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Who relies on Medicaid for health coverage in Missouri?
• 36.2% of all children
• 40% of moms giving birth and their newborn babies
• 36.4% of working-age adults with disabilities
• 65% of people living in nursing homes
• 16% of Medicare beneficiaries
• 12.9% of adults aged 19-64
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What is Medicaid called in Missouri?
Medicaid goes by many names. For example, in Missouri, Medicaid is also known by:
•MO HealthNet
•The insurance companies that cover Medicaid beneficiaries—Healthy Blue, Home State Health Plan, and UnitedHealthcare
•Missouri’s Medicaid home and community-based services programs—Aged and Disabled Waiver (ADW), Structured Family Caregiving Waiver (SFCW), Supplemental Nursing Care (SNC) Program, and Consumer Directed Personal Care Assistance
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MEDICAID IS A SIGNIFICANT SOURCE OF FEDERAL FUNDING TO MISSOURI
What role does Medicaid play in Missouri’s budget?
• Federal Medicaid funding to Missouri was $10 billion in 2023—62% of all federal funding to Missouri.1
• Most of Missouri’s Medicaid expenditures are matched by the federal government at a rate known as the Federal Medical Assistance Percentage or FMAP—Missouri’s FMAP is 65%.
• The federal matching rate for services provided to the Affordable Care Act (ACA) Medicaid expansion population (adults 19-64 not eligible on another basis such as pregnancy) and family planning services is 90%.
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How does Medicaid support community health centers in Missouri?
• 49% of Missouri community health centers’ revenue came from Medicaid in 2023.
• 53% of community health center patients in Missouri have Medicaid.
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How does Medicaid support Missouri’s hospitals?
• In addition to payments for services provided to Medicaid managed care plan enrollees, Missouri hospitals received $2.6 billion in Medicaid payments in 2023, including $1 billion in Medicaid Disproportionate Share Hospital (DSH) and other supplemental payments that help to offset uncompensated care for Medicaid patients and the uninsured.es here