MEDICAID IN MISSOURI

MO HealthNet for the Aged, Blind, and

DisabledFamily Support Division

MO HealthNet for the Aged, Blind, and Disabled (MHABD)

Medicare Savings Plan – Qualified Medicare Beneficiary (QMB) and Specified Low-Income Medicare Beneficiary (SLMB)

MO HealthNet Programs

Social Security Number US Citizen or Eligible Qualified Non-Citizen and Identity Missouri residence Elderly (65 and over) or Blind or Permanently and

Totally Disabled Resource limit for elderly and disabled:

Individual– less than $1000Couple- $2000 or less

Resource limit for blind:Individual- $2000 or lessCouple- $4000 or less

MHABD Basic Eligibility Criteria

Net Income Limit for Elderly and Disabled:Individual- $792, Couple- $1072

Net Income limit for Blind:Individual- $931, Couple- $1,261

Persons with net income that exceeds the limit may qualify for MHABD if they “spend down” their income to below the income limit.

MHABD Income Guidelines

A program created for persons aged, blind or disabled who have income that exceeds the MHABD limits.

Persons may qualify for MHABD when they have medical expenses equal to the income that exceeds the MHABD limit or if they pay-in the amount of income that exceeds the limit. This amount is their spend down amount.

What Is Spend Down?

Social Security Number US Citizen or Eligible Qualified Non-Citizen Missouri residence Medicare Part A – must be enrolled Resource limit:

Individual– $6,940Couple- $10,410

Net Income Limit:Individual- $931, Couple- $1261

Benefits are: Payment of Medicare premium Payment of Medicare deductibles Payment of Medicare co-pays

Qualified Medicare Beneficiary (QMB)

Social Security Number US Citizen or Eligible Qualified Non-Citizen Missouri residence Medicare Part A – must be enrolled Resource limit:

Individual– $6,940Couple- $10,410

SLMB 1 Net Income Limit:Individual- $1,117, Couple- $1,531

SLMB 2 Net Income Limit:Individual- $1,257, Couple- $1,703

Benefit is payment of SMI premium

Specified Low-Income Medicare Beneficiary

Customer Service Center 7am to 6pm Monday through Friday at 1-855-373-4636

Automated service line 24 hours, seven

days a week at 1-800-392-1261

Contacting Family Support Division

The MO Department of Social Services web site dss.mo.gov/

The Family Support Division web site to print a MHABD application dss.mo.gov/fsd/massist.htm

The Policy Manuals and Memorandums for FSD programs dss.mo.gov/fsd/iman/

Resources for more information