How to renew your Missouri Medicaid coverage

Last verified: June 2026

Renewal notices come from MO HealthNet (Missouri Medicaid)

Always respond to official renewal notices from MO HealthNet (Missouri Medicaid). Missing a renewal deadline is the most common reason people lose Medicaid coverage — even when they're still eligible.

Respond to your MO HealthNet renewal notice within 90 days to avoid a gap in coverage

Missouri gives MO HealthNet members up to 90 days to respond to a renewal notice. Don't wait — respond as soon as you receive the notice. Coverage terminated for non-response can be reinstated within 90 days, but there may be a gap. Contact DSS FSD at 855-373-9994 with questions.

How Missouri renews Medicaid coverage

Missouri reviews MO HealthNet eligibility annually through a redetermination process. Like all states, Missouri first attempts ex parte renewal — using existing data sources (wage records, SSA data, tax information) to verify continued eligibility without requiring the member to take any action.

If ex parte renewal succeeds, the member receives a notice that their coverage has been renewed automatically. No action required.

If Missouri cannot verify eligibility through available data, a renewal packet is mailed to the last known address. Missouri provides a 90-day window to respond — one of the more generous timelines among states. Failure to respond results in coverage termination at the end of the 90-day period.

How to complete your MO HealthNet renewal

Online (MyDSSap)

Log into mydssapp.mo.gov to complete your renewal online. Create an account if you haven't already — you'll need your case number from your renewal notice.

By phone

Call DSS FSD at 855-373-9994 (enrollment/renewal line) or 855-373-4636 (general MO HealthNet). TTY: 711.

In person

Visit your local Family Support Division (FSD) office. Bring your renewal notice, photo ID, and any required documents.

By mail

Complete Form IM-7R (renewal form) and mail to your local FSD office. Upload supporting documents at mydssupload.mo.gov to speed processing.

Documents you may need for renewal

Proof of income — recent pay stubs, employer letter, or self-employment records
Proof of Missouri residency — utility bill, lease, or recent mail at current address
Social Security numbers for all household members applying
Household composition changes — births, deaths, marriages, or anyone moving in or out
Changes in other health insurance coverage

If nothing has changed, Missouri may be able to complete your renewal with data already on file. Respond to the notice anyway — a non-response is treated as failure to cooperate, even if you remain fully eligible.

Supplemental form for certain populations

Some applicants must also complete Form IM-1ABDS for the renewal

Missouri requires a supplemental form, IM-1ABDS, for individuals who are elderly, blind, disabled, receive or apply for SSI, are in a nursing home, are on Medicare, or are veterans requesting VA benefits consideration. This is in addition to the main renewal form. Ask your FSD caseworker whether IM-1ABDS applies to your case.

If your coverage is terminated at renewal

If MO HealthNet terminates your coverage, you have the right to appeal within 90 days of the termination notice. Request a fair hearing by calling the MO HealthNet Division, writing to DSS, or requesting a hearing through mydssapp.mo.gov.

Individuals whose coverage is terminated but who remain income-eligible can reapply at any time. If you lost coverage because Missouri could not reach you (an address update issue, for example), contact FSD promptly — reinstatement without a new full application may be possible if you reopen your case within 90 days.

Post-pandemic coverage losses: the 2023–2024 unwinding

During the COVID-19 public health emergency (March 2020 through March 2023), federal law prohibited states from removing people from Medicaid. When that protection ended, states conducted a mass redetermination of all enrolled members — known as the "unwinding." Millions of people lost coverage nationally between April 2023 and late 2024, many due to administrative reasons like outdated addresses rather than actual ineligibility. If you lost Missouri Medicaid during that period without receiving a renewal notice, you may still be eligible. Contact MO HealthNet (Missouri Medicaid) to reapply.

How to complete your renewal

When MO HealthNet (Missouri Medicaid) sends a renewal notice, here's what to do:

1

Read the notice carefully

Identify exactly what the agency is asking for and the deadline to respond. Renewal packets may ask you to confirm your current income, household size, or address.
2

Update your information

If anything has changed — income, address, phone number, household members — report it now. Outdated contact information is the leading cause of missed renewal notices.
3

Submit the renewal online, by phone, or by mail

MO HealthNet (Missouri Medicaid)'s online portal is typically the fastest way to complete a renewal. You may also call the enrollment line or mail in your completed packet.
4

Confirm your coverage continued

After submitting, confirm you receive a notice that coverage was renewed. If you don't hear back within a few weeks, call MO HealthNet (Missouri Medicaid) to verify your status.

If your renewal is denied

A denial must state the reason in writing and explain your right to appeal. You have 90 days from the date of the notice to request a fair hearing. File the appeal quickly — if you appeal before your coverage ends, you may be able to continue coverage during the appeal period, though this depends on timing and the reason for denial.

Common renewal denials include: income that increased above the threshold, failure to respond to the renewal packet, a change in household size that affects eligibility, or immigration status questions. Some of these can be addressed by reapplying with updated information rather than appealing.

Contact MO HealthNet (Missouri Medicaid) within the 90-day window. A reconsideration or new application filed promptly can often restore coverage retroactively to the date it was lost.

Keeping your account information up to date

The most effective way to avoid renewal problems is to report changes promptly. Federal rules require Medicaid enrollees to report changes that may affect eligibility within a specified period — typically 10 to 30 days depending on the state.

Changes to report: new job or income change, move to a new address, change in household size (new baby, someone moves in or out), gaining or losing other health coverage. Contact MO HealthNet (Missouri Medicaid) or update your information through the online portal at https://dss.mo.gov/mhd.