Missouri Medicaid provides low- or no-cost health insurance to qualifying residents through MO HealthNet. These programs offer comprehensive medical coverage including primary and specialty care, diagnostic services, medical equipment, prescription medications and nursing home care.
Medicaid covers low-income residents, including children, pregnant women and the disabled and elderly. Those aged 65 or older or blind or disabled may qualify for Aged, Blind and Disabled Medicaid. This is an income-based entitlement program that has strict financial criteria:
- Income is capped at $885 for individuals and $1,198 for couples
- Assets are limited to $4,000 for single applicants and $8,000 for couples applying jointly
Home and Community-based Services Waivers Seniors and disabled adults who are medically eligible for Medicaid can apply for
home and community-based services waivers that cover the cost of personal assistance, respite care and housekeeping in their own homes or community settings, such as assisted living facilities. To qualify, applicants must:
- Earn no more than $1,348 per month
- Have assets of no more than $4,000 per person
When determining eligibility the state counts cash, investments, bank balances and certain insurance policies. Many items are excluded, such as furniture, burial funds, a vehicle and a primary home worth up to $585,000.
Missouri allows couples to divide their income and assets if only one spouse needs Medicaid. In this situation, the non-applicant can retain a monthly needs allowance of up to $3,160.50 and up to $126,420 in jointly owned countable assets.
Spend-Down Allowances Seniors who exceed the Medicaid income limits may still qualify for coverage if they have substantial medical needs and require a nursing home level of care. Missouri’s
spend-down program allows seniors to receive MO HealthNet coverage if they use over-limit funds for health insurance premiums and medical bills. Alternatively, seniors can submit spend-down payments to the MO HealthNet Division similar to paying a health insurance deductible.
Missouri seniors can apply online at
myDSS or by calling (800) 392-2161. Paper and in-person applications should be submitted to the Department of Social Services
Liberty Resource Center at 7000 Liberty Drive in Liberty.