Missouri as the Sending State

The Eligibility Analyst must make a determination whether the child is/is not IV-E eligible. The child must be determined to be eligible for Title IV-E in order to qualify for Medicaid outside of Missouri.

In order for the placement resource to be federally reimbursable, the child must be IV-E eligible, and the placement resource must:

• Meet the receiving state’s home study standards, and
• Receive a maintenance payment by the Children’s Division.

If a child is non IV-E eligible, Medicaid is not received automatically. The placement resource can apply for Medicaid through public assistance, such as Temporary Assistance for Needy Families (TANF). If the child does not qualify for Medicaid, the sending state is responsible for the child’s medical expenses.

Missouri as the Receiving State

To determine whether a child will be eligible for Medicaid, the following proper documentation is necessary:

• The child must be determined to be IV-E eligible;
• The resource provider has been licensed by the Children’s Division; and
• The resource provider is receiving a maintenance payment on behalf of the child from the sending state.

If the child is non IV-E eligible, the placement resource will be directed to the Family Support Division (FSD) to apply for MO HealthNet. If they do not qualify, the sending agency must be notified that they will be financially responsible for the child’s medical needs.

Related Practice Alerts and Memos:

7-1-19 – CD19-52 – FY20 Rate Increases

12-4-19 – PA19-AD-06 – Transitional Living Placements and Subsidy Agreements

1-10-20 – PA20-AD-01 – Legal Fees for AD and LG Subsidies

10-29-2020 – PA20-AD-06 – Child Summary

01-13-21 –CD-21-01 -Contractors Negotiation/Completion Of The Initial Adoption Or Legal Guardianship Subsidy Agreement