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MO HealthNet for Kids


MO HealthNet for Kids is the Medicaid program for children and also the State Children’s Health Insurance Program in Missouri for those with higher incomes. Administered by the Department of Social Services, MO HealthNet for Kids provides a full range of medical services such as preventive care, primary care, hospital and pharmacy services, in addition to dental and vision. In order to qualify for benefits, a child must be a resident of Missouri who is under 19 years old, have a social security number, and be a U.S. citizen or legal resident. Eligible applicants must also meet certain income guidelines according to their family size.

Whether you are a child within the Medicaid limits or not, MO HealthNet may be able to help you get health insurance. Children who qualify for non-SCHIP MO HealthNet will have income less than or equal to the following percentages of Federal Poverty Level depending on their age group:

  • Infants under age 1: 185%
  • Children 1-5: 133%
  • Children 6-18: 100%

Families with income over these limits and gross income below 150 percent of FPL also qualify for Medicaid. Those who have income over these limits may be able to apply for the MO Health Net for Kids CHIP program.

 

MO HealthNet for Kids Eligibility

Income guidelines for MO HealthNet for Kids are between 150 and 300 percent of the Federal Poverty Level. If families meet this income criteria, and their child has been uninsured for at least six consecutive months, they may be able to qualify. Additionally, the family’s assets must also have a net worth under $250,000. Those who have an income over 150 percent of the poverty level are required to may a premium each month for their coverage.

MO HealthNet for Kids (Non-SCHIP)

Infants – 185%

Family of 1: $1,723 monthly, $20,665 yearly

Family of 2: $2,333 monthly, $27,991 yearly

Family of 3: $2,943 monthly, $35,317 yearly

Family of 4: $3,554 monthly, $42,643 yearly

Family of 5: $4,165 monthly, $49,969 yearly

 

Children Ages 1-5 – 133%

Family of 1: $1,238 monthly, $14,856 yearly

Family of 2: $1,639 monthly, $19,699 yearly

Family of 3: $2,068 monthly, $24,817 yearly

Family of 4: $2,497 monthly, $29,965 yearly

Family of 5: $2,994 monthly, $35,928 yearly

 

Children Ages 6-18 – 100%

Family of 1: $938 monthly, $11,170 yearly

Family of 2: $1,261 monthly, $15,130 yearly

Family of 3: $1,591 monthly, $19,090 yearly

Family of 4: $1,921 monthly, $23,050 yearly

Family of 5: $2,251 monthly, $27,012 yearly

 

MO HealthNet for Kids (150% of FPL)

Family of 1: $1,397 monthly, $16,674 yearly

Family of 2: $1,892 monthly, $22,704 yearly

Family of 3: $2,387 monthly, $28,644 yearly

Family of 4: $2,882 monthly, $34,584 yearly

Family of 5: $3,377 monthly, $40,524 yearly

 

MO HealthNet for Kids (300% of FPL)

Family of 1: $2,793 monthly, $33,516 yearly

Family of 2: $3,783 monthly, $45,396 yearly

Family of 3: $4,773 monthly, $57,276 yearly

Family of 4: $5,763 monthly, $69,146 yearly

Family of 5: $6,753 monthly, $81,036 yearly

 

Benefits

As a Medicaid program, the same services are offered to all levels of MO HealthNet for Kids members, regardless of income. These include medical care from special health needs to regular preventive health services and doctor’s office visits. Your benefits will vary based on whether you are a managed care member or a fee-for-service member. Coverage also depends on the member, as pregnant women are also eligible for services.

 

  • Abortion
  • Ambulance
  • Behavioral health services
  • Certified nurse midwife
  • Dental care
  • Diabetes management and supplies
  • Disability waivers
  • Durable medical equipment
  • Early Periodic Screening, Diagnosis & Treatment (EPSDT)
  • Emergency room visits
  • Emergency medical, behavioral health, or substance abuse services
  • Family planning
  • Hearing services and hearing aids
  • Home health care
  • Hospice
  • Immunizations
  • Inpatient hospital stays
  • Lab and X-ray
  • Maternity care
  • Newborn home visits
  • Non-emergency medical transportation
  • Office visits
  • Outpatient hospital services
  • Outpatient surgery
  • Pharmacy
  • Physical, occupational, and speech therapy
  • Podiatry
  • Psychiatric rehabilitation
  • Public health services
  • Substance abuse treatment
  • Transplants
  • Vision care

 

Health Plans

Depending on where you live, you will either be enrolled in a health plan, or be a fee for service participant in MO HealthNet for Kids. The same managed care organizations are offered for HealthNet for Kids as other Medicaid programs. MCOs throughout the state include HealthCare USA, Missouri Care Health Plan, and Molina Healthcare of Missouri. Blue Advantage Plus of Kansas City is specific to the Western region, and Harmony Health Plan of Missouri is only available for members in the Eastern region.

View a map of the service areas by county here.

 

How to Apply

Fill out an application for MO HealthNet, and you will automatically be determined for eligibility for MO HealthNet for Kids, even with higher income. Print an application and mail it to the address below, or complete an application online.

Apply online

Print an application

Send to:

MO HealthNet Service Center

525 Jules St #127

St. Joseph, MO 64501

 

Resources

MO HealthNet for Kids

Apply for MHK

Contact MO HealthNet

800-835-5465

 

 

Sources:

 

1. Missouri Department of Social Services. “MO HealthNet for Kids”. http://www.dss.mo.gov/mhk/.

 

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