Using MEDES
Background information related to the Missouri
Eligibility Determination and Enrollment System
(MEDES)
Brian Kinkade, Director, Missouri Department of Social Services
Alyson Campbell, Director, Missouri Family Support Division
1
Table of Contents
 Overview – page 3
 Background – page 6
 Implementation of New Requirements – page10
 Using the New System – page 16
 Helping Others Use the New System – page 20
 Authorized Representatives – page 25
 Presumptive Eligibility Update – page 39
 Transferring Records from FAMIS to MEDES – page 41
 Implementing Non-MAGI Medicaid – page 43
 Medical Review Team Update – page 45
 Attachments – page 46
2
Overview
3
Overview
 Basic information on the three phases of the planned implementation of
the new system and the reorganization of the Family Support Division;
 Information to assist the new Modified Adjusted Gross Income (MAGI)
Medicaid population to complete the new single streamlined application;
 Information to support those who help applicants complete the new
MEDES application; and,
 Information related to the eligibility processes for other populations and
programs sharing this eligibility determination platform, including
resource limit requirements and income standards.
4
Background
5
Background: What Is Medicaid?
 Medicaid is a joint federal-state program
 Covers a broad range of medically necessary health care and
long-term care services for certain low income populations.
 The Missouri Department of Social Services (DSS) administers
the program in a partnership with the federal Centers for
Medicare and Medicaid Services (CMS).
 Eligibility determinations are made by the Family Support
Division (FSD).
 The Medicaid program is administered by the MO HealthNet
Division (MHD).
6
Background: What is MAGI?
 Modifications to income include: (“total income less allowable tax
deductions and credits), modified by adding back
 (i) any foreign earned income or housing costs ; and
 (ii) tax-exempt interest received or accrued by the taxpayer.”
 “The term ‘household income’ means the MAGI of the
individual plus the MAGI of other individuals in the
household who are required to file tax returns.”
 A resource limit is not imposed for MAGI applicants
7
Background: New Requirements
 The Affordable Care Act (ACA) requires states to modernize their
eligibility and enrollment systems to:
 Allow a single streamlined application to serve as a single gateway to
multiple health and human service programs across multiple IT
platforms;
 Accept applications through a public web portal and in person, by mail,
or by phone;
 Make real-time eligibility determinations;
 Be paperless and available 24/7
 Be transparent and seamless to the applicant
8
 Maximize the consumer’s ability to complete the application process
Background: New Requirements
 Beginning in 2014 FSD must use new MAGI rules to process all applications for
parents, caregivers, pregnant women and children
 2014 – 2015 – FSD will be phasing out its old eligibility determination system
known as the Family Assistance Management Information System (FAMIS)
 During that period eligibility for beneficiaries will be transitioned by FSD to the
new Missouri Eligibility Determination and Enrollment System (MEDES); and,
 During that period and beyond, processing of applications will occur at designated
offices that specialize in specific case determinations.
9
Implementation of New
Requirements
10
Implementation of New Requirements: Project Phases
 Project I – incorporating Medicaid parents, caregivers and children
(the new MAGI population) into the new system
 Launch date: July 2013
 Expected completion date: September 2014
 Project II – incorporating the Medicaid aged, blind and disabled
populations into the new system
 Launch date: May 2014
 expected completion date: August 2015
 Project III – incorporating the Supplemental Nutrition Assistance
Program (SNAP), Temporary Assistance to Needy Families (TANF)
and other human service programs into the new system
 Launch date: October 2014
 Expected completion date: September 2015
11
Implementation of New Requirements: Electronic
Verifications
 Remote ID Proofing – Launch date: Not yet determined
 Federal Hub Verifications:
 Legal presence – operational
 Incarceration status – operational
 Social Security Administration – operational
 IRS Income Verification – pending
 Confirmation of Minimum Essential Coverage (MEC) – operational
 State database verification real time – pending
 Account Transfers from the Federally Facilitated Marketplace (FFM) – operational
 Account Transfers to the FFM – pending
12
Implementation of New Requirements:
Electronic Verifications
 Once all electronic verifications are in place we
anticipate that eligibility determinations will be made
real time
 We anticipate that a significant part of the volume will be
processed without the intervention of a caseworker
 Caseworkers will use the caseworker portal to adjudicate
claims
13
Implementation of New Requirements: FSD
Reorganization
 Missouri is in the process of transitioning from a local county office
structure where all offices provide a full range of services to a more
specialized structure where some local offices will be organized to
process only a specific type of case.
