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Medicaid / Missouri

Medicaid for Home Care in Missouri

Medicaid Certified Home Care Agency in Missouri

There are certain regulations that need to be followed by homecare agencies that expect to file Medicaid claims in Missouri. Different states offer different criteria for Medicaid claims that should be followed by the agencies for ensuring eligibility for the claims. The information regarding the certifications and licensing is provided by the Bureau of Licensing and Certification or state’s Department of Human Services.

Governing Body: Missouri Medicaid


In Missouri, Medicaid, also known as MO HealthNet, provides several jointly-funded state and federal health care programs for seniors, pregnant women, parents, newborns, children, seniors, disabled people, and women with breast or cervical cancer.

Medicaid Programs:

  • Aged and Disabled Waiver (ADW)
  • Independent Living Waiver (ILW)
  • Consumer Directed State Plan Personal Care
  • Supplemental Nursing Care (SNC) Assistance
  • Home and Community-Based Services (HCBS)

Income Requirements:

  • For elderly and disabled people, income up to $855 per month for one person and for a couple, income up to $1,151 per month
  • For blind people, income up to $1,005 per month and for a couple, income up to $1,354 per month
  • For elderly, disabled, and blind people, no more than $2,000 in personal assets one person and for a couple, no more than $4,000
  • For pregnant women and infants, household income up to 196% of the FPL ($2,653 per month) for a family of two
  • For families with children, income up to $241 per month for a family of two, $301 for a family of three, and $353 for a family of four
  • For children, household income up to 150% of the FPL ($2,030 per month) for a family of two
  • For women with breast or cervical cancer, income limit of 200% of the FPL

Application Process:

To apply online for the available Medicaid programs in Missouri, you can visit https://mydss.mo.gov/.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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    50-State Medicaid Guide

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