HCBS Memo 02-26-01

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
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
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
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
7.00 Appendix 7 Show-Me Home Ombudsman Referral Form

Updates include:

  • Email address revised
  • Number of days to notify oversight staff revised

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.