Family Healthcare
- Table of Contents -

td>
0905.000.00 MEDICAL ASSISTANCE FOR FAMILIES (MAF) Obsolete
0905.005.00 LEGAL BASIS (MAF) Obsolete
0905.010.00 ELIGIBILITY REQUIREMENTS (MAF) Obsolete
0905.010.05 Social Security Number (SSN) Obsolete
0905.010.05.05 Failure to Complete a SSN Application or Furnish a SSN Obsolete
0905.010.10 Age Of Child (MAF) Obsolete
0905.010.15 Relationship Of Caretaker To Child (MAF) Obsolete
0905.010.20 Child Living In The Home Of Caretaker (MAF) Obsolete
0905.010.25 Residence (MAF) Obsolete
0905.010.30 Citizenship And Alien Status (MHF) Obsolete
0905.010.30.05 Qualified Alien (MAF) Obsolete
0905.010.30.10 Qualified Aliens Entering Prior To 8/22/96 Obsolete
0905.010.30.15 Qualified Aliens Entering After 8/22/96 Obsolete
0905.010.30.15.05 Iraq and Afghan Special Immigrants 12/30/08 Obsolete
0905.010.30.15.10 Eligibility 12/30/08 Obsolete
0905.010.30.15.15 Verification 12/30/08 Obsolete
0905.010.30.15.20 FAMIS Entry 12/30/08 Obsolete
0905.010.30.20 Non-Qualified Alien (MAF) Obsolete
0905.010.30.25 Documentation and Verification of Citizen or Alien Status Obsolete
0905.010.35 Assignment Of Medical Support (MAF) Obsolete
0905.010.40 Cooperation In Pursuit Of Medical Support (MAF) Obsolete
0905.010.40.05 Referral To DCSE (MAF) Obsolete
0905.010.40.10 Cooperation and Referrals When Adding Children (MAF) Obsolete
0905.012.00 Need (MAF) Obsolete
0905.012.05 Dependent Child (MAF) Obsolete
0905.012.10 Assistance Group (MAF) Obsolete
0905.012.10.05 Assistance Group Mandatory Persons Include: Obsolete
0905.012.10.10 Assistance Group Mandatory Exclusions (MAF) Obsolete
0905.012.10.15 Assistance Group Optional Inclusions (MAF) Obsolete
0905.012.15 Minor Parent Assistance Group Provision (MAF) Obsolete
0905.012.20 Deeming Income From A Minor Parent's Parent (MAF) Obsolete
0905.012.25 Non-Parent Caretaker Relative (MAF) Obsolete
0905.012.30 Legal Guardian (MAF) Obsolete
0905.012.35 Stepparent Cases (MAF) Obsolete
0905.012.40 Eighteen-Year-Olds Not Attending School  (MAF) Obsolete
0905.012.45 SSI Children (MAF) Obsolete
0905.012.50 Child Support Disregard Obsolete
0905.012.55 Need Standard Obsolete
0905.012.55.05 Gross Income Limit Obsolete
0905.012.55.10 Eligibility Based On Need Obsolete
0905.012.55.15 Net Income Limit Test Obsolete
0905.012.60 Income Obsolete
0905.012.60.05 Sources of Earned and Unearned Income Obsolete
0905.012.60.10 Computing Income Obsolete
0905.012.60.15 Patterns of Income Examples Obsolete
0905.012.60.20 Treatment of Specific Types of Income Obsolete
0905.012.65 Overhead Expenses of Producing Income Obsolete
0905.012.70 Earned Income Disregards Obsolete
0905.012.70.05 Standard Work Exemption Obsolete
0905.012.70.10 $30 Plus 1/3 of Earned Income Disregard Obsolete
0905.012.70.15 $30 Earned Income Disregard Obsolete
0905.012.70.20 Child/Incapacitated Parent Care Costs Obsolete
0905.012.70.25 State Payment of Child Care Costs Obsolete
