MEMORANDUM

2017 Memorandums

IM-#23; 3/9/17

DEPARTMENT OF SOCIAL SERVICES
FAMILY SUPPORT DIVISION
PO BOX 2320
JEFFERSON CITY, MISSOURI
TO:
ALL FAMILY SUPPORT DIVISION OFFICES
FROM:
PATRICK LUEBBERING, ACTING DIRECTOR
SUBJECT:
NEW IM1-SSL SUPPLEMENTAL FORM AND PARTICIPANT SUPPLEMENTAL FORM LETTER FOR ONLINE MO HEALTHNET FOR THE AGED, BLIND, AND DISABLED APPLICATIONS WITH MO HEALTHNET FOR FAMILIES COVERAGE NEED
FORMS MANUAL #2 

DISCUSSION:

When participants submit a MO Web Application for the MO HealthNet for the Aged, Blind or Disabled program, but indicate a MO HealthNet for Families program need such as pregnancy or coverage for an individual who does not claim to be aged, blind or disabled, staff will send:

On the Participant Supplemental Form Letter, staff will need to:

NOTE:  The due date will be 15 days after the date of the letter. If the due date falls on a weekend or holiday, the due date should reflect the following business day.

Applicants are instructed to send completed IM1-SSL Supplemental forms and accompanying paperwork to the Joplin Processing Center.

NECESSARY ACTION:

ATTACHMENTS:

PL/kp


2017 Memorandums