MEMORANDUM

2017 Memorandums

IM-#116, 8/30/2017

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:
INTRODUCTION OF THE MO HEALTHNET ELIGIBILITY REVIEW FORM (FA-402)
FORMS MANUAL REVISION #11
FA-402 English
FA-402 Spanish

DISCUSSION:

This memorandum is to notify staff of the addition of the FA-402 MO HealthNet Eligibility Review Information form to the IM Forms Manual.  FAMIS currently systematically generates the FA-402 annually to active participants of all MO HealthNet Adult programs.  FAMIS will continue to generate the FA-402.  A hard copy manual version of the FA-402 is being made available to staff for easy access if needed.

The IM-2D Review- Eligibility Statement and the IM-2 MOD Eligibility Reinvestigation forms are now obsolete.

The FA-402 is available in the Forms Manual.

NECESSARY ACTION:

PL/vm


2017 Memorandums