0905.012.75 Income Excluded Obsolete
0905.012.75.05 Gain or Benefit Not in the Form of Money Obsolete
0905.012.75.10 Earnings of Children and Parents Under Age 19 Obsolete
0905.012.75.12 Ricky Ray Hemophilia Fund Obsolete
0905.012.75.15 Supplementary Assistance Obsolete
0905.012.75.20 Volunteer Income Obsolete
strike0905.012.75.25 Loans/Grants/Scholarships Obsolete
0905.012.75.30 Indian or Alaskan Native Payments Obsolete
0905.012.75.35 Governmental Payment Obsolete
0905.012.75.40 Other Income Obsolete
0905.012.75.45 Income from Job Corps Obsolete
0905.012.75.50 Budgeting Job Corps Income Obsolete
0905.012.80 Social Security Cost of Living Adjustment (COLA) Disregard Obsolete
0905.015.00 MHF HEALTHCARE COVERAGE (MAF) Obsolete
0905.015.05 Prior Quarter (MAF) Obsolete
0905.015.05.05 Prior Quarter (MAF Pregnant Women) Obsolete
0905.015.10 MHF HEALTHCARE COVERAGE END DATE ON CLOSINGS Obsolete
0905.020.00 PROMPT DISPOSITION (MAF) Obsolete
0905.025.00 REVIEWS AND INTERIM CONTACTS (MAF) Obsolete
0905.025.01 Annual Review (MAF) Obsolete
0905.025.05 Combination MAF and Temporary Assistance Cases Obsolete
0905.025.10 Earned Income Closings (MAF) Obsolete
0905.025.15 Voluntary Withdrawals Obsolete
0905.025.16 MAF / MHF Closing Review Procedures Obsolete
0905.025.16.05 Ex Parte Review Obsolete
0905.025.16.10 Pre-Closing Review Obsolete
0905.025.16.15 Eligibility Exists Under Another Category Obsolete
0905.025.16.20 No Other Eligibility Exists Obsolete
0905.025.20 Adding A Person (MAF) Obsolete
0905.030.00 LOCATION OF CASE RECORDS Obsolete
0910.000.00 TRANSITIONAL MEDICAL ASSISTANCE (TMA)
0910.005.00 LEGAL BASIS (TMA)
0910.010.00 ELIGIBILITY FOR INITIAL SIX MONTHS (TMA)
0910.010.05 Receipt Of MAF In Three Of Last Six Months (TMA)
0910.010.10 Eligible Family Members (TMA)
0910.010.15 Caretaker Relative (TMA)
0910.010.20 Notification Of Initial TMA Eligibility
0910.015.00 ELIGIBILITY DURING FIRST SIX MONTHS (TMA)
0910.020.00 ELIGIBILITY DURING THE SECOND SIX MONTH PERIOD (TMA)
0910.025.00 QUARTERLY REPORT REQUIREMENTS (TMA)
0910.025.05 Quarterly Report Completeness (TMA)
0910.025.10 Good Cause For Failure To Return Quarterly Report (TMA)
0910.030.00 BUDGETING FOR INCOME ELIGIBILITY (TMA)
0910.030.05 Income Eligibility For ETMA
0910.035.00 ELIGIBILITY FOR ADDITIONAL HOUSEHOLD MEMBERS (TMA)
0910.040.00 COOPERATION IN PURSUIT OF MEDICAL SUPPORT (TMA)
0910.045.00 UNTIMELY REPORT OF OR ACTION ON CHANGE (TMA)
0910.045.05 Change Not Reported Timely (TMA)
0910.045.10 Change Not Acted Upon Timely (TMA)
0910.050.00 ELIGIBILITY FOR OTHER MHF PROGRAMS WHEN TMA ENDS
0910.050.05 Loss Of TMA Eligibility After Six Months
0910.050.05.05 Reinstatement Of TMA Eligiblity For Six Month Closings
0910.050.10 Suspended TMA Eligibility
0910.050.10.05 Reinstatement Of Individuals Suspended On TMA
0910.050.15 Ex-Parte Review
0910.050.15.05 Action Necessary For 12 Month Closings
