Missouri Application for Presumptive Eligibility for Medicaid

State:
Multi-State
Control #:
US-0538BG
Format:
PDF
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Description

Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate access to health care while you apply for regular Medicaid or other health coverage.
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  • Preview Application for Presumptive Eligibility for Medicaid
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FAQ

If you are approved for help, you will have healthcare coverage through Missouri Medicaid (MO HealthNet). This healthcare coverage is different than Medicare and it can help with benefits not normally covered through that program, like nursing home care and personal care services.

In 2023, that amounts to $20,120 for a single individual, and $34,3065 for a household of three (children were already eligible for Medicaid at higher income levels).

People with disabilities If you have Supplemental Security Income (SSI) Disability, you may get Medicaid coverage automatically or you may have to apply.

PE allows eligible individuals can get needed coverage while their application is being processed. This ensures that the individual will have access to needed services and medications, and that providers will be reimbursed for eligible services.

Parents of Dependent Children: Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2023 FPL for an individual, which is $14,580.

Out-of-network physicians, facilities and other health care providers must request prior authorization for all procedures and services, excluding emergent or urgent care. Many of our benefit plans provide coverage for behavioral health services through a designated behavioral health network.

Who is eligible for this program? Household Size*Maximum Income Level (Per Year)5$105,4206$120,8407$136,2608$151,6804 more rows

State Of Missouri SNAP October 2023 Household Number of PersonsLimit CE Eligible MonthlyLimit Maximum Gross (130% FPL)32,5502,69443,2403,25053,8463,80764,6164,3645 more rows

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Missouri Application for Presumptive Eligibility for Medicaid