Medicaid tại Missouri: những gì bạn có thể đủ điều kiện nộp đơn

Missouri's Medicaid is called MO HealthNet, administered by the Family Support Division (FSD) within the Department of Social Services (DSS); you apply through mydss.mo.gov or by calling 1-855-373-4636. 🌟 Missouri adopted the ACA Medicaid expansion by voter initiative in 2021 (Amendment 2 of 2020), implemented in 2021 — income-eligible adults 19-64 qualify at up to 133% of the Federal Poverty Level (the state's current income table lists the adult expansion group at 133% FPL; with the standard 5% income disregard this is effectively about 138% FPL). On immigration status, MO HealthNet requires a U.S. citizen or a qualified immigrant and imposes the usual five-year bar. The state manual states verbatim: "Qualified immigrants entering the U.S. on or after August 22, 1996 who are not eligible for MO HealthNet for five years following their date of entry," though refugees, asylees, certain humanitarian categories, and active-duty service members/veterans and their families are exceptions not subject to the five-year bar. 🔴🔴 State-by-state and not borrowed from Ohio: unlike Ohio, which elected the ICHIA option (waiving the five-year wait for lawfully residing children and pregnant people), the authoritative tracker (KFF State Health Facts, Jan 2026) shows Missouri has NOT elected that option for either lawfully residing immigrant children or pregnant people (Missouri = No for both) — so lawfully residing immigrant children and pregnant people are still subject to the usual five-year wait in Missouri. For people in the waiting period or without a qualifying status, Missouri offers Emergency MO HealthNet Care for Ineligible Aliens (EMCIA), which the state says verbatim "provides coverage for emergency medical care of aliens who meet all eligibility requirements for a federally-funded MO HealthNet program except citizenship/alien status," treating an emergency medical condition (including labor and delivery) regardless of status. 🌟 In addition, Missouri's Show-Me Healthy Babies (the CHIP unborn-child option) provides prenatal care for pregnant people up to 300% FPL: eligibility is determined for the unborn child, not the mother, so the mother's immigration status is not the basis for eligibility — an undocumented pregnant person may be able to get prenatal care this way (safety-critical; verify your own situation with FSD). 🔴 Did-not-find, stated honestly: unlike California or Illinois, we did not find any Missouri state-funded program providing full-scope Medicaid to undocumented adults or children — for people without a qualifying status, Missouri's Medicaid pathway is EMCIA (emergency) and, for pregnancy, Show-Me Healthy Babies prenatal care. Do not assume the whole family is barred, and do not assume everyone qualifies for full coverage — a mixed-status household can have some members on full MO HealthNet (e.g., citizens or qualified immigrants) and others eligible only for EMCIA or prenatal care. 🔴 A federal law change is scheduled to narrow immigrant Medicaid/CHIP eligibility effective October 1, 2026; because immigration rules are safety-critical and changing, verify your own household with FSD (mydss.mo.gov). Applying for or receiving Medicaid for your children does not require the parents to have status.