Cancel Close Quick Reference

When reviewing timeframes, date on EULOG is Day One.

Example: If EULOG shows closing date of March 10^th, thirty days later is April 8^th.

Guide: Changing an Adverse Action Status

Status of Case:

CLOSED

Agency Error

Participant Error

SNAP

When agency error is only reason case closed:

Within 60 days, cancel close on ACTRES.

After 60 days, contact FAMIS helpdesk to complete a cancel close.

If participant complies by the end of the month benefits were last received, cancel close on ACTRES. Participant compliance includes:

Completing interview (if applicable)
Providing all missing information (verification and forms)
Providing a completed, signed FA-546 MCR

NOTE: Sending an IM-2MCR to the participant for an incomplete MCR may extend the cancel close window past the end of the month benefits were last received. If the completed MCR is returned after the end of the month but before the IM-2MCR expires, cancel close on ACTRES

MHABD:
Non Spend Down

Note: The closing action date is the date the case closed, not the date the coverage ends.

When agency error is only reason case closed:

Within 30 days of closing action date, cancel close on ACTRES.

After 30 days past closing action date, register the application using the first day of the month following the last month of coverage.
- Complete WIBCA(s), if necessary, for every month the case was closed to ensure there is no gap in coverage.

Note: If participant also has QMB, make sure to follow QMB Cancel Close instructions in QMB section below.

If participant complies within 90 days of closing action date, follow the appropriate process below. Participant compliance includes:

Providing all requested information (verification and forms)
Providing FA-402 Annual Renewal (signature required)

Days 1-90:

Do not cancel close the case.
Register new application using the date the information of the FA-402 Annual Renewal (signature required), was provided as the new application date.
Explore eligibility in Prior Quarter (PQ) months if there is a lapse in coverage and the participant attests to unpaid medical bills.

Days 91+:

The reconsideration period does not apply.
Send an Informed Received Outside Reconsideration Period (IM-IU90) notice.
Participant must complete IM-1MA to reapply.

MHABD:

Spend Down or TWHA

Note: The closing action date is the date the case closed, not the date the coverage ends.

When agency error is only reason case closed:

BPT sends a request to supervisor to request the cancel close. Include the name and DCN of participant and reason for the cancel close.
Supervisor reviews and verifies the case meets criteria for cancel close.
Supervisor forwards request to
- Accountability Team email
FSD.IM.ACCOUNTABILITY@DSS.MO.GOV for evaluation.

If participant complies within 90 days of closing action date, follow the appropriate process below. Participant compliance includes:

Providing all requested information (verification and forms)
Providing FA-402 Annual Renewal (signature required)

Days 1-90:

See Non Spend Down section above

Days 91+:

See Non Spend Down section above

MHABD:

QMB/SLMB

Note: The closing action date is the date the case closed, not the date the coverage ends.

When agency error is only reason case closed:

BPT sends a request to supervisor to request the cancel close. Include the name, DCN, IIVE claim number for the participant and reason for the cancel close.
Supervisor reviews and verifies the case meets criteria for cancel close.
Supervisor adds the case to the QMB/SLMB Cancel Close spreadsheet.
QMB/SLMB Cancel Close spreadsheet is sent to the Buy-In unit weekly at: MHD.Medicare-Buyin@dss.mo.gov

If participant complies within 90 days of closing action date, follow the appropriate process below. Participant compliance includes:

Providing all requested information (verification and forms)
Providing FA-402 Annual Renewal (signature required)

Days 1-90:

See Non Spend Down section above

Days 91+:

See Non Spend Down section above

MHABD:

Blind Pension

Do not take any action on BP/SAB cases, instead e-mail: Lincoln.CoDFS@dss.mo.gov & cc Kristin.D.Gentry@dss.mo.gov with the details of the action(s) required.

Temporary Assistance

When agency error is only reason case closed:

Within 60 days, cancel close on ACTRES.
After 60 days FAMIS will not allow. BPT will register a new application using the original application date.

If participant complies within 30 days of closing action, cancel close on ACTRES. Participant compliance includes:

Completing interview (if applicable)
Providing all missing information (verification and forms)
- Note: If participant has reached the Lifetime Limit in the month the case closed, then a cancel close is not allowed.

MAGI

Note: The closing action date is the date the case closed, not the date the coverage ends.

When agency error is only reason case closed:

If cross trained, all staff process Cancel Reject / Cancel Close in MEDES – IM Resources (mo.gov)

If not cross trained:
- Customer Service Center: Transfer to Automated Health Services (contracted staff)
- Resource Center: Forward to supervisors to process

If participant complies within 90 days of closing action date, follow the appropriate process below. Participant compliance includes:

Providing all requested information (verification and forms)
Providing IM-1U Annual Renewal (signature required)

Days 1-90:

Do not cancel close the case.
Register a new application using the date the information or IM-1U Annual Renewal form was provided as the new application date.
Explore eligibility in Prior Quarter (PQ) months if there is a lapse in coverage and the participant attests to unpaid medical bills.

If cross trained, all staff process 03 – Processing an Application Case

If not cross trained:
- Customer Service Center: Transfer to Automated Health Services (contracted staff)
- Resource Center: Forward to supervisors to process

Days 91+:

The reconsideration period does not apply.
Send an Information Received Outside Reconsideration Period (IM-1U90) notice.
Participant must complete IM-1SSL to reapply