Monthly Nutritional Supplement (MNS)

Confirm the following:

• the recipient has the Person with Disabilities designation by reviewing the Person Involved Detail (PE1) screen for a persons with disabilities status of “E”
  
  
• the recipient is receiving disability assistance 
  
  
• the recipient is not receiving a supplement under section 2 (3) of Schedule C or is receiving such a supplement where it is less than $205 per month

Note:  If the recipient is ineligible for MNS as per criteria in step 1, advise the recipient of the decision and inform them of their right to request reconsideration.

Review and sign Part B - Application Acknowledgement and Consent.

Have a medical practitioner or nurse practitioner complete and sign Part C of the SD2847 and return the form to the Employment and Assistance Office (EAO). The medical practitioner or nurse practitioner bills Medical Services Plan directly for fees for completing the form.

Receive original form along with any accompanying documents from the recipient and review for complete information and signatures.

Create a service request for HAB and scan and attach documents. As HAB does not require the original documents, retain the original documents.

If HAB determines that the recipient is eligible for MNS, enter the appropriate allowances on the Allowance (ALL) screen and issue the initial payment by imprest cheque.  The MNS is not to be prorated but is provided for the full month in which eligibility is determined.

Note:  Do not assign an end date to any MNS allowance codes.

Note:  MNS cannot be issued on an Eligible Health Goods/Services Purchase Authorization (SD0407).

Review medical documentation on the recipient’s file to determine if the medical condition(s) and need for the approved supplement(s) may have changed.

Factors to consider include, but are not limited to:

• the nature of the medical condition;
  
  
• the likelihood of improvement/recovery; and
  
  
• the duration of need indicated by the medical practitioner or nurse practitioner.

If there is sufficient evidence on file to determine that the recipient continues to meet the eligibility criteria to receive the approved supplement(s), assign a new review date and add a review completion comment.

Note: When continued eligibility for MNS is confirmed, no action is required by regional staff.

Review and sign Part B - Application Acknowledgement and Consent.

Have a medical practitioner or nurse practitioner complete and sign Part C of the SD2847.  The medical practitioner or nurse practitioner bills Medical Services Plan directly for fees for completing the form.

Receive original form along with any accompanying documents from the recipient and review for complete information and signatures.

Create a service request for HAB and scan and attach documents.  As HAB does not require the original documents, retain the original documents.

Adjudicate the new application to determine if the recipient continues to meet the eligibility criteria for the MNS. 

If approved:

• update the corresponding MNS field(s) on the Persons Involved Detail (PE1) screen, as required;
  
  
• assign a new review date; and
  
  
• advise the recipient and the EAO of the decision.

If not approved:

• advise the client of the decision that MNS will be discontinued and include information on their right to request a reconsideration; and
  
  
• advise the EAO of the decision and instruct them to discontinue the MNS allowance code(s) on MIS. 

The reduction will take effect on the next assistance cheque following the denial.

Upon notification from HAB, discontinue the MNS allowance codes on the Allowance (ALL) screen, as directed.  Advise HAB once the ALL screen has been updated.

If required, update the Supplier (SUP) screen to adjust supplier payment and notify supplier of change.