0910.050.15.10 Action Necessary For 6 Month Closings
0910.050.15.15 Action Necessary For Cases Due To Convert To ETMA
0910.050.20 Pre-Closing Review
0910.050.20.05 No Response From Client
0910.050.20.10 Response From Client
0910.050.20.15 Eligibility Established For Another Category
0910.050.20.20 Ineligible For Another Category
0910.050.20.25 Appeals
0910.055.00 EXTENDED TRANSITIONAL MEDICAL ASSISTANCE (ETMA)
0910.055.05 Completion Of The Initial 12 Months Of TMA (ETMA)
0910.055.10 Employment (ETMA)
0910.055.15 Uninsured (ETMA)
0910.055.20 Income (ETMA)
0910.055.25 Eligible Child In The Home (ETMA)
0910.055.30 MHF Healthcare Coverage (ETMA)
0910.055.35 System Changes (ETMA)
0910.055.40 Notification Of Extension (ETMA)
0910.055.45 Notification Of Ineligibility For Extension (ETMA)
0910.055.50 Children On TMA Cases Being Extended (ETMA)
0910.055.55 Children On TMA Cases Not Being Extended (ETMA)
0915.000.00 EXTENDED MAF ON SUPPORT CLOSINGS Obsolete
0915.005.00 ELIGIBILITY (Extended MAF Support Closings) Obsolete
0915.005.05 Assistance Group for Support Closings Obsolete
0915.005.10 Individual Eligible for MHF (Extended MAF Support Closings) Obsolete Obsolete
0915.010.00 FOUR-MONTH EXTENSION ON SUPPORT CLOSINGS Obsolete
0915.015.00 NOTIFICATION REQUIREMENTS ON MAF SUPPORT CLOSINGS Obsolete
0915.020.00 CASE BECOMES MAF ELIGIBLE Obsolete
0920.000.00 MHF FOR CHILDREN (MHF) Obsolete
0920.005.00 LEGAL BASIS (MHF) Obsolete
0920.010.00 ELIGIBILITY REQUIREMENTS (MHF) Obsolete
0920.010.05 Social Security Number (MHF) Obsolete
0920.010.10 Age Of Child (MHF) Obsolete
0920.010.15 Residence (MHF) Obsolete
0920.010.20 Citizenship And Alien Status (MHK) Obsolete
0920.010.25 Assignment Of Medical Support (MHF) Obsolete
0920.010.30 Cooperation In Pursuit Of Medical Support (MHF) Obsolete
0920.010.30.05 Referral To DCSE (MHF) Obsolete
0920.010.30.10 Cooperation and Referrals When Adding Children (MHF) Obsolete
0920.010.35 Need (MHF) Obsolete
0920.010.35.05 Assistance Group (MHF) Obsolete
0920.010.35.10 SSI/SAB Income (MHF) Obsolete
0920.010.35.15 Budget Procedure MHF NON-CHIP (MHF) Obsolete
0920.010.35.20 Social Security Cost of Living Adjustment (COLA) Disregard Obsolete
0920.015.00 MHF HEALTHCARE COVERAGE FOR NON-CHIP CHILDREN Obsolete
0920.015.05 Prior Quarter (Non-CHIP) Obsolete
0920.015.10 MHF HEALTHCARE COVERAGE END DATE ON CLOSINGS (NON-CHIP) Obsolete
0920.020.00MHF ELIGIBILITY FOR CHIP CHILDREN (MHF) Obsolete
0920.020.05 Uninsured (MO HealthNet for Kids) Obsolete
0920.020.05.05 HIPP Effect on Uninsured Status (MHF) Obsolete
0920.020.05.10 Health Insurance Definition (MO HealthNet for Kids) Obsolete
0920.020.05.15 Good Cause For Dropping Insurance Obsolete
0920.020.05.20 Special Healthcare Needs Exception for CHIP Obsolete
0920.020.10 Access To Affordable Health Insurance Obsolete
0920.020.10.05 Affordable Insurance Definition Obsolete
