The Affordable Care Act (ACA) was signed on March 23, 2010. The ACA created the opportunity for states to expand Medicaid to cover low-income people.
When ACA was passed, it allowed states to expand Medicaid to include all people whose income is below 138% of federal poverty level (200% for children), which amounted to $16,394 for individuals and $33,534 for a family of four in 2016.
Medicaid expansion is optional for states. Missouri has not expanded Medicaid (MO HealthNet) eligibility under the ACA as of June 2017 (one of 19 states that declined).
The coverage gap exists between eligibility for Medicaid and eligibility for marketplace subsidies. 96,000 Missourians fall into this gap, 83% are members of working families, and 42% are people of color according to a report by the Kaiser Family Foundation.
Medicare: Federal health care program for people age 65 and older.
Who is eligible for Medicare?
Medicaid and the Children’s Health Insurance Program (CHIP) provide health and long-term care coverage to more than 977,708 low-income children, pregnant women, adults, seniors, and people with disabilities in Missouri.
Medicaid: Joint federal and state program that helps with medical costs for low-income people.
Who is eligible for Medicaid?
In Missouri, the Family Support Division (FSD) administers the MO HealthNet nursing home coverage program, also known as Vendor coverage:
An individual must meet the following criteria to qualify for Vendor coverage:
Alternative Medicaid long-term care programs for Missouri seniors:
Qualifying for Medicaid When Once Exceeds the Limits
Apply through the local Family Support Division office. Complete the application as soon as an individual begins residing in a Medicaid-certified bed.
There are two ways to file an online application for MO HealthNet Medicaid benefits in Missouri:
If you are living in Missouri and need to apply for Medicaid benefits, you can enroll using phone. Just dial 1-800-318-2596
In fiscal year 2000, Medicaid was 18.4% of the Missouri budget. By fiscal year 2016, it had soared to 37.2%. It then increased 6.2% in fiscal year 2017. In the 2018 fiscal year, a mid-year budget adjustment was made in order to add $622 million in additional Medicaid funding.
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