Applying for Medicaid in Missouri is a straightforward process that can be done online, by mail, or in person. The application is available in English and Spanish, and help is available from a customer service representative if you need it. You will need to provide information about your income, assets, and household size. You may also need to provide proof of citizenship or lawful immigration status. Once you have submitted your application, it will be reviewed by the Missouri Department of Social Services. If you are eligible for Medicaid, you will receive a Medicaid card in the mail.
Missouri Medicaid Eligibility
To qualify for Missouri Medicaid, you must meet certain eligibility requirements. These requirements include:
- Income: Your income must be within certain limits. The limits vary depending on your family size and other factors.
- Assets: You must have limited assets. The limits vary depending on your situation.
- Citizenship: You must be a U.S. citizen or a legal resident.
- Age: You must be under 19 years old, 65 years old or older, pregnant, or disabled.
In addition to these general requirements, there are also specific eligibility requirements for certain groups of people. For example, children must meet additional requirements, such as being enrolled in school or foster care.
Applying for Missouri Medicaid
To apply for Missouri Medicaid, you can either apply online or by mail. If you apply online, you will need to create an account and provide your personal information, income, and asset information. If you apply by mail, you will need to complete a paper application and mail it to the appropriate address.
Once you have applied, your application will be reviewed by the Missouri Medicaid office. If you are approved, you will receive a Medicaid card in the mail. You can use this card to get health care services from participating providers.
Benefits of Missouri Medicaid
Missouri Medicaid provides a wide range of health care benefits to eligible individuals. These benefits include:
- Doctor visits
- Hospital care
- Emergency care
- Prescription drugs
- Mental health care
- Dental care
- Vision care
Missouri Medicaid also provides coverage for long-term care services, such as nursing home care and home health care. These services are available to individuals who are eligible for Medicaid and who meet certain other requirements.
Missouri Medicaid Contact Information
If you have questions about Missouri Medicaid, you can contact the Missouri Medicaid Customer Service Center at 1-800-735-4769. You can also visit the Missouri Medicaid website at https://dss.mo.gov/medical/medicaid.
| Income Limit | Family Size |
|---|---|
| $1,782 | 1 |
| $2,382 | 2 |
| $2,982 | 3 |
| $3,582 | 4 |
| $4,182 | 5 |
Required Documents for Medicaid Application
Medicaid is a government-sponsored health insurance program provided to low-income individuals and families who meet specific eligibility criteria. Applying for Medicaid can be a daunting task, but being organized and having the correct documents can make the process go more smoothly.
Proof of Identity
- Birth Certificate: A copy of your birth certificate or other proof of identity, such as a passport or driver’s license.
- Social Security Card: A copy of your Social Security card or a statement from the Social Security Administration showing your Social Security number.
Proof of Income
- Pay stubs: Copies of your most recent pay stubs from all jobs you hold.
- Self-Employment Income: If you are self-employed, provide copies of your business licenses and tax returns.
- Other Income: Provide documentation of any other income, such as Social Security benefits, unemployment benefits, or pension income.
Proof of Assets
- Bank Statements: Copies of your most recent bank statements from all accounts.
- Investment Statements: Copies of your most recent investment statements, such as stock certificates or mutual fund statements.
- Vehicle Titles: Copies of the titles to all vehicles you own.
Proof of Residence
- Rent or Lease Agreement: A copy of your rent or lease agreement.
- Utility Bills: Copies of recent utility bills showing your address.
Proof of Disability (if applicable)
- Medical Records: Copies of medical records documenting your disability.
- Statement from Doctor: A statement from your doctor detailing your disability and how it affects your ability to work.
Proof of Citizenship or Legal Residency (if applicable)
- Birth Certificate: A copy of your birth certificate or other proof of U.S. citizenship.
- Green Card: A copy of your green card or other proof of legal residency.
Additional documents may be required depending on your specific situation. It is important to gather all necessary documents before applying for Medicaid to ensure a smooth and successful application process. Contact your local Medicaid office for more information.
| Document Type | Description |
|---|---|
| Proof of Identity | Birth certificate, passport, or driver’s license |
| Proof of Income | Pay stubs, self-employment income documentation, or other income documentation |
| Proof of Assets | Bank statements, investment statements, or vehicle titles |
| Proof of Residence | Rent or lease agreement, or utility bills |
| Proof of Disability (if applicable) | Medical records and a statement from your doctor |
| Proof of Citizenship or Legal Residency (if applicable) | Birth certificate, green card, or other proof of legal residency |
Required Documentation for Medicaid Application
Prior to filling out your Medicaid application, it is necessary to gather required documents which include:
- Proof of income for the past 30 days
- Social Security Number and/or proof of application
- Evidence of resources such as bank accounts and stocks
- Verification of identity such as a driver’s license or birth certificate
- Proof of Missouri residency, such as a utility bill or lease agreement
- Proof of eligible dependents, such as birth certificates or Social Security cards
Where to Get the Medicaid Application
- Online at mydss.mo.gov/healthcare
- At your local Family Support Division (FSD) office
- By calling the MO HealthNet Customer Service Center at 1-800-392-2121
Submitting a Medicaid Application
Upon completing the Medicaid application, submit it:
- Online at mydss.mo.gov/healthcare
- By mail to the address on the application form
- In person at your local Family Support Division (FSD) office
Checking the Status of Your Application
- Online at mydss.mo.gov/healthcare
- By calling the MO HealthNet Customer Service Center at 1-800-392-2121
| Individual | Family of 2 | Family of 3 | Family of 4 |
|---|---|---|---|
| $18,754 | $25,128 | $31,502 | $37,877 |
| $23,790 | $31,914 | $39,488 | $47,062 |
| $28,826 | $38,698 | $47,470 | $56,242 |
| $33,862 | $45,482 | $55,452 | $65,419 |
| $38,898 | $52,266 | $63,434 | $74,596 |
Medicaid Missouri: Filing an Appeal
If your application for Medicaid in Missouri has been denied, you can appeal the decision. Here are the steps you need to take:
1. File a Request for a Hearing
- You must request a hearing within 30 days of the date on the denial letter.
- You can file a request for a hearing online, by mail, or in person at your local Family Support Division office.
- The request for a hearing must include:
- Your name and address.
- Your Medicaid application number.
- The date of the denial letter.
- A brief statement explaining why you believe the denial was incorrect.
2. Prepare for the Hearing
- You will receive a notice of the hearing date and time by mail.
- Gather documents and evidence to support your appeal, such as:
- Proof of your income and assets.
- Medical records showing your disability or medical condition.
- Statements from doctors or other healthcare providers.
- Witness statements from people who can speak to your disability or medical condition.
- You can also request a free attorney to represent you at the hearing.
3. Attend the Hearing
- Attend the hearing on the scheduled date and time.
- Bring all of your documents and evidence with you.
- The hearing officer will review your case and make a decision.
- The decision will be mailed to you within 45 days of the hearing.
4. Appeal the Hearing Decision
- If you are not satisfied with the hearing decision, you can appeal to the Missouri Administrative Hearing Commission.
- You must file your appeal within 30 days of the date on the hearing decision letter.
- The appeal process is similar to the hearing process.
| Step | Days | Action |
|---|---|---|
| Request a Hearing | 30 | File a request for a hearing. |
| Prepare for the Hearing | — | Gather documents and evidence, and request an attorney if needed. |
| Attend the Hearing | — | Attend the hearing and present your case. |
| Decision | 45 | Receive the hearing decision in the mail. |
| Appeal the Decision | 30 | File an appeal with the Missouri Administrative Hearing Commission. |