refer to 0810.010.15.02 for procedures Calculating Medical Expenses AFTER Third Party Liability Pays and Calculating Medical Expenses When the Portion Subject to Third Party Payment Can Not be Identified.

Income Maintenance Manual section 0810.010.15.05 is clarified to state:

NECESSARY ACTION:

AC/tm


2012 Memorandums