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Medicaid Waiver Guide – Missouri

Feeling swamped by the complexities of Missouri Medicaid? Take a deep breath; you’re not alone. As a parent of a neurodivergent child, understanding this system can seem like learning a new language. But don’t worry, we’re here to break it down. This guide will walk you through the basics of Missouri Medicaid, why it matters to your family, and how to apply for a waiver. By the end, you’ll be ready to navigate the system like a pro.

Missouri Medicaid: What’s the Big Deal?

First, let’s get to grips with Missouri Medicaid. Simply put, it’s a joint state and federal program providing health coverage for low-income individuals. This includes some low-income adults, children, pregnant women, elderly adults, and people with disabilities. But here’s the kicker – it can be a game-changer for families with neurodivergent kids, covering services like therapy, medication, and specialized equipment.

Read more: Autism Schools in Missouri | Parent Guide

Missouri Medicaid can be particularly beneficial for neurodivergent kids. It offers various services, including behavioral health, speech, occupational, and physical therapy. The goal? To provide the necessary support for these kids to flourish.

Applying for a Missouri Medicaid Waiver: Your Step-by-Step Guide

But here’s the thing – not all services are covered under the standard Missouri Medicaid program. That’s where Medicaid waivers come in. These waivers allow states to provide services beyond those typically covered by Medicaid. For example, they might cover respite care, home modifications, or personal care assistance. So, how do you apply for a Missouri Medicaid waiver? Let’s break it down.

StepWhat to Do
1Identify the appropriate waiver: Missouri offers several waivers, each targeting different needs and populations. Research each one to identify the best fit for your child.
2Complete the application: You can apply online, by mail, or in person. Be prepared to provide detailed information about your child’s diagnosis and needs.
3Wait for the assessment: A case manager will assess your child’s eligibility after submitting your application. This typically involves a home visit and a review of medical records.
4Receive your decision: If approved, you’ll receive a letter detailing the services your child is eligible for. If denied, you have the right to appeal.
missouri medicaid. two parents are meeting with a medicaid specialist
Read more: Medicaid Waivers by State | A Guide for Parents

Other online resources for Missouri:

Telephone Resources

Goally Waiver ScorecardScore
Website clarity and ease of navigation4/5
Access and requirements of qualification3/5
Healthcare coverage5/5

Missouri Medicaid Waiver Tips

Applying for a Missouri Medicaid waiver can seem daunting, but we’ve got some tips to make the process smoother:

  • Be thorough: The more information you provide, the better. Include all relevant medical records and a detailed description of your child’s needs.
  • Be patient: The process can take time. However, feel free to follow up if you have not heard back within a reasonable timeframe.
  • Seek help: If you’re feeling overwhelmed, consider seeking help from a Medicaid consultant or advocate. They can guide you through the process and ensure you take full advantage of available resources.

And remember, Goally is here to support you every step of the way. Our learning tablet for kids is designed to help neurodivergent kids thrive, and we’re committed to providing resources and support for parents like you.

Wrapping Up

navigating Missouri Medicaid can be challenging, but remember, you’re not alone. There are resources and support available to help you through the process. The goal is to secure the best possible care for your neurodivergent child. So, gather your documents, take a deep breath, and start your journey. You’ve got this!

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And don’t forget, Goally is here to help. Whether through our learning tablet for kids or resources like this guide, we’re committed to supporting families of neurodivergent kids. So, take the next step, apply for that Missouri Medicaid waiver, and know that Goally is cheering you on every step of the way.

Who Can Apply?

Circumstance/Diagnosis: Any child or adult who is diagnosed with either an intellectual and/or developmental disability (this includes autism). The state requires that individuals need an intermediate care facility level of care to qualify. This just means that the individual is unable to get through their day without a lot of supervision. You can view more specific eligibility requirements HERE
Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child is financially eligible for the waiver if they don’t have an income.

How do I apply?

To apply for any of these waivers and to get more advice on which one is best, please contact your Regional Office.

What does the Goally Team Think?

Missouri has a smart, efficient, and well made waiver program. They have tons of options that are tailored to the different needs and situations for individuals and families living with autism. The only reason we’re giving Missouri an average access and requirements of qualification score is because they just created a new waitlist for services. You can expect to wait a couple months but this is far better than other states where you have to wait 6-10 years.

This post was originally published on 02/16/2021. It was updated on 09/14/2023.