UPDATE: In 2020, Medicaid will have most of the same requirements and application steps detailed below.
What are the requirements for Medicaid in Missouri? Medicaid eligibility is determined by the Family Support Division (FSD), as part of the MO HealthNet program.
Once you meet the Medicaid eligibility requirements, it is the MO HealthNet Division that will administer the program, including the decision of your Medicaid benefits coverage, rates, claims processing and more.
What exactly are the Medicaid requirements? There are general standards you must meet, as well as Medicaid income requirements in Missouri.
Continue on to learn who is eligible for Medicaid in MO, along with information on all Medicaid qualifications in the state.
What Are the General Medicaid Requirements in Missouri?
What are the requirements for Medicaid in Missouri? Even though eligibility for Medicaid benefits is determined by the states, there are several standards that do not vary throughout the U.S.
And, these Medicaid requirements pertain to all patients applying for government-sponsored healthcare benefits in the state of Missouri. In order to qualify for Medicaid, you must:
- Be a U.S. citizen – One of the most important Medicaid eligibility requirements set forth by both the state of Missouri and the federal government is to prove that you are a legal citizen of the United States. If you do not have citizenship papers, you must be able to provide legal presence documents to be eligible for Medicaid in MO.
- Be a resident of Missouri – Since you are planning to apply for Medicaid in Missouri, it is only fitting that you must be able to prove you actually live within the state’s borders. Your current MO driver’s license or your valid ID card will suffice.
Note that if you do qualify for Medicaid in benefits in Missouri, it does not mean you can apply in another state, such as Kansas. If you qualify for Medicaid in one state and plan to relocate, you must re-apply in your new state of residence, as Medicaid eligibility requirements can change depending on the state in which you reside.
- Have a Social Security Number – Your Social Security Number serves as a form of federal identification in the U.S. Therefore, it is important to supply your correct, registered Social Security Number in order to meet the requirements to be eligible for Medicaid. Your Social Security Number will be used to track your Medicaid benefits during your time as a beneficiary.
Once you have confirmed that you have met the above, you can continue to review the Medicaid income requirements to ensure your household meets the Missouri limits. Explore the different Medicaid requirements by downloading our informative guide.
What Are the Income Requirements for Medicaid in Missouri?
The Medicaid income requirements are determined by the state of Missouri and take into account several factors. Income requirements for Medicaid are based on your income, your assets and the size of your family unit.
Below, review the income requirements as determined by the Modified Adjusted Gross Income (MAGI) calculator. The income limits are broken down by who is eligible for Medicaid:
- Uninsured pregnant women – You meet the qualifications for Medicaid on a financial basis if your household income does not exceed 201 percent of the federal poverty level. Pregnant women and their newborns – You can apply for Medicaid benefits if your household income does not total more than 196 percent of the federal poverty level.
- The disabled – You qualify for Medicaid so long as your net income per month does not go over the allotted amount per month. If you are blind and the visually impaired, you can obtain Medicaid coverage in MO if your net income is less than the established amount per month. There are specific guidelines for households of different sizes.
- The elderly – You can be granted Medicaid eligibility financially if your net income totals no more than the established monthly amounts. In addition, you can claim resources up to certain amounts and still receive benefits.
- Families – Depending on the size of your household, so long as you are within the MAGI limits adhered to by the state of Missouri, your family can qualify for Medicaid coverage benefits.
- Children – In Missouri, kids can qualify for MO HealthNet for Kids Non-SCHIP (State Children’s Health Insurance Plan). Children under age 1 must live in households that do not exceed 196 percent of the federal poverty level, while children ages 1 to 18 must live in households that do not exceed 148 percent of the federal poverty level.
- Women with breast cancer or cervical cancer – Currently, Medicaid in Missouri covers all women under age 65 with breast cancer or cervical cancer, regardless of income.
How to Use the Missouri Medicaid Screening Tool
A Medicaid benefits eligibility tool is available for your convenience through the Missouri Department of Social Services. You can use this test to not only decide if you qualify for Medicaid but also to see if you are eligible to receive food stamps, temporary assistance, and child care subsidies in Missouri.
In order to learn how to qualify for Medicaid quickly, use the Medicaid eligibility requirements tool by following the below instructions:
- Answer certain questions – You will need to entertain specific questions regarding your household size and your family to see if you meet the Medicaid requirements in MO. You will also need to answer questions about your income, the expenses of your household and any resources you have.
- Examine the results – The results of your Medicaid eligibility test depend on the answers you supply. You will review a list of Medicaid benefits you are eligible to apply for through this tool. However, if you are not eligible for Medicaid through this test, you can still choose to apply for health coverage benefits through MO HealthNet, if you so choose.
- Complete the Medicaid application process in MO – Once you have reviewed for which Missouri medical coverage programs you are eligible, begin the process to apply for Medicaid.
Learn more about Medicaid requirements by downloading our comprehensive guide.