- TO:
- ALL COUNTY OFFICES
- FROM:
- ALYSON CAMPBELL, DIRECTOR
- SUBJECT:
- REVISED SPEND DOWN NOTIFICATION (IM-29(SPDN)) FORM
- Forms Manual Revision #22
DISCUSSION:
Effective October 15, 2013, a new version of the Spend Down Notification (IM-29 (SPDN)) form is available. Revisions to the form have been made due to a change in policy allowing participants to carryover medical expenses that were incurred and paid as introduced in IM-#71, dated 08/02/2013, in addition to recommended changes received from staff.
Revisions to the IM-29(SPDN) Form include:
- Creation of separate pages for the Spend Down Payment Option section with instructions and the Carryover Designation section with instructions;
- Removal of the words "unpaid" and "owed" on the Spend Down Payment Option page; and
- Clarification on the Carryover Designation page that a participant can designate month(s) to apply excess medical expenses that have not and will not be paid by MO HealthNet.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.
- Immediately begin using the IM-29 (SPND) with revision date 10/2013.
- Discard older version of this form.
ATTACHMENT:
AC/HA