Missouri medicaid application for disability

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.

Medicare Savings Program

Medicare is a federal healthcare coverage program for qualified adults over the age of 65, or under age 65 if they are receiving Social Security Disability benefits. The Medicare Savings Program (MSP) (Español) can help Medicare (Part A and Part B) participants pay their medical premiums. Some participants may be eligible for:

• Help paying their Medicare deductibles and co-insurance copays
• MSP and MO HealthNet (MO HealthNet can help pay for medical costs that are not covered by Medicare)
  

Qualified Medicare Beneficiary (QMB)

• Helps pay for your Medicare Part A and Part B premiums, your deductible, and your coinsurance (your share in medical costs)
• You may be eligible for QMB and MO HealthNet at the same time

Specified Low-Income Medicare Beneficiary (SLMB)

• Helps pays your Medicare Part B premiums
• You may be eligible for both SLMB and MO HealthNet at the same time

Qualified Individual Program (QI-1)

• You can choose if this program will pay for your Medicare Part B premiums or to receive MO HealthNet coverage

Who is Eligible

Individuals may qualify for MSP, if they are:

• A U.S. Citizen (or qualified non-citizen) and Missouri resident
• Have Medicare Part A
• Meet certain income and resource requirements

How to Apply

• To apply for MSP, complete the Application for Medicare Savings Program online. You can also download and print, or scan the application (Español). You can upload a copy of your form, or mail it to: Family Support Division | P.O. Box 2700 | Jefferson City, MO 65102, or drop it off at your local FSD Resource Center.
  
• If you already have MO HealthNet coverage and would like to add MSP, please visit our Change Report online, select "Request changes to your MO HealthNet coverage," enter your name, and the select "sign and submit." You can also request to add on MSP at your local FSD Resource Center.
  
• To apply for MSP and MO HealthNet (Missouri Medicaid), visit mydss.mo.gov/healthcare/apply or you can apply in person at your local FSD Resource Center.

Nursing Home Coverage

Nursing Home Coverage (Español) through MO HealthNet helps residents in nursing homes, or long-term care facilities, pay for room and board, as well as necessary medical and non-medical goods and services. Participants will use all of their income towards nursing home costs, except for a $50 allowance, health insurance premiums, and any income set aside for a spouse or other dependents.

Who is Eligible?

Individuals may qualify if they meet certain income requirements, and be:

• Age 65 (or older), blind, or permanently disabled
• A U.S. Citizen (or qualified non-citizen) and Missouri resident
• Approved by the Dept. of Health and Senior Services to get care from a nursing facility
• Eligible for, or currently have, MO HealthNet

There are set limits for the resources and income you can have to qualify for help through this program. To review these limits, visit tinyurl.com/ResourceLimits and look for "Vendor Care."

How to Apply

• If you already have coverage through MO HealthNet and you enter a nursing home/facility, you (or an authorized representative) need to let FSD know by reporting to the online Change Report, or by visiting your local FSD Resource Center.
• If you do not have MO HealthNet, you will need to apply. Visit mydss.mo.gov/healthcare/apply to get started. When you complete your application, make sure to check the box that asks if someone in the household lives in a medical facility or nursing home.

NOTE: You will know if your application was approved within 45-90 days.

Supplemental Nursing Care

The Supplemental Nursing Care (Español) Program provides monthly cash assistance to cover cost of living fees, to aged, blind, and disabled adults living in assisted living and residential care facilities. Supplemental Nursing Care (SNC) will give you a monthly allowance of $50 for personal needs, as well as a cash payment for your facility fees ($156 per month for residential care, or $292 per month for assisted living). When you apply for SNC, we will consider your monthly income from your job, Social Security, and any other sources, and will compare that amount to the monthly cost of the facility you live in. If your monthly income is less than the monthly cost of the facility, SNC could help cover the difference (up to the max amount allowed).

Who is Eligible?

Individuals may qualify if they meet certain income requirements, and are:

• Age 21 (or older)
• Live in a supported living facility (e.g. licensed residential care, assisted living, or intermediate or skilled nursing facility)
• A U.S. Citizen (or qualified non-citizen) and Missouri resident
• Have an income that is less than the monthly cost to live in the facility
• Be eligible for, or currently have, MO HealthNet

There are set limits for the resources and income you can have to qualify for help through this program. To review these limits, visit tinyurl.com/ResourceLimits and look for "Supplemental Nursing Care."

How to Apply

• If you already have coverage through MO HealthNet and you want to add Supplemental Nursing Care, you need to complete the MO HealthNet Application Addendum (Español) and make sure to check the box for Supplemental Nursing Care. You can submit this form online, or to your local FSD Resource Center.
• If you do not have MO HealthNet, you will need to apply. Visit mydss.mo.gov/healthcare/apply to get started. When you complete your application, make sure to check the box that asks if someone in the household lives in a medical facility or nursing home.

NOTE: You will know if your application was approved within 45-90 days.

Home & Community Based Services

Home & Community Based Services (Español) provide in-home services to qualified MO HealthNet (Missouri Medicaid) participants who live at home. These services may include, home healthcare, physical or speech therapy, meal delivery or food delivery, personal care (like dressing, bathing, eating, etc.), house cleaning, and other services.

Who is eligible?

Individuals may qualify if they meet certain income requirements, and are:

• Age 63 (or older)
• A U.S. Citizen (or qualified non-citizen) and Missouri resident
• Approved by the Dept. of Health and Senior Services (DHSS) to get in-home services
• Be eligible for, or currently have, MO HealthNet

NOTE: If you are approved for Home & Community Based Services, you will not be required to spend down your MO HealthNet coverage.

How to Apply

• If you already have coverage through MO HealthNet and you want to add (or refer someone for) Home & Community Based Services, call 877-304-7939.
• If you do not have MO HealthNet, you will need to apply. Visit mydss.mo.gov/healthcare/apply to get started.

More Information

• Apply for MO HealthNet (Missouri Medicaid)
• Manage my healthcare benefit
• Senior and Disability Services
• Healthcare assistance for seniors & individuals with disabilities (English) (Español)
• Nursing Homes and Other Care Options
• Appointing an Authorized Representative (English) (Español)
• Appoint an Authorized Representative Form (English) (Español)
• Show-Me Home (Money Follows the Person)
• Checklists for Trusts
• Prevention Spousal Impoverishment
• MO ABLE flyer (English) (Espanol)
• Master Plan on Aging | Senior & Disability Services | Health & Senior Service
• Program of All-Inclusive Care for the Elderly (PACE)