Missouri medicaid application 2025

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4.8 out of 5

278 votes

The document is an application form for MO HealthNet (Medicaid) provided by the Missouri Department of Social Services, Family Support Division. It includes sections for personal information, household details, income and expenses, citizenship status, personal property, insurance information, and rights and responsibilities. The form aims to assist individuals in applying for Medicaid benefits while providing contact information for assistance in multiple languages.

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Click ‘Get Form’ to open the Missouri Medicaid application in the editor.
Begin with Section 1, 'Your Basic Information.' Fill in your full legal name, maiden name (if applicable), home address, and contact details. Ensure accuracy as this information is crucial for processing your application.
Proceed to Section 2, 'Your Household.' List all household members starting with your spouse. Include their names, relationships, and whether they are applying for coverage.
In Section 3, 'Money Available to You,' indicate any resources you or your spouse have. Check all applicable boxes and provide details about bank accounts and other assets.
Move on to Section 4, 'Your Income and Expenses.' Document all sources of income by checking the relevant boxes and providing amounts. This section helps determine your eligibility based on financial status.
Complete Sections 5 through 8 as required, ensuring you provide accurate citizenship status and any necessary documentation regarding insurance or property.
Finally, review all sections for completeness before signing electronically or manually at the end of the form.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (278 Votes)
2010	4.4 Satisfied (60 Votes)
2006	3.9 Satisfied (32 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is MO HealthNet based on gross or net income?

Income-based MO HealthNet, sometimes called MO HealthNet expansion, is based on your Modified Adjusted Gross Income (MAGI), which includes most earned and unearned income.

What is the income limit for Medicaid in Missouri?

To determine if you are eligible and to apply, visit Apply for MO HealthNet. You can apply through the online portal, by phone at (855) 373-9994, or download and print the application using docHub Reader .

What is the highest income that qualifies for Medicaid?

For most states, the Medicaid income limit is $2,901 per month for a single applicant and $5,802 per month for married applicants, typically set at 300% of the Federal Benefit Rate (FBR).