DMH Consumers in a State Mental Hospital

• Center for Behavioral Medicine
• Fulton State Hospital
• Hawthorn Children's Psychiatric Hospital
• Metropolitan St. Louis Psychiatric Center
• Northwest Missouri Psychiatric Rehabilitation Center
• Southeast Missouri Mental Health Center
• St. Louis Psychiatric Rehabilitation Center

DMH Consumers in a State Mental Hospital Coversheet

Please use the coversheet linked above any time you submit an application for a DMH Consumer in a State Mental Hospital.

Send applications, MRT packet, medical records, and verification to the address listed on the coversheet: DMH Medicaid Unit

Age 22-65 in DMH Psychiatric Hospitals

These clients are not eligible for MO HealthNet coverage, but there are special procedures in place to get them coverage once they are discharged.

• Pre-Discharge Application Procedures for Patients Age 22-64 in DMH Psychiatric Hospitals this link to the Family Support Division policy is no longer working. We will update this information as soon as possible.

Under age 21 and 65+ in a Vendor/Medicaid certified bed

For patients under the age of 21 who are in a Vendor/Medicaid certified bed or any patient age 65+ who are in one of the above institutions the following steps should be taken to submit an application:

• If the client is under age 21 and not in a Medicaid Certified bed they will not be eligible until discharge.
• The client must be under 21 when admitted in order to be covered; coverage will continue until their 22nd birthday.
• Patients under age 21 at Hawthorn are eligible whether or not they are in a Medicaid Certified bed.

1. Assist the DMH Consumer with completing the application.
2. Complete the MRT Packet with the client. Skip this if the client is 65+ and/or if the client receives SSD/SSI.
3. Complete the Aged, Blind, and Disabled supplement form.
4. If the client is under 21 and in a Vendor/Medicaid Certified bed complete the IM-71. If this does not apply, skip this step.
5. If the client is 65+ and in a Vendor/Medicaid Certified bed complete the DA124A/B and submit it to DHSSCOMRU (Central Office Medical Review Unit). If this does not apply, skip this step.
6. Gather verification of income (other than SSD/SSI) and resources, including but not limited to
   • Bank accounts/patient accounts
   • Stocks, bonds, CDs, trusts
   • Income from pensions or other sources
7. Regardless of age, if the client is in a Medicaid Certified bed submit all of this verification including the IM-71 where applicable.
8. Submit the application and any supporting documents with the DMH Consumers in a State Mental Hospital Coversheet.

Any time you have questions about the application process, case status, or general questions about MO HealthNet please email DMH.MedicaidElibility@dmh.mo.gov with the client’s name and DCN or DMH ID.