Get Missouri Medicaid Application

This guide provides clear and supportive instructions for users completing the Missouri Medicaid Application online. Whether you are applying for yourself or a loved one, it is designed to help you navigate each section with ease.

Follow the steps to complete your application successfully.

1. Press the ‘Get Form’ button to access the Missouri Medicaid Application and open it for editing.
2. Begin with the personal information section. Ensure that all details are accurate, including name, date of birth, and contact information.
3. If applicable, fill out Appendix A if you have a disability but do not receive Social Security Disability or Supplemental Security Income (SSI). This includes providing your disability history and any relevant medical information.
4. Complete Appendix B if you are married and living in a skilled nursing home or if you need skilled nursing care at home. This section will require details about your assets.
5. Fill out Appendix C if you wish to appoint an authorized representative. Be clear about who you wish to represent you during the application process.
6. Review your completed information carefully. Check for any missing fields or errors to avoid delays.
7. Once you are satisfied with the application, you can save your changes. You have the option to download, print, or share your completed application.

Start completing your Missouri Medicaid Application online today for efficient processing.