 These specialized offices will be identified by the type of eligibility
determination assigned to them.
 Initially FSD will establish 10 MAGI Processing Centers
 Later FSD will add the following specialized processing centers:
 Non-MAGI Medicaid Processing Centers – 8
 SNAP/Food Stamp Processing Centers – 5
 TANF Processing Centers – 1
14
Implementation of New Requirements: FSD
Reorganization
 The MAGI Processing Centers will be phased in beginning in late
2013, and throughout 2014, as existing MAGI populations are
transferred/converted from the existing FAMIS eligibility
determination system to the new MEDES system.
 When the reorganization is completed, every county will have a
local Resource Center.
 At these centers individuals may obtain general information and
submit applications for all programs that FSD administers.
15
Using the New System
16
Using the New System
 Applicants may complete an electronic MAGI application on-line at
www.mydss.mo.gov
 Paper applications are available over the internet or at local county
resource centers. Applicants may pick up and drop off a paper application
at any county resource center
 Applicants may mail paper applications to the MAGI processing centers
 Applicants may complete an application by phone by contacting FSD’s
contact center (this method will not be fully functional until September
2014)
17
Using the New System
 Missouri receives Account Transfers from the FFM which
allows applications to be transferred between the FFM and
state Medicaid programs
 MEDES is not yet sending Account Transfers to the FFM
 Missouri also confirms enrollment in Medicaid and other
Minimum Essential Coverage (MEC) for the FFM
18
Using the New System
 Public Web Portal: www.mydss.mo.gov
 The portal provides a MAGI calculator that allows visitors to the
web site to estimate whether they are eligible for Medicaid coverage
 If eligible for Medicaid, visitors to the portal will be able to
complete the single streamlined application online
 If not eligible for Medicaid, visitors to the portal will be able to
click on a link to connect to the FFM.
19
Helping Others Use the New
System
20
Helping others use the New System:
www.mydss.mo.gov
 If you are assisting a client who appears to be eligible for a subsidy
through the FFM, then click on the link to the FFM that is available on the
mydss web portal.
 Following are some of the choices that will be available to the client:
 Complete the single streamlined application through the FFM web portal (preferred
option);
 Create a “My Account” and return to the FFM web portal later to complete the single
streamlined application; or,
 Use the FFM Call Center to complete an application.
21
Helping others use the New System:
 Applicants who are eligible for Medicaid are encouraged to
use www.mydss.mo.gov to create a “MyAccount.”
 Password protected area where the Medicaid program and the
applicant can exchange important information regarding
Medicaid benefits and eligibility standards.
22
Helping others use the New System:
 Missouri’s consumer-centric system is designed to allow anyone to
provide assistance to potential Medicaid beneficiaries who:
 Are comfortable using internet web portals; and,
 Have access to the internet
 Agents, Brokers, Navigators, Certified Assistance Counselors,
provider employees who help patients complete Medicaid
applications and other assistors are invited by FSD to provide
assistance to potential Medicaid beneficiaries.
23
Helping others use the New System:
 Agents, Brokers, Navigators and Certified Assistance Counselors
are required to complete the section of the application indicating
they provided assistance to the applicant
 All Certified Application Counselors, Navigators, Agents and
Brokers are expected to comply with all applicable laws and
regulations
 Other individuals, including hospital and clinic employees
24
assisting patients with Medicaid applications, providing
assistance that includes establishing the “MyAccount” and
creating a password for the “MyAccount” shall complete the
“Authorized Representative” section of the application
Authorized Representatives
25
Authorized Representatives
 By checking the appropriate box on the electronic
application you can register as the patient’s Authorized
Representative.
 This status allows you to monitor the progress of the
application through the approval process.
 You will be authorized to receive copies of follow up communications
between DSS and the client until a final determination has been made and
any appeal period for the beneficiary has been exhausted. The original
documents are directed to the beneficiary’s household.
26
Authorized Representatives
 Hospital and Clinic employees who assist patients with Medicaid
applications should check the box indicating that they are an “Authorized
Representative” of the beneficiary when helping patients complete the
online application.
By checking this box:
27
Authorized Representatives
 After checking the Authorized Representative
box, you need to have the applicant sign FSD
form IM-6AR confirming that they have
designated you as their “Authorized
Representative.”
