MEMORANDUM

2012 Memorandums

IM-#94      11/29/12

DEPARTMENT OF SOCIAL SERVICES

FAMILY SUPPORT DIVISION

P.O. BOX 2320

JEFFERSON CITY, MISSOURI

TO:
ALL COUNTY OFFICES
FROM:
ALYSON CAMPBELL, DIRECTOR
SUBJECT:
REVISED AUTOMATIC WITHDRAWAL FORMS FOR MO HEALTHNET FOR AGED, BLIND AND DISABLED-SPEND DOWN (MHABD-SD) AND TICKET TO WORK HEALTH ASSURANCE (TWHA) PROGRAMS, AND CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP)

DISCUSSION:

The MO HealthNet Division Automatic Withdrawal Forms for MO HealthNet for Aged, Blind and Disabled Spend Down and Ticket to Work Programs, and MO HealthNet Children's Health Insurance Program (CHIP) have been revised.  Revisions include:

Eligibility specialists should encourage applicants and participants of MO HealthNet programs, Ticket to Work, Spend Down, and CHIP, to take advantage of the opportunity to simplify payments by electing to begin automatic withdrawal of the monthly premium or spend down amount.

Obtain the applicable automatic withdrawal form from the following links to provide to participants:

For Ticket to Work Health Assurance (TWHA) Program:  https://dss.mo.gov/mhd/participants/pdf/ttw-ha.pdf

For MO HealthNet for Aged, Blind and Disabled-Spend Down Program: https://dss.mo.gov/mhd/participants/pdf/awa-spenddown.pdf

For MO HealthNet Children's Health Insurance Program (CHIP): https://dss.mo.gov/mhd/participants/pdf/awa-mc.pdf

NECESSARY ACTION:

AC/VB


2012 Memorandums