HCBS 02-26-01 Updates to Home and Community Based Services (HCBS) Policies
Published Date
Content
Memorandum for Home and Community-Base Services Staff and Stakeholders
DATE: February 18, 2026
FROM: Veronica Jameson, Bureau Chief
Bureau of Policy and Quality Enhancements
SUBJECT: Updates to Home and Community Based Services (HCBS) Policies
| 2.00 | Medicaid Eligibility | Updates include: - Formatting and restructuring of sections throughout for flow and clarity with no change to content
- “Special Circumstances” section title removed to create Spenddown and HCB Medicaid sections for Referrals and Reassessment
- Ticket to Work Section reformatted for clarity
- Managed Care section, which includes Medicaid Expansion (E2), scaled back for less confusion and clarity
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| 2.00 Appendix 1 | Missouri’s Medicaid Program | Updates include: - Formatting of sections for flow and clarity
- Requirements for Blind Pension to reflect what is provided on the Department of Social Services (DSS) website
- Income/resource numbers now link to the DSS website
- Medicaid Standard Eligibility Requirements aligned with the information on DSS website
- Medicaid Expansion (E2) information added
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| 2.00 Appendix 3 | Medicaid Eligibility Codes | Updates include: - Clarified language for Managed Care Health Plans and ME code E2 for ease of understanding
- Added the Benefits and Limitations table for each MO HealthNet Program
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| 4.35.1 | Department of Mental Health Service Coordination | Updates include: - Added language to clarify that Participants residing in an RCF/ALF can receive services from DSDS and DMH
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| 7.00 Appendix 7 | Show-Me Home Ombudsman Referral Form | Updates include: - Email address revised
- Number of days to notify oversight staff revised
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The revised policies have been posted in the HCBS Policy Manual.
Questions should be directed to the Bureau of Policy and Quality Enhancements via email at LTSS@health.mo.gov.
Unless otherwise noted, the policy revisions are effective upon receipt.
