Missouri Medicaid expansion covers a wide range of healthcare services for eligible individuals and families. This includes doctor visits, hospital stays, prescription drugs, mental health and substance abuse treatment, dental care, and vision care. The program also provides coverage for long-term care services, such as nursing home care and home health care. Medicaid expansion in Missouri has helped to reduce the number of uninsured people in the state and has improved access to healthcare for many low-income individuals and families.
Missouri Medicaid Expansion: Understanding Coverage and Eligibility
Missouri’s expansion of Medicaid, also known as MO HealthNet, provides comprehensive healthcare coverage to a broader population meeting specific eligibility criteria. This expansion aims to enhance access to essential medical services and improve health outcomes for eligible individuals and families. Here’s an overview of what Missouri Medicaid expansion covers and who qualifies for this program.
Eligibility Criteria for Missouri Medicaid Expansion
To be eligible for Missouri Medicaid expansion, individuals must meet certain criteria, including:
- Income: Individuals must have an income at or below 138% of the Federal Poverty Level (FPL).
- Age: Missouri Medicaid expansion is available to adults aged 19 to 64.
- Residency: Applicants must be Missouri residents and U.S. citizens or qualified non-citizens.
- Legal Presence: Non-citizens must provide documentation of their lawful presence in the United States.
What Does Missouri Medicaid Expansion Cover?
Missouri Medicaid expansion provides coverage for a wide range of essential health services, including:
- Doctor visits and checkups
- Hospital care
- Emergency services
- Lab and X-ray services
- Mental health and substance use treatment
- Prescription drugs
- Vision care
- Dental care
- Family planning services
- Pregnancy and childbirth services
Additionally, Missouri Medicaid expansion provides coverage for optional benefits, such as:
- Physical therapy and occupational therapy
- Nursing home care
- Home and community-based services
- Case management services
Applying for Missouri Medicaid Expansion
To apply for Missouri Medicaid expansion, individuals can either:
- Apply online at the Missouri Medicaid website.
- Contact their local MO HealthNet office to schedule an in-person appointment.
- Call the MO HealthNet helpline at 1-855-784-1663.
When applying, individuals will need to provide documentation of their income, age, residency, and other relevant information.
Missouri Medicaid Expansion Income Limits
The following table outlines the income limits for Missouri Medicaid expansion:
| Family Size | 138% of Federal Poverty Level (FPL) |
|---|---|
| 1 | $18,754 |
| 2 | $25,520 |
| 3 | $32,286 |
| 4 | $39,052 |
| 5 | $45,818 |
| 6 | $52,584 |
| 7 | $59,350 |
| 8 | $66,116 |
Note: Income limits may change over time, so it’s essential to check the Missouri Medicaid website or contact MO HealthNet for the latest information.
Covered Medical Services and Benefits
Missouri Medicaid expansion covers a wide range of medical services and benefits to help Missourians stay healthy and access the care they need. These services include:
- Doctor’s visits
- Hospital care
- Emergency services
- Mental health and substance use disorder services
- Prescription drugs
- Vision care
- Dental care
- Family planning services
- Transportation to medical appointments
- Home health care
- Nursing home care
- Hospice care
In addition to these covered medical services, Missouri Medicaid expansion also provides a number of benefits that can help Missourians stay healthy and improve their quality of life. These benefits include:
- Help paying for health insurance premiums
- Assistance with paying for food and housing
- Help with paying for child care
- Transportation to medical appointments
- Help with paying for medical bills
- Access to health education and prevention programs
The following table provides a summary of the covered medical services and benefits under Missouri Medicaid expansion:
| Service/Benefit | Covered |
|---|---|
| Doctor’s visits | Yes |
| Hospital care | Yes |
| Emergency services | Yes |
| Mental health and substance use disorder services | Yes |
| Prescription drugs | Yes |
| Vision care | Yes |
| Dental care | Limited |
| Family planning services | Yes |
| Transportation to medical appointments | Yes |
| Home health care | Yes |
| Nursing home care | Yes |
| Hospice care | Yes |
| Help paying for health insurance premiums | Yes |
| Assistance with paying for food and housing | Yes |
| Help with paying for child care | Yes |
| Help with paying for medical bills | Yes |
| Access to health education and prevention programs | Yes |
Additional Medical Services
Dental coverage: Preventative services, basic restorative procedures, and dentures.
Vision care: Regular eye exams and treatment for eye infections and injuries.
Prescription drugs: Coverage for a wide range of medications, including brand-name and generic options.
Behavioral health services: Treatment for mental health conditions, substance use disorders, and intellectual/developmental disabilities.
Rehabilitation services: Physical therapy, occupational therapy, and speech therapy.
Long-term care services: Nursing home care, assisted living, and home health care.
Access to Healthcare Providers
Individuals covered by Missouri Medicaid expansion can access a wide range of healthcare providers, including:
- Physicians
- Dentists
- Optometrists
- Pharmacists
- Mental health professionals
- Addiction treatment providers
- Long-term care providers
Eligibility
To be eligible for Missouri Medicaid expansion, individuals must meet certain income and citizenship requirements.
| Category | Income Limit |
|---|---|
| Adults (19-64) | 138% of the federal poverty level |
| Children (0-18) | 133% of the federal poverty level |
| Pregnant women | 185% of the federal poverty level |
Individuals who meet the eligibility requirements can apply for Missouri Medicaid expansion through the state’s Medicaid office.
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Alright folks, that’s all we have for you today on the topic of what’s covered under Missouri Medicaid expansion. We covered a lot and I hope and I hope this article was helpful to you. You’ve probably got decisions to make about your healthcare, and this information can certainly help with that. We’re always working to bring you the latest and most accurate information on healthcare, so be sure to check back soon for more helpful articles like this one. Thanks so much for reading!