0810.010.15.15.25 Verification of DHSS Medical Expenses – DSS Manuals

IM-28 March 16, 2012

Obtain the following documentation for the DHSS services, not covered by Medicare or other third-party insurance, that are allowed as incurred expenses for spend down:

Name and DCN of the MO HealthNet participant

Name of service provider

Date the service was provided

Service provided

Charge of service on the date it was provided

Copy of care plan or similar contract

There is not a required format, but it needs to include all of the above information.

The date a medical expense is incurred is the date the individual receives the service, not the date of the bill or the date a bill is paid. The service provided should show CDS. A copy of the care plan is needed to verify the units of care the DHSS has authorized.