 Form IM-6AR must be submitted to FSD along
with other verifying and supporting documentation
 Form IM-6AR may be downloaded from:
http://dss.mo.gov/fsd/formsmanual/volume1/
28
Authorized Representatives
Process for downloading IM-6AR
 Click on link and go to FSD Forms Manual
 Scroll down to “IM-6AR”
 Click on “Word”
 Click on “Run”
 “The Publisher could not be verified” message appears
 Click on “Run”
 Eazy Zip Self-Extractor Box opens
 On line that reads “Extract to:” and click on box with “3 dots”
 Highlight Desktop as the area where the file should be downloaded and click “Ok”
 Click on “Start”
 Click on “Ok” after file is downloaded
 Closeout FSD Forms Manual
 Go to Desktop
 Double click on “im-6ar”
 Form opens
 Click in shaded area and complete form
 Have the applicant sign the IM-6AR
 File the IM-6AR along with other verifications by emailing to:
FSD.MEDES@dss.mo.gov
29
MISSOURI DEPARTMENT OF SOCIAL SERVICES
FAMILY SUPPORT DIVISION
APPOINTMENT OF AUTHORIZED REPRESENTATIVE
You do not need to sign this form to apply for or receive MO HealthNet benefits. You may contact the Family
Support Division to apply for benefits, complete your annual review, or conduct other business on your own; or
you may appoint an authorized representative to represent you, as provided by 42 CFR 435.908. To appoint an
authorized representative, you must complete this form and the person you appoint to be your authorized
representative must acknowledge and accept the appointment. Notwithstanding the availability of the
authorized representative, the Family Support Division may communicate directly with you as the
division may determine appropriate.
I,
TELEPHONE:
ADDRESS:
DCN or SSN:
hereby appoint:
NAME:
TELEPHONE:
ADDRESS:
to act as my authorized representative.
This individual is designated as my primary authorized representative to receive correspondence from the
Family Support Division:
YES
NO
The appointed individual will act with a responsibility and obligation to me for the following purpose:
APPLICATION
ANNUAL REVIEW
AGENCY ACTION
Division
The person I have appointed has knowledge of my circumstances necessary to complete an application,
annual review or act on my behalf and shall not willfully make a false statement, misrepresentation,
conceal information, or fail to report any fact or event required to be reported by any law, regulation or
rule of this State or the United States.
I understand that I am responsible for the information provided by my authorized representative,
including any information that may be incorrect.
APPLICANT/PARTICIPANT SIGNATURE
DATE
Acknowledgement and Acceptance of Appointment of Authorized Representative:
I,
TELEPHONE:
ADDRESS:
am age 18 or older and have knowledge of the applicant/participant’s circumstances necessary to complete an
application, annual review or agency action on their behalf. I shall not willfully make a false statement,
misrepresentation, conceal information, or fail to report any fact or event required to be reported by any law,
regulation or rule of this State or the United States.
I hereby accept this appointment of authorized representative for the duration and purpose stated above.
AUTHORIZED REPRESENTATIVE SIGNATURE
DATE
30
MO 866-2817 E 11/2012
IM-6AR
Authorized Representatives
 Hospital and Clinic employees who assist patients with Medicaid
applications will be asked: “Check the box if you are authorized to
receive copies of notifications and communications sent to household.”
By checking this box:
31
Authorized Representatives
 You will be required to complete the “Sign and
Submit” portion of the application in your name
rather than the name of the beneficiary.
 The two following slides illustrate that:
 Electronic applications are in the MEDES system as soon as
you hit sign and submit
 Paper applications have to go through several additional
steps before being entered in the MEDES system
32
33
34
New Slide
Authorized Representatives
 As an Authorized Representative you will be able to
electronically send along proof of identity, proof of
pregnancy, verification of income and other required
documentation by emailing such documentation to
FSD.MEDES@dss.mo.gov.
 Once your supporting documentation is received
a casework will open the application and affix the
supporting documentation to the case.
 At that point, if all required documentation is
35
present, the application will be approved.
Authorized Representatives
 Please reference the client’s name and
DCN or Social Security Number when
submitting supporting documentation.
 NOTE: Materials submitted by email must
be encrypted. When contacting MEDES
about specific applications it is important to
include the client’s name and DCN or
Social Security Number.
