Complete a Manual Review

Following the guidelines of the Affordable Care Act (ACA), Family Support Division must re-determine annually the eligibility of participants in Missouri Eligibility and Determination System (MEDES) receiving certain MO HealthNet (MHF, MHK, CHIP, UWHS) benefits.

When the MEDES Auto Renewals batch process is not able to automatically renew the household, a case is pushed to manual renewals; the system triggers a pre-populated IM-1U to be sent to the participant.

Upon receipt of the completed IM-1U, the ES must Begin a Manual Renewal to ensure automatically generated tasks and notices are discarded by the system.

See 15.1 MO HealthNet Renewals

NOTE: You must complete the process Begin a Manual Renewal to properly add a new certification period. If the certification period has ended, please review Timely Reporting of IM-1U user guide before completing the manual renewal.

TO COMPLETE A MANUAL RENEWAL

  1. Make all necessary Evidence changes
    1. Update evidence using all applicable user guides
    2. To update Income Evidence from a returned IM-1U only:
      1. End date the old income evidence on the last day of the month prior to receipt of the IM-1U.
      2. Following the Create Ongoing Income user guide, create ongoing income beginning the first day of the month the IM-1U is received.
  2. Verify all Outstanding Evidence
  1. Apply Changes, Check Proposed Determination, Finalize Proposed Determination

NOTE: MEDES may generate an additional proposed determination, especially in cases with income changes, adding a person, or removing a person. Follow the steps to Apply Changes, Check Proposed Determination, Finalize Proposed Determination to complete the renewal.