• MEDICAID PROVIDES HEALTH COVERAGE TO MORE THAN 1 MILLION MISSOURI RESIDENTS – OR 17.7% OF ALL MISSOURIANS

    To view the number of Medicaid beneficiaries under 65 in your district, click HERE.

    To view the number of all Medicaid beneficiaries by county, click HERE.

  • Who relies on Medicaid for health coverage in Missouri?

  • 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

  • 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%.

  • 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.

  • 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