MEMORANDUM

2015 Memorandums

IM-#87      09/18/15

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:
HOME AND COMMUNITY BASED SERVICES REFERRAL FORM (IM-54A) REVISION

DISCUSSION:

The purpose of this memorandum is to introduce a revision made to the Home and Community Based Services Referral Form (IM-54A).

Income Maintenance Memo IM-#76, dated 08/12/2015 introduced the Home and Community Based Waiver (HCB) processing center (PC) located in Poplar Bluff, MO.

The IM-54A has been revised to ensure the form is returned to the HCB PC.  The form now includes the Poplar Bluff HCB PC:

The Department of Health and Senior Services (DHSS), Division of Senior and Disability Services (DSDS) will complete the assessment and return it to the HCB PC.

NECESSARY ACTION:

JG/HA


2015 Memorandums