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Transitional MO HealthNet (TMH)

Tools #

 

Guidance #

NOTE: During the COVID Unwind, until the TMH Quarterly Report is restarted, utilize MEDES UPDATE – IC – Grant TMH Coverage (05/23/2024) to grant TMH.

 

During the Adverse Action (AA) period, the benefits the participant(s) will receive after the AA period display in the Determinations sub-tab of the Product Delivery Case.

The Eligibility Timeline displays the benefits the participant(s) are receiving during the AA period.

 

Step 1: Is a participant reporting a new source of income or increase in earned income non-timely?

Step 2: Are you working with a participant receiving MO HealthNet for Families who is reporting a new source of income or increase in earned income?

Step 3: Are you working with a Transitional MO HealthNet quarterly report form?

Step 4: Has a case action resulted in an Incorrect Transitional MO HealthNet determination?

 

Comment/Note #

HOH Person Page Label: TMH Income Reported

Comment Body: Documentation of the TMH quarterly report should be entered on the TMH Income Reporting Evidence. This should include the date the form was returned to FSD completed fully.  Also include when the participant reported the income change to FSD, when the income was discovered, which notices were sent to the participant,  when the notices were sent, Income Evidence, Income source, start/stop date(s) and information pertaining to the calculation. See the CCIU guide, HOH person page notes section for more information or MEDES Notes and Comments SOP for more guidance

 

HOH Person Page Label: Incorrectly Granted TMH Coverage

Comment Body: Case action taken, participants incorrectly granted TMH coverage, and the start and end dates of TMH coverage.

 

Evidence Note: If Reasonable Compatibility is used comment on the results and location in the ECM into the HoH Page Tab > Client Contact Subtab > Notes

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