36
Authorized Representatives Submitting
Supporting Documentation:
 Submitting Supporting Documentation:
FSD.MEDES@dss.mo.gov
 Submitting Emergency Medicaid
Applications for Pregnant Women:
FSD.MEDES@dss.mo.gov
 Submitting Newborn applications:
FSD.MEDES@dss.mo.gov
 Text Telephone: 800-735-2966
 FAX: 573-751-0282
 Magi Processing Centers: 1-855-373-9994
 Link to Medicaid Application:
www.mydss.mo.gov
37
Authorized Representatives Submitting
Newborn Applications:
 Report newborns on excel spreadsheet that can be found at:
 http://dss.mo.gov/provider-services/health/hospital-report-
mohealthnet-newborn-coverage.xlsx
 Enter required information on spreadsheet
 Submit to FSD.MEDES@dss.mo.gov
38
Presumptive Eligibility
Update
39
Presumptive Eligibility Update
 State Plan Amendment Filed – March 31, 2014
 Regulation being drafted
 Application Design
 Process
 Standards
 Submit Presumptive Eligibility Applications To:
Presumptive.elig@dss.mo.gov
40
Transferring Records from
FAMIS to MEDES
41
Transferring Records from FAMIS to MEDES
 Applications will be processed using the new MAGI eligibility
rules as required by the ACA.
 As MAGI beneficiaries (parents, caregivers and children) who are already
enrolled in Medicaid through the FAMIS system interact with the new
system through redeterminations and changes in life events, their records
will be transferred from the FAMIS system to the new MEDES system.
 This will require caseworker intervention in one of the new MAGI
Processing Centers. As a result the new MEDES system will not be fully
automated until a beneficiary’s file has been moved to the new system.
It may take a full year to complete this process.
 Such caseworker intervention also will be required in cases where
newborns are being added to a Mother’s file that is located in the FAMIS
system. The Mother’s file may need to be moved to the new MEDES
system before the child is added to the file.
42
Implementing Non-MAGI
Medicaid
43
Implementing Non-MAGI Medicaid
 Non-MAGI populations will not be integrated into the new MEDES




44
eligibility system until Project II is completed August 2015
Processing of Non-MAGI Medicaid applications remains unchanged
If you are helping someone complete an application for coverage as
Non-MAGI Medicaid, you will still complete the single, streamlined
application.
You will be expected to check appropriate boxes indicating the applicant
is seeking assistance with one of the activities of daily living, etc.
Once you’ve completed the electronic application, it will be transferred
to the worker portal where a caseworker will compile the balance of the
information required for consideration for Non-MAGI coverage
Medical Review Team Update
For the period: 12/1/2011 through 3/20/2014:
Count of 1st
Request
57,954
45
Total
Percent
Unfilled
Unfilled
Within 30 Within 30
Days
Days
14,819
26%
Attachments
1.
2.
3.
4.
5.
46
Contact Information
Confidentiality
MAGI Medicaid
Non-MAGI Medicaid
Newborn Instructions and Excel Spreadsheet
Attachment 1
Contact Information
47
Contact Information:
Filing MAGI Applications Electronically:
 www.mydss.mo.gov
MAGI Processing Centers:
 1-855-373-9994
Mailing Address for MAGI Applications:
 PO Box 1010
Union, MO 63084
Link to Paper Application:
 http://dss.mo.gov/mhd
 Click on: MO HealthNet Application
 Then click on: Download and print the application
48
Contact Information:
Link to Newborn Form for Submitting Applications:
 http://dss.mo.gov/provider-services/health/hospital-report-
mohealthnet-newborn-coverage.xlsx
Submitting Newborn applications:
 FSD.MEDES@dss.mo.gov - (See Attachment 3 for instructions
related to filing newborn applications)
FAX:
 573-751-0282
Text Telephone:
 800-735-2966
49
Contact Information:
MHD Contact Information:
 MO HealthNet Division
615 Howerton Court
P.O. Box 6500
Jefferson City, MO 65102-6500
Telephone: 573-751-3425
Link to MO HealthNet Division:
 http://dss.mo.gov/mhd/
Frequently Asked Questions:
 https://mydss.mo.gov/CitizenPortal/FrequentlyAskedQuestionsPag
e.do#Question1
50
Other Resources:
 The Federal Health Insurance Marketplace – www.HealthCare.gov –






51
here you can get information regarding the Marketplace in your state, including
Marketplace insurance plans, information for individuals who don’t have health
insurance in 2014, and much more.
