Mo. Code Regs. Ann. tit. 19, § 40-7.030
Client Responsibilities
Effective Jan 30, 1997sections 191.300– 191.380, RSMo (1994 and Supp. 1995).* Emergency rule filed Aug. 19, 1996, effective Aug. 29, 1996, expired Feb. 24, 1997. Original rule filed Aug. 15, 1996, effective Jan. 30, 1997. *Original authority: 191.300–191.310, RSMo (1985); 191.315, RSMo (1985), amended 1993, 1995; 191.317–191.325, RSMo (1985); 191.331, RSMo (1965), amended 1985, 1992, 1993, 1995; 191.335, RSMo (1979); 191.340, RSMo (1979), amended 1985; 191.360–191.362, RSMo (1983); and 191.365–191.380, RSMo (1985)Division of Maternal, Child and Family Health
PURPOSE: This rule establishes how clients maintain program eligibility.
- (1) The client or the client’s parent(s) or legal guardian shall provide the department with accurate information concerning their financial status.
(2) The client or the client’s parent(s) or legal guardian shall meet the following requirements:
- (A) Complete a Formula Distribution Program (FDP) application and submit a copy of their most current 1040 tax form;
- (B) Report any major changes in income, household composition, insurance, Medicaid coverage or address within ten (10) working days after the date the client or the client’s parent(s) or legal guardian becomes aware of the change; and
- (C) When the client is eligible, payments shall be made for such services through Medicaid or other insurance benefits available to the client to the fullest possible extent. The benefits available under the provisions of section 191.331, RSMo (1994) shall not replace those provided under other federal or state law or under other contractual or legal entitlements of the persons receiving them.
- (3) To maintain eligibility, a client shall submit a new application prior to the end of the eligibility period. An eligibility period shall be the year following the anniversary date of original application or year following the date of the filing of a new 1040 tax form. Each new application submitted must meet the eligibility requirements.
- (4) Sections (1)–(3) of this rule are mandatory. If these requirements are not met by the client or the client’s parent(s) or legal guardian, the FDP may discontinue services.
- (5) Any applicant determined ineligible for the FDP may reapply based on changes which may make them eligible.
- (6) When an application is denied, the applicant shall be informed of the right to appeal.
- (7) This rule expires on June 30, 2002.
AUTHORITY: sections 191.300– 191.380, RSMo (1994 and Supp. 1995).* Emergency rule filed Aug. 19, 1996, effective Aug. 29, 1996, expired Feb. 24, 1997. Original rule filed Aug. 15, 1996, effective Jan. 30, 1997. *Original authority: 191.300–191.310, RSMo (1985); 191.315, RSMo (1985), amended 1993, 1995; 191.317–191.325, RSMo (1985); 191.331, RSMo (1965), amended 1985, 1992, 1993, 1995; 191.335, RSMo (1979); 191.340, RSMo (1979), amended 1985; 191.360–191.362, RSMo (1983); and 191.365–191.380, RSMo (1985).