Missouri Medicaid Eligibility Requirements

This page provides general guidelines for the Missouri Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Missouri Department of Social Services. The name of the state program is HealthNet. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Missouri Medicaid office.


Missouri Medicaid Overview

Medicaid is for eligible persons who need help getting care and paying medical bills.


Missouri Medicaid Eligibility Requirements - Non Income

The enrollee must be a U.S. citizen or an eligible qualified non-citizen living in Missouri.


Documents Needed For Missouri Medicaid Application

  • Proof of income
  • Proof of pregnancy if you are pregnant
  • Proof of deductions and expenses (Childcare, dependent care, elderly care, etc)
  • Proof of assets
  • Proof of health insurance if you have it
  • Proof you live in Missouri
  • Proof of Citizenship, status as U.S. National, or Immigration Status

Missouri Medicaid Benefits

It covers inpatient and outpatient hospital care, laboratory and x-rays, physician's services, emergency ambulance, audiology, podiatry, ambulatory surgical services, durable medical equipment, prosthetics and orthotics, vision care, family planning; rehabilitative services and therapies; midwife services; federally qualified health centers or rural health clinics, psychiatry, transplants, home and community based services; waivers to person 65 and older, persons with AIDS, or developmentally disabled individuals; early and periodic screening, diagnosis and treatment (EPSDT) for children under 21 years old.


Missouri Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for Missouri Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: 196%
Age 1-5: 150%
Age 6-18: 150%
 300% Medicaid: 196%
CHIP: N/A		 18% N/A

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $1,906
Age 1-5: $1,459
Age 6-18: $1,459
 $2,918 Medicaid: N/A
CHIP: N/A		 $175 N/A

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $2,569
Age 1-5: $1,966
Age 6-18: $1,966
 $3,933 Medicaid: $2,569
CHIP: N/A		 $236 N/A

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $3,232
Age 1-5: $2,474
Age 6-18: $2,474
 $4,948 Medicaid: $3,232
CHIP: N/A		 $297 N/A

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $3,896
Age 1-5: $2,981
Age 6-18: $2,981
 $5,963 Medicaid: $3,896
CHIP: N/A		 $358 N/A

Medicaid Eligibility

State Medicaid Office

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