Missouri Children’s Division – www.dss.mo.gov/cd
Community health centers offer health care on a sliding scale basis to
Missourians without insurance:
http://findahealthcenter.hrsa.gov/Search_HCC.aspx?byCounty=1
Missouri Primary Care Association: http://www.mo-pca.org
Missouri Hospital Association: http://www.mhanet.com
Missouri Rx Plan: www.morx.mo.gov
GovBenefits.gov - U.S. Department of Labor website providing information
about social service programs in all states. This is especially useful for families
relocating to another state.
Attachment 2
Confidentiality
52
Confidentiality
Confidentiality:
 All Medicaid information is confidential. Anyone gathering
or receiving information connected to a Medicaid application
may share client information only for purposes directly
connected with the administration of the Medicaid programs
with other federal programs and certain entitled entities.
53
Attachment 3
MAGI Medicaid Populations
54
Attachment 3
MAGI Medicaid Populations
55
Screening for Medicaid Eligibility
 Ask the following questions to determine if the individual
may fit into one of the groups described below:
MAGI Medicaid:
 Are you pregnant?
 Do you have related minor children in your home?
 Are you under the age of 19?
 Are you under the age of 26 and a former foster care child?
Non-MAGI Medicaid:
 Are you 65 or older?
 Have you been determined disabled through Social Security?
56
Who Might Be Eligible for MAGI
Medicaid:
 Parents and Caregivers with dependent children, who have income
under about 19% of the Federal Poverty Level (FPL):
 $ 241/month or $ 2,892/year for a family of two
 $ 353/month or $ 4,236/year for a family of four
 Pregnant women who have income of 196% FPL or less:
 $1,907/month or $22,884/year for an individual
 $2,570/month or $30,840/year for a family of two
 Children under age 19 may be eligible for MO HealthNet for Kids with
incomes at or below 148% FPL:
 $ 1,941/month or $ 23,292/year for a family of two
 $ 2,942/month or $ 35,304/year for a family of four
 Children’s Health Insurance Program (CHIP) Children under age 19 if
family income is under 300% FPL:
 $ 3,933/month or $ 47,196/year for a family of two
 $ 5,963/month or $ 71,556/year for a family of four
57
Who Might Be Eligible for MAGI
Medicaid:
 Women with certain cancerous or precancerous conditions of the
breast and/or cervix with income of 201% FPL or less:
 $1,955/month or $23,460/year for an individual
 $2,635/month or $31,620/year for a family of two
 Former foster care children who are currently less than 26 years
old and who left foster care on or after their 18th birthday
regardless of income
 Women age 19-55 who are not currently pregnant may be eligible
for Family Planning services with income of 201% FPL or less:
 $1,955/month or $23,460/year for an individual
 $2,635/month or $31,620/year for a family of two
58
MAGI POPULATIONS:
 Temporary MO HealthNet During Pregnancy (TEMP) —
Pregnant women may be determined eligible by qualified providers for
temporary eligibility during pregnancy until they can apply for and
begin receiving full MO HealthNet benefits. TEMP is "state only" from
the time a participant is found ineligible for regular MO HealthNet until
the end of the TEMP eligibility period. The designation may be used
only once during a pregnancy.
 Presumptive Eligibility
 For Children. Provides a period of presumptive eligibility to children in
families with income below 150% of the Federal Poverty Level. Children
under the age of 19 may be determined eligible by qualified entities for MO
HealthNet on a temporary basis prior to having a formal eligibility
determination completed.
 For Adults. Under the ACA adults may be determined eligible by qualified
entities for MO HealthNet on a temporary basis prior to having a formal
eligibility determination completed.
59
MAGI POPULATIONS:
 Women’s Health Services Program (1115 Demonstration Waiver) —
Uninsured women who lose MO HealthNet healthcare coverage sixty (60) days
after the birth of their child are covered for women’s health services for an
additional year, regardless of the income level. Coverage is limited to family
planning, and testing and treatment of Sexually Transmitted Diseases.
 Also, women who are age 18 through 55, have a family income at or below 196
percent of the federal poverty level, have assets totaling less than $250,000, and
are not otherwise eligible for Medicaid, the Children's Health Insurance
Program, Medicare, or health insurance coverage that provides family planning
services are eligible for this program.
 Newborn - Automatic Eligibility — Newborns are automatically eligible
for assistance if their mother is receiving a federally matched category of
assistance at the time of birth (except TEMP - See Temporary MO HealthNet
During Pregnancy below).
60
MAGI POPULATIONS:
 MO HealthNet for Kids (MHK) — Includes the following:
 Infants under the age of one whose family income is less than 196% of the federal poverty level
may be eligible;
 children under the age of six at 148%; and,
 children ages six through eighteen at 100%.
