- TO:
- ALL FAMILY SUPPORT DIVISION OFFICES
- FROM:
- ALYSON CAMPBELL, DIRECTOR
- SUBJECT:
- CHANGES TO THE PROCESS FOR UNSIGNED APPLICATIONS FOR MO HEALTHNET FOR FAMILIES, WOMEN, AND CHILDREN
DISCUSSION:
The purpose of this memorandum is to inform staff of changes to the process for unsigned applications for MO HealthNet for Families, Women and Children (MAGI categories). The Lebanon Processing Center has established a Post Office Box address to receive MO HealthNet Single, Streamlined applications (IM-1SSL) for Families, Women and Children, that had been returned to the applicant for signature.
Effective immediately:
- Review Single Streamlined Application (IM-1SSL) forms for signature when they are received in the local offices.
- Do not enter the unsigned form in ITrackRS as an application.
- Enter unsigned application forms in ITrackRS as MAIL IN DETAILS Reason or WALK IN DETAILS Reason For Visit: OTHER with a Sub-reason For Visit: FAM APP NOT SIGNED.
- Do not enter (register) an unsigned application in MEDES.
- Return an unsigned form to the individual with the unsigned application letter and an envelope.
- Do not scan the unsigned form.
- Begin using the attached IM-1SSL Signature Request Letter dated 02/15 for MO HealthNet for Families, Women and Children programs only. The revised letter instructs participants to sign the IM-1SSL and return it to:
Family Support Division
PO Box 1194
Lebanon, MO 65536 - Provide an envelope addressed to PO BOX 1194, Lebanon, MO 65536 with the letter to the individual to return the signed IM-1SSL.
The PO BOX 1194, Lebanon, MO address is only to be used for returned IM-1SSL forms. Continue to follow the other instructions outlined in Income Maintenance memorandum Email IM-23 Unsigned Applications and the Signature Request Letter dated March 13, 2014 and Email IM- 7 Unsigned Applications dated January 26, 2015 for all unsigned applications.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.
- For MO HealthNet for Families, Women and Children programs only, discontinue use of the Signature Request Letter dated 03/2014 and begin using letter dated 02/15.
- Update the return address on the FSD self-addressed envelope provided to the customer to return the signed IM-1SSL to the Lebanon PO Box.
ATTACHMENT:
AC/jo