0920.020.10.10 Employer Sponsored Insurance Obsolete
0920.020.10.15 Private Insurance Obsolete
0920.020.15 Payment Of Premium Obsolete
0920.020.15.05 Failure To Pay Premium After Coverage Begins Obsolete
0920.020.15.10 Failure To Pay Initial Premium Obsolete
0920.020.20 Income Limits For CHIP Children Obsolete
0920.020.25 Net Worth Obsolete
0920.020.30 MHF Healthcare Coverage For CHIP Children Obsolete
0920.020.30.05 Restrictions on Healthcare Services (CHIP) Obsolete
0920.020.30.10 MHF HEALTHCARE COVERAGE END DATE ON CLOSINGS (CHIP) Obsolete
0920.025.00 MHF UNINSURED CUSTODIAL PARENTS Obsolete
0920.025.30 MHF Healthcare Coverage For Custodial Parents Obsolete
0920.025.30.05 Restrictions on Healthcare Services (CP) Obsolete
0920.030.00 APPLICATION PROCEDURES (MHF Children) Obsolete
0920.030.05 Levels of Care (MHF Children) Obsolete
0920.030.10 Premium Group Special Procedures Obsolete
0920.030.15 Prompt Disposition (MHF) Obsolete
0920.035.00 REVIEWS (MHF Children) Obsolete
0920.040.00 INTERIM CHANGES (MHF Children) Obsolete
0920.040.05 Adding A Person (MHF Children) Obsolete
0920.045.00 NOTICES AND CLOSINGS FOR NON-PAYMENT OF PREMIUM Obsolete
0925.000.00 MHF FOR PREGNANT WOMEN Obsolete Obsolete
0925.005.00 LEGAL BASIS (MPW) Obsolete
0925.010.00 ELIGIBILITY REQUIREMENTS (MPW) Obsolete
0925.010.05 Pregnancy Obsolete
0925.010.10 Social Security Number (MPW) Obsolete
0925.010.15 Residence (MPW) Obsolete
0925.010.20 Citizenship And Alien Status (MPW) Obsolete
0925.010.25 Need (MPW) Obsolete
0925.010.25.05 Income Limits (MPW) Obsolete
0925.010.25.10 Assistance Group (MPW) Obsolete
0925.010.25.15 SSI/SAB Income (MPW) Obsolete
0925.010.25.20 Social Security Cost of Living Adjustment (COLA) Disregard Obsolete
0925.020.00 MHF HEALTHCARE COVERAGE (MPW) Obsolete
0925.020.05 Prior Quarter (MPW) Obsolete
0925.020.10 Postpartum Coverage Obsolete
0925.020.15 Coverage When Application Is Made After The Birth (MPW) Obsolete
0925.025.00 CONTINUOUS ELIGIBILITY FOR PREGNANT WOMEN Obsolete
0925.025.05 Pregnant Women Losing Eligibility For Other MHF Programs Obsolete
0925.030.00 DUAL ELIGIBILITY - GENERAL RELIEF AND MPW Obsolete
0925.035.00 IDENTIFYING THE TYPE OF MPW ASSISTANCE Obsolete
0925.040.00 PRIORITY/REINVESTIGATIONS (MPW) Obsolete
0925.045.00 CASE MANAGEMENT SERVICES Obsolete
0925.050.00 EXTENDED WOMEN'S HEALTH SERVICES (EWHS) Obsolete
0925.050.05 Covered Women's Health Services (EWHS) Obsolete
0925.050.10 Eligibility for Other MO HealthNet Programs (EWHS) Obsolete
0925.050.15 No Longer in Need of Family Planning Services Obsolete
0925.050.20 System Processes (EWHS) Obsolete
0925.050.20.05 Notification of Extension (EWHS) Obsolete
0925.050.20.10 Notification of Ineligibility for Extension Due To Insurance (EWHS) Obsolete
0927.000.00 UNINSURED WOMEN’S HEALTH SERVICES PROGRAM (UWHS) Obsolete
0927.005.00 LEGAL BASIS Obsolete
0927.010.00 Eligibility Requirements (UWHS) Obsolete
0927.010.05 Age (UWHS) Obsolete