 Uninsured children with gross family income up to 300 percent of the
federal poverty level. "Uninsured Children" are persons under nineteen years of age
who have not had employer-subsidized health care insurance or other health care
coverage for six months prior to application.
 MO HealthNet for Families (MHF) —The Personal Responsibility and Work
Opportunity Reconciliation Act of 1996 (P.L. 104-193) eliminated the link between Aid
to Families with Dependent Children (AFDC) and Medicaid and replaced it with
Section 1931 of the Social Security Act to provide Medicaid to low-income families with
children.
 Transitional MO HealthNet (TMH) — Provides healthcare coverage to a family for
up to 12 months, after the closing of an MHF case due to employment or increased
earnings.
 MO HealthNet for Pregnant Women (MPW) — This program is intended to provide
MO HealthNet benefits to low-income pregnant women. A woman whose family income does not exceed
196% of poverty may qualify.
61
Attachment 4
Non-MAGI Medicaid
Populations
62
Attachment 4
Non-MAGI Medicaid
63
Who Might Be Eligible for Non-MAGI
Medicaid:
 Adults age 65 or older – these are generally beneficiaries who
meet Medicaid requirements to receive long-term care and inhome care services through the Medicaid program
 Individuals who have been determined to be blind or disabled by
the Social Security Administration or by the Medical Review Team
(MRT)
64
NON-MAGI POPULATIONS:
 MO HealthNet for the Aged, Blind, and Disabled (MHABD) MO
65
HealthNet coverage for persons who meet the requirements of: Old Age
Assistance (OAA); Permanently and Totally Disabled (PTD) and Aid to the
Blind. — Persons must be over age 65 or meet the Supplemental Security
Income (SSI) definition of disabled or the state definition of blindness. Persons
receiving Supplemental Security Income (SSI) or Social Security based on age
or disability are automatically qualified for Medical Assistance on those factors.
Persons determined by Social Security to meet 1619 A or B status are eligible as
non-spend down.
 Homeless, Dependent, Neglected Children — Provides assistance for
children in care and custody of the Children’s Division (CD).
 Medical Assistance for Children in Care — Children in the custody of
Division of Youth Services (DYS) or a juvenile court.
 Breast and Cervical Cancer Treatment Program — MO HealthNet
coverage for uninsured women under age 65 screened for breast or cervical
cancer by Missouri’s Breast and Cervical Cancer Control Project (BCCCP).
(Note: The BCCCP Program has requirements including income limits that
must be met to get the screening. Screening services are provided by the
Department of Health and Senior Services.)
NON-MAGI POPULATIONS:
 Supplemental Nursing Care — Provides a state grant and MO
HealthNet benefits to elderly, blind, and disabled persons in
licensed residential care facilities and non-MO HealthNet nursing
homes.
 Supplemental Aid to the Blind — Provides assistance to
needy blind persons.
 Qualified Medicare Beneficiary — Pays for Medicare
premiums, deductible and coinsurance for eligible persons
enrolled in Medicare part A with income up to 100% of poverty.
 Specified Low Income Medicare Beneficiary — Provides
payment of Medicare Part B premiums to individuals who would
be eligible for the Qualified Medicare Beneficiary program except
for excess income. Income must be more than 100% of the
Federal Poverty Level, but not exceed 120%.
66
NON-MAGI POPULATIONS:
 Refugee Assistance — Persons who are admitted to the United
States with an immigration status of refugee or asylum may qualify
for a short period of time in order to establish self-sufficiency if
they do not meet eligibility for another category.
 MO HealthNet for Disabled Children (MHDC) — A
disabled child may be eligible for Medical Assistance. The income
and resources of the parents are taken into consideration.
 Psychiatric Services 21 years and under — Provides
assistance to individuals under 21 in a psychiatric facility.
 IV/E Alternative Care — provides assistance to children in the
CD foster care and adoptive homes.
67
Attachment 5
Newborn Instructions and
Excel Spreadsheet
68
Attachment 5
Newborn Instructions and Excel Spreadsheet
69
Role of Authorized Representative –
Submitting Newborn Applications:
 Report newborns on excel spreadsheet that can be found at:
 http://dss.mo.gov/provider-services/health/hospital-report-
mohealthnet-newborn-coverage.xlsx
 Enter required information on spreadsheet
 Submit to FSD.MEDES@dss.mo.gov
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