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What is Medicaid & How Does It Work?

MO HealthNet, referred to as Medicaid, is a federal and state program that pays for a number of medical care services. Medicaid is based on financial need; applicants have to have limited assets and income.

MO HealthNet coverage is automatically available to all recipients of MO HealthNet, Nursing Care, Home and Community-based Services, Supplemental Aid to the Blind, Blind Pension, and Adult Supplemental Payments.

The purpose of the MO HealthNet program is to provide medical services to persons who meet certain eligibility requirements as determined by FSD. .

Coverage for the Elderly

The Missouri Medicaid program offers medical health coverage to people 65 years of age and older who are in need of the financial assistance for their medical services. The program establishes that lawful Missouri residents who are 65 and older and whose net income is 85 percent of the federal poverty line qualify for Medicaid's Healthnet coverage services. For an individual, 85 percent of the poverty line comes out to $768 per month, and for a couple it stretches to $1,033.

Coverage for the Disabled

Lawful Missouri residents who are disabled may be eligible to receive Medicaid health coverage. The Missouri Medicaid program states that people who are permanently disabled, have the appropriate doctors waivers and have a net income of 80 percent of the federal poverty line qualify for Medicaid's Healthnet coverage services.

What is the difference between Medicare & Medicaid?

Medicare

Pays for medical and rehabilitative care only Is funded by participants not the state Is not based on financial need

Medicaid

Pays for medical, rehabilitative and custodial care Medicaid is a joint partnership with the states Is based on financial need

Consumer Directed Services is a state funded program authorized through the Department of Health and Senior Services.

Missouri Department of Health & Senior Services

http://health.mo.gov/seniors/index.php

Missouri Medicaid Eligibility Requirements for the Elderly, Blind and Disabled

www.dss.mo.gov/fsd/massist.htm

Medicaid: Missouri’s MO Healthnet Application

www.dss.mo.gov/mhk/appl.htm

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