MEMORANDUM

2013 Memorandums

IM-#73      08/02/13

DEPARTMENT OF SOCIAL SERVICES
FAMILY SUPPORT DIVISION
P.O. BOX 2320
JEFFERSON CITY, MISSOURI
TO:
ALL COUNTY OFFICES
FROM:
ALYSON CAMPBELL, DIRECTOR
SUBJECT:
APPLICATION FOR MEDICARE SAVINGS FOR QUALIFIED BENEFICIARIES / SPECIFIED LOW INCOME BENEFICIARIES (IM-1QMB/SLMB) AND MEDICARE SAVINGS FOR QUALIFIED BENEFICIARIES/ SPECIFIED LOW INCOME BENEFICIARIES REVIEW (IM-2QMB/SLMB REVIEW) FORMS
FORMS MANUAL REVISION #21

DISCUSSION:

The purpose of this memo is to introduce the revised Missouri Application for Medicare Savings for Qualified Beneficiaries / Specified Low-Income Beneficiaries (IM-1QMB/SLMB) and the Missouri Medicare Savings for Qualified Beneficiaries / Specified Low-Income Review (IM-2QMB/SLMB Review) forms.  These forms have been revised to simplify the application and review process for MO HealthNet applicants and participants.

These forms have been revised as follows:

NECESSARY ACTION:

AC/mks


2013 Memorandums