MEMORANDUM

2015 Memorandums

IM-#68      07/02/15

DEPARTMENT OF SOCIAL SERVICES
FAMILY SUPPORT DIVISION
P.O. BOX 2320
JEFFERSON CITY, MISSOURI
TO:
ALL FAMILY SUPPORT DIVISION OFFICES
FROM:
JULIE GIBSON, DIRECTOR
SUBJECT:
INTRODUCTION OF MAGI NOTICE OF CASE ACTION (IM-33 MAGI) FORM
FORMS MANUAL REVISION #14

DISCUSSION:

The purpose of this memorandum is to introduce a new form, MAGI Notice of Case Action (IM-33 MAGI). This form may be used immediately.

The Family Support Division began determining eligibility for Family MO HealthNet programs using Modified Adjusted Gross Income (MAGI) January 2014. Since then, staff reported a number of circumstances not addressed with other available forms. Additions specific to the IM-33 MAGI are:

This form must be used when manual adjustments to a case are completed and notification is necessary.

A sentence at the bottom was added to comply with a federal regulation to advise participants to report any change in circumstance within ten (10) days.

NECESSARY ACTIONS:

ATTACHMENTS:

JG/df/mks


2015 Memorandums