1840.020.10 From Premium to No Premium – DSS Manuals

IM-22 April 11, 2024

When a change is entered into MEDES which results in a change from premium to non-premium, MEDES will change the individual to the appropriate level of care. The eligibility date for the non-premium level of care starts the first of the month of non-premium eligibility. MO HealthNet Division determines premium refunds.

Note: Children in their Continuous Eligibility for Children (CEC) period are allowed to move from a premium level of care (LOC) to no premium but they must be locked in at the non-premium LOC for the duration of their CEC period. Refer to 1805.070.00 Continuous Eligibility for Children (CEC) .