Status of chikdrens missouri medicaid application

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ATTENTION MEDICAID PARTICIPANTS: Beginning April 1, 2023, the Family Support Division will be required to restart annual renewals for MO HealthNet (Missouri Medicaid). We will send you important information in the mail, so please make sure to update your mailing address if you have moved. Learn more about annual renewals and what this means for you on our website.

What help is available?

If you do not have health insurance or you need help paying for your health care, you may be eligible for coverage through Missouri’s Medicaid program, called MO HealthNet.

Who is eligible?

Eligibility for MO HealthNet depends on your income, age, health, and individual needs. You may be eligible if you are a(n):

• Senior (age 65 and older)
• Parent or caretaker with a child (under age 19)
• Child (age birth -18)
• Woman (age 18-55) with no health insurance

• Adult (age 19-64) without disabilities
• Pregnant woman (including unborn child)
• Woman (under age 65) with breast or cervical cancer
• Person with disabilities
• Blind or visually impaired adult

How do I apply?

You can apply for healthcare coverage by completing these simple steps:

1

Apply

There are four ways you can apply for healthcare coverage:

• Apply through the online portal
• Apply by phone at 855-373-9994
• Download & print, or scan application (aplicación Español) - You must use Adobe Reader

2

Complete Form

You must complete & submit the Supplemental Form (Forma Español) with your application if you:

• Are age 65 or older
• Are blind or disabled
• Get Social Security
• Live in a medical or nursing facility
• Have Medicare or VA healthcare

3

Submit

You can submit your completed form(s) in one of these ways:

• Online: mydssupload.mo.gov
• Mail: Family Support Division
  P.O. Box 2700
  Jefferson City, MO 65102
• Fax: 573-526-9400

When will I get coverage?

If you applied for healthcare coverage, we will let you know what might be needed to process your application. The time it takes to process your application may vary, and if we have to make an eligibility decision based on a disability, it may take longer than usual. If you do not receive anything from the Family Support Division after 45 days, you can contact us.

Once your application is processed, you will get a letter that let’s you know if you are eligible for healthcare coverage or not. If you are approved, you will receive a MO HealthNet Identification Card and information explaining the type of services and coverage you have. You will need to follow the instructions in this letter for your coverage to begin.

Other MO HealthNet Programs

• Spend Down: If you make too much money, you may still be able to get MO HealthNet coverage if you agree to pay, or “spend down,” (spend down Español) a certain amount. Once you spend this amount, you will have MO HealthNet coverage for the month. For more information visit our frequently asked questions
• Ticket to Work: If you are disabled and make too much money to qualify for MO HealthNet, you can still get help with your healthcare costs if you agree to take part in this program. Learn more about Ticket to Work.
• Home & Community Based Services: These services may be able to help you or a loved one stay at home and out of a nursing home by providing the in-home services you need.
• MO HealthNet Nursing Home Coverage: If you live in a nursing home, we may be able to help pay for any nursing home costs you aren’t responsible for. You will be responsible for using all of your income towards costs except for a $50 monthly allowance, any health insurance premiums, and any income set aside for a spouse or other dependents.
• The Health Insurance Premium Payment (HIPP) Program helps pay for the cost of health insurance premiums for certain MO HealthNet participants.

• Supplemental Nursing Care Program: If you live in a residential care facility or assisted living facility, the Supplemental Nursing Care Program will give you a monthly allowance of $50 for personal needs and a cash payment to your facility ($156 per month for residential care or $292 per month for assisted living).
• Medicare Cost Savings Programs (QMB & SLMB): You may be able to get help paying for your Medicare premiums and certain copayments through one of our Medicare Cost Savings Programs.
• Supplemental Aid for the Blind: The Supplemental Aid for the Blind program offers a monthly cash grant and MO HealthNet coverage to help blind persons meet their basic needs.
• Blind Pension: Blind Pension offers a monthly cash grant and MO HealthNet Coverage to blind persons who do not qualify for help through Supplemental Aid to the Blind or Social Security Income benefits.
• Show-Me Healthy Babies Program: If you are pregnant and you were not approved for coverage through MO HealthNet for Pregnant Women, help may still be available through the Show-Me Healthy Babies Program.
• The Program of All-Inclusive Care for the Elderly (PACE) is administered by MO HealthNet and Medicare to provide comprehensive health care, social, recreational, and wellness services to their participants. One of the main goals of PACE is to allow older adults to live safely in their homes instead of nursing facilities. Learn more about PACE.