Medicaid Expansion

Welcome to Spectrum Health Care's information hub for Missouri Medicaid, also known as MO HealthNet. This page is designed to help you understand Missouri Medicaid, the expansion program, available insurance payers, and the process for annual renewals. Additionally, we'll explain how Spectrum Health Care's certified application counselors (CAC) can assist you in getting the coverage you need.

What is Missouri Medicaid (MO HealthNet)?

Missouri Medicaid, also known as MO HealthNet, is a program that provides health insurance coverage to eligible low-income individuals and families in Missouri. It covers a wide range of health services, including doctor visits, hospital stays, prescriptions, and more.

Missouri Medicaid Expansion

In recent years, Missouri expanded its Medicaid program to include more low-income adults. The expansion allows adults aged 19-64 with incomes up to 138% of the federal poverty level (FPL) to receive coverage. This means that many more Missourians can now qualify for health care benefits through MO HealthNet.

How to Apply for Missouri Medicaid (MO HealthNet)

Applying for Missouri Medicaid is a straightforward process, and Spectrum Health Care is here to help you every step of the way. Here are the ways you can apply:

1. Online:
   You can apply for Missouri Medicaid through the MO HealthNet online portal - (Apply for Healthcare | mydss.mo.gov).

2. Complete a paper application and mail to:

   Family Support Division
   PO Box 2700
   Jefferson City, MO 65102

3. In Person:
   Visit your local Family Support Division (FSD) office to apply in person. Find your nearest office here.

Missouri residents who are ages 19-64 can apply for MO Medicaid Expansion/Mo Health Net coverage.

For 2024, your monthly household income needs to be at or below the following amounts to qualify for Medicaid:

Information You Will Need to Supply

1. Proof of Identity: Such as a driver’s license, state ID, or passport.
2. Social Security Number: For all members of your household.
3. Proof of Income: Recent pay stubs, tax returns, or a letter from your employer.
4. Proof of Residence: Such as a utility bill or lease agreement.
5. Proof of U.S. Citizenship or Immigration Status: Birth certificate, passport, or immigration documents.
6. Health Insurance Information: If you have other health insurance coverage.

Our certified application counselor (CAC) can assist you in various ways:

1. Enroll uninsured adults (19-64) online for the Adult Expansion Group (AEG) – single adults without children can apply.
2. Provide three ways to enroll in Medicaid if you prefer to enroll on your own.
3. Explain the health services covered by AEG, including doctor and hospital visits, prescriptions, family planning, and some dental and vision care.
4. Detail what to expect once approved for AEG, including the Medicaid DCN card and Managed Health Care Plan card, and how to use them.
5. Help you order a new card if yours is lost.
6. Discuss options if the Family Support Division (FSD) hasn’t processed your Medicaid application after 45 days.
7. Explain other health care insurance coverage options if denied Medicaid coverage.
8. Guide you on Managed Health Care plans (Healthy Blue, Home State Health, and United Healthcare Community) and how to change your primary health care provider, set up the portal, access the plan’s Member manual, and check out additional benefits.
9. Assist with changing to another Managed Health Care plan if needed.
10. Help you notify FSD about changes in address, income, household size, and health insurance coverage.
11. Ensure your health care providers are in your Managed Health Care Plan’s network and help you find new providers.
12. Explain how to access transportation services, including mileage reimbursement, for AEG approved medical services.

Missouri Foundation for Health is collaborating with a wide range of partners and the state to help facilitate full and timely implementation. This includes promoting and supporting the newly eligible to enroll in Medicaid, as well as working to improve access to quality health services for the expansion population. This effort includes a targeted awareness campaign, enrollment assistance for newly eligible Missourians who are not currently connected to a primary care home, and a systems-level project to increase the availability of care for select populations. It is a priority that through this work we seek to eliminate health inequities by race/ethnicity, sexual orientation/gender identity, immigration/refugee status, and geography.