0927.010.10 Social Security Number (UWHS) Obsolete
0927.010.15 Residence (UWHS) Obsolete
0927.010.20 Citizenship and Alien Status (UWHS) Obsolete
0927.010.25 Need (UWHS) Obsolete
0927.010.25.05 Income Limits (UWHS) Obsolete
0927.010.25.10 Assistance Group (UWHS) Obsolete
0927.010.25.15 Need Standard Obsolete
0927.010.25.20 Eligibility Based On Need Obsolete
0927.010.25.25 Net Income Limit Test Obsolete
0927.010.30 Available Resources (UWHS) Obsolete
0927.010.30.05 Real Property Obsolete
0927.010.30.10 Personal Property Obsolete
0927.010.30.15 Cash and Securities Obsolete
0927.010.30.20 Life Insurance, Prepaid Burials and Burial Funds Obsolete
0927.010.35 Uninsured (UWHS) Obsolete
0927.010.35.05 HIPP Effect on Uninsured Status (UWHS) Obsolete
0927.010.35.10 Health Insurance Definition (UWHS) Obsolete
0927.010.40 No Access to Employer Sponsored Insurance (UWHS) Obsolete
0927.010.45 Ineligible for Any Other MO HealthNet Program (UWHS) Obsolete
0927.015.00 Healthcare Coverage (UWHS) Obsolete
0927.015.05 UWHS HEALTHCARE COVERAGE END DATE Obsolete
0927.020.00 PROMPT DISPOSITION (UWHS) Obsolete
0927.025.00 Reinvestigations (UWHS) Obsolete
0927.030.00 Exparte Process
0927.035.00 Exploring UWHS Eligibility for Age Eligible Women When No Longer Eligible for Any Other MO HealthNet Program Obsolete
0930.000.00 NEWBORN CHILDREN-AUTOMATIC MHF ELIGIBILITY Obsolete Obsolete
0930.005.00 LEGAL BASIS (Newborns) Obsolete
0930.010.00 ELIGIBILITY (Newborns) Obsolete
0930.010.05 Notification Of Birth (Newborns) Obsolete
0930.010.10 Assignment of DCN Obsolete
0930.010.15 Verification Of Birth
0930.010.20 Approve The Child With Appropriate Level Of Care Obsolete
0930.010.25 Eligibility Dates Obsolete
0930.015.00 PROCEDURES AFTER CHILD ADDED (NEWBORNS) Obsolete
0930.015.05 Newborn's Eligibility for Other Programs Obsolete
0930.020.00 REINVESTIGATIONS (NEWBORNS) Obsolete
0930.025.00 CASE MANAGEMENT SERVICES Obsolete
0935.000.00 MHF FOR UNINSURED NON-CUSTODIAL PARENTS (NCP)
0935.005.00 LEGAL BASIS (NCP)
0935.010.00 ELIGIBILITY REQUIREMENTS (NCP)
0935.010.05 Uninsured (NCP)
0935.010.10 Income (NCP)
0935.010.15 Child Support Is Current (NCP)
0935.010.20 Social Security Number (NCP)
0935.010.25 Residence (NCP)
0935.010.30 Citizenship/Alien Status (NCP)
0935.015.00 TWENTY-FOUR MONTH LIMIT (NCP)
0935.020.00 MHF HEALTHCARE COVERAGE (NCP)
0935.020.05 Restrictions on Healthcare Services (NCP)
0935.025.00 APPLICATION PROCEDURES (NCP)
0935.025.05 IMU5 System Entries (NCP)
0935.025.10 Prompt Disposition (NCP)
0935.030.00 REVIEWS (NCP)
0935.035.00 INTERIM CHANGES (NCP)
0940.000.00 MHF FOR PARENTS' FAIR SHARE PARTICIPANTS (PFS)
0940.005.00 LEGAL BASIS (PFS)
0940.010.00 ELIGIBILITY REQUIREMENTS (PFS)
0940.010.05 Uninsured (PFS)
0940.010.10 Participating In Parents' Fair Share
0940.010.15 Social Security Number (PFS)
0940.010.20 Residence (PFS)
0940.010.25 Citizenship/Alien Status (PFS)
