0615.000.00  PAYMENT AND AMOUNT OF GRANT

SNC payments are made on a monthly basis. This means that if the participant is currently eligible and met eligibility on all factors, any time during the month, the participant is eligible for the full amount of the recommended grant.

A SNC check is issued for the month of application provided the participant was in the facility during that month. For those SNC approvals which would not otherwise receive a check for the month of application, retroactive payments are made for the month of application, and for any subsequent months for which the participant will not receive payments under the regular procedure.

EXAMPLE: Mr. Brown applies for SNC on the day he enters the nursing facility (February 24). On March 14, the eligibility specialist completes the eligibility determination and submits an approval recommending an on-going $200 grant. Mr. Brown is also eligible for a retroactive payment of $200 for February.

Do not approve retroactive payments for any month for which a person was obviously ineligible, in circumstances such as the following:

1. The person received a public assistance check for that month from another state.
2. The person was obviously ineligible on a factor of eligibility for the WHOLE month: i.e., excessive resources.
3. The person was not in the facility anytime during that month.

Payments to persons eligible for a cash grant may be in the form of a check mailed to the participant or in the form of a direct deposit to the participant's checking or savings account. This is the participant's option, however the participant must have an active bank account in order to use the option of direct deposit. Whether a participant receives the cash grant by direct deposit or in the form of a check, the MO HealthNet card is issued by mail.

Note: Stop payment may not be requested until 15 days after the date the paper check was mailed, if the check is reported not received.

0615.005.00  MAXIMUM GRANTS

The appropriate maximum grant depends upon the type of licensed facility. Maximum payment amounts are:

Persons in a MO HealthNet certified (vendor) bed in an Intermediate or Skilled Nursing Facility are ineligible for a cash grant.

0615.010.00  PERSONAL EXPENSE ALLOWANCE

Any participant who is receiving a cash nursing home payment except individuals in Department of Mental Health (DMH) contracted placements will be eligible for a monthly Personal Expense Allowance. The personal expense allowance will be issued as a separate payment.

NOTE: The DMH pays their participants a personal payment to meet their personal needs.

Senate Bill 418 (2007) modified RSMo § 208.030 to require any person eligible to receive a monthly Supplemental Nursing Care (SNC) personal expense allowance payment to receive a payment equal to the MO HealthNet vendor nursing personal needs allowance (PNA).