0940.015.00 MHF HEALTHCARE COVERAGE (PFS)
0940.015.05 Restrictions on Healthcare Services (PFS)
0940.020.00 APPLICATION PROCEDURES (PFS)
0940.020.05 IMU5 System Entries (PFS)
0940.020.10 Prompt Disposition (PFS)
0940.025.00 CHANGES ON ACTIVE CASES (PFS)
0945.000.00 TEMPORARY MEDICAID DURING PREGNANCY (TEMP) PROGRAM Obsolete
0945.005.00 LEGAL BASIS AND OVERVIEW Obsolete
0945.010.00 QUALIFIED PROVIDER Obsolete
0945.015.00 FSD COUNTY OFFICE RESPONSIBILITY Obsolete
0945.020.00 TEMP FORMS Obsolete
0945.025.00 ITMP SYSTEM Obsolete
0945.030.00 ITMP INTERACTION WITH IM SYSTEM
0945.035.00 HEARING RIGHTS Obsolete
0945.040.00 RESTRICTION OF MEDICAID BENEFITS FOR TEMP RECIPIENTS Obsolete
0945.045.00 NEWBORNS NOT ELIGIBLE UNDER TEMP Obsolete
0945.050.00 BEGINNING ELIGIBILITY DATE -- PRIOR QUARTER COVERAGE Obsolete
0945.055.00 RESPONSIBILITY FOR TRAINING QUALIFIED PROVIDERS
0950.000.00 PRESUMPTIVE ELIGIBILITY (PE) FOR CHILDREN PROGRAM Obsolete
0950.005.00 LEGAL BASIS AND OVERVIEW Obsolete
0950.010.00 QUALIFIED ENTITY Obsolete
0950.010.05 QUALIFIED ENTITY RESPONSIBILITIES Obsolete
0950.010.05.05 QE RESPONSIBILITY WHEN CHILDREN FOUND PRESUMPTIVELY ELIGIBLE Obsolete
0950.010.05.10 QE RESPONSIBILITY WHEN CHILDREN ARE NOT FOUND PRESUMPTIVELY ELIGIBLE Obsolete
0950.015.00 MO HEATHNET SERVICE CENTER RESPONSIBILITIES
0950.020.00 FSD COUNTY OFFICE RESPONSIBILITIES Obsolete
0950.020.05 RESPONSIBILITY FOR TRAINING QUALIFIED PROVIDERS Obsolete
0950.020.10 COURTESY APPLICATIONS Obsolete
0950.030.00 ENTERING PRESUMPTIVE ELIGIBILITY DETERMINATIONS Obsolete
0950.030.05 PRESUMPTIVELY ELIGIBLE Obsolete
0950.030.10 PRESUMPTIVELY INELIGIBLE Obsolete
0950.040.00 EFFECT OF MO HEALTHNET ELIGIBILITY DECISION Obsolete
0950.050.00 PRESUMPTIVE ELIGIBILITY FOR CHILDREN FORMS Obsolete
0950.060.00 HEARING RIGHTS Obsolete
0950.070.00 MO HEALTHNET BENEFITS FOR PRESUMPTIVELY ELIGIBLE CHILDREN Obsolete
0950.080.00 NO AUTOMATIC NEWBORN COVERAGE Obsolete
0950.090.00 BEGINNING ELIGIBILITY DATE - PRIOR QUARTER COVERAGE  Obsolete
0955.000.00 MEDICAL ASSISTANCE FOR CHILDREN IN CARE (MACC)
0955.005.00 ELIGIBILITY REQUIREMENTS (MACC)
0955.005.05 INSTITUTIONAL CARE AND LIVING ARRANGEMENTS (MACC)
0955.005.10 FINANCIAL NEED (MACC)
0955.005.15 DMH/DYS/JUVENILE COURT FINANCIAL RESPONSIBILITY
0955.005.20 RESOURCES (MACC)
0955.005.25 RESIDENCE (MACC)
0955.005.30 CITIZENSHIP AND ALIEN STATUS (MACC)
0955.005.35 SOCIAL SECURITY NUMBER (MACC)
0955.005.40 AGE (MACC)
0955.005.45 RELATIONSHIP OF PAYEE TO CHILD (MACC)
0955.010.00 MEDICAID COVERAGE (MACC)
0955.010.05 PRIOR QUARTER (MACC)
0955.010.15 EARLY PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT (EPSDT)
0955.015.00 APPLICATION PROCEDURES (MACC)
0955.015.05 PROMPT DISPOSITION (MACC)
0955.015.10 INITIAL APPLICATION PROCESSING (MACC)
0955.015.15 CHILDREN FROM ACTIVE CASES TRANSFERRING TO MACC
0955.020.00 CLAIMANTS LEAVING AN ELIGIBLE LIVING ARRANGEMENTS