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Annual Data Report FY 2018

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  • Annual Data Report

    FY 2018

  • Mission

    We will lead the nation in building the capacity of

    individuals, families, and communities to secure

    and sustain healthy, safe, and productive lives.

    Vision:

    Safe, healthy, prosperous Missourians.

  • MICHAEL L. PARSON, GOVERNOR • JENNIFER TIDBALL, ACTING DIRECTOR

    PATRICK LUEBBERING, DIRECTOR FAMILY SUPPORT DIVISION

    P.O. BOX 2320 • JEFFERSON CITY, MO 65102-2320 WWW.DSS.MO.GOV • 573-751-3221 • 573-751-0507 FAX

    AUXILIARY AIDS AND SERVICES ARE AVAILABLE UPON REQUEST TO INDIVIDUALS WITH DISABILITIES TDD / TTY: 800-735-2966 RELAY MISSOURI: 711

    Missouri Department of Social Services is an Equal Opportunity Employer/Program.

    Dear Reader: The Family Support Division is pleased to present the forty-fourth Annual Data Report. Material in this report covers the activities during Fiscal Year 2018 (July 1, 2017 through June 30, 2018). Information about Income Maintenance and Rehabilitation Services for the Blind is included in this report. Payment data is for informational purposes and is not meant to provide an auditable account of expenditures. We hope the data presented here will be useful to all that are interested in the programs and services that are provided by the Family Support Division to the people of Missouri. Any questions pertaining to this report should be directed to the Family Support Division at 573-751-3221 or the Research Unit at 573-751-2170. Sincerely, Patrick Luebbering Director

  • TABLE OF CONTENTS

    Glossary. Definition of Categories of Assistance and Types of MO HealthNet Services ............... 1 Figure 1. Map of the Department of Social Services Regions ................................................... 2

    Temporary Assistance

    Figure 2. Average Monthly Caseload Fiscal Years 2014 - 2018 ................................................ 5 Figure 3. Average Monthly Payments Fiscal Years 2014 - 2018 ...............................................5 Table 1. Statewide Summary .............................................................................................. 6 Table 2. Average Monthly Applications and Closings ..............................................................7 Table 3. Average Monthly Caseload and Payments .............................................................. 9 Table 4. TEB Average Monthly Applications, Closings and Caseload ...................................... 11 Table 5. Case Management Average Monthly Participation by Component Type ...................... 13 Figure 4. Representative Missouri Temporary Assistance Characteristics ................................. 15

    MO HealthNet

    Table 6. Statewide Summary ............................................................................................ 18

    Family MO HealthNet Table 7. Average Monthly Applications and Caseload ........................................................... 21 Table 8. Average Monthly Caseload for Children ................................................................. 23 Table 9. Average Monthly Caseload for Parents/Caretakers ................................................. 25

    Refugee Table 10. Average Monthly Applications, Caseload and Payments ........................................... 27

    Breast & Cervical Cancer Treatment Table 11. Average Monthly Caseload ................................................................................... 27

    Children in Care Table 12. Average Monthly Applications and Caseload ........................................................... 28

    Supplemental Security Income and State Supplementation Table 13. Average Monthly Caseload and Payments ............................................................. 29

  • TABLE OF CONTENTS

    Aged, Blind and Disabled Table 14. Average Monthly Applications ............................................................................... 31 Table 15. Blind Pension and SAB Average Monthly Caseload and Payments ............................. 33 Table 16. Spenddown and Ticket to Work Health Assurance Average Monthly Caseload ............ 35 Table 17. Nursing Care Average Monthly Caseload and Payments ......................................... 37 Table 18. QMB, SLMB and Vendor Average Monthly Caseload ............................................... 39

    MO HealthNet Eligibles

    Table 19. Average Monthly Approvals ................................................................................. 41 Table 20. Average Monthly Closings .................................................................................... 43

    Food Stamps

    Figure 5. Average Monthly Caseload Fiscal Years 2014 - 2018 .............................................. 47 Figure 6. Average Monthly Payments Fiscal Years 2014 - 2018 ............................................. 47 Table 21. Statewide Summary ............................................................................................ 48 Table 22. Average Monthly Applications, Approvals and Rejections ......................................... 49 Table 23. Average Monthly Caseload and Annual Benefits Issued .......................................... 51 Figure 7. Representative Missouri Food Stamp Characteristics .............................................. 53

    Food Distribution Program

    Table 24. Categorical Breakdown of Program Activities .......................................................... 54

    Rehabilitation Services for the Blind

    Table 25. Active Vocational Cases and Case Closings ............................................................ 57

  • Glossary DEFINITION OF CATEGORIES OF ASSISTANCE AND TYPES OF MO HEALTHNET SERVICES

    BCCT Breast & Cervical Cancer Treatment

    CHIP Children’s Health Insurance Program

    CWEP/AWEP Community Work Experience/Alternative Work Experience

    MHABD MO HealthNet for the Aged, Blind and Disabled

    MHCC MO HealthNet for Children in Care

    MHF MO HealthNet for Families

    MHK MO HealthNet for Kids

    MPW MO HealthNet for Pregnant Women

    OJT On-the-Job Training

    PE FOR KIDS Presumptive Eligibility for Kids

    QMB Qualified Medicare Beneficiary

    RCF Residential Care Facility

    SLMB Specified Low-Income Medicare Beneficiary

    SNF-ICF Skilled Nursing Facility-Intermediate Care Facility

    SSI Supplemental Security Income

    SSI-SP Supplemental Security Income and State Supplementation

    SP State Supplementation Only

    TEB Transitional Employment Benefit

    TMH Transitional MO HealthNet

    TWHA Ticket to Work Health Assurance Program

    UWHS Uninsured Women’s Health Services

    VENDOR CASES Nursing Home and Other Institutions directly reimbursed by MO HealthNet

    Page 1 Missouri FSD Annual Report, FY 2018

  • Missouri FSD Annual Report, FY 2018 Page 2

    Figure 1.Department of Social Services Regions

  • TEMPORARY ASSISTANCE

  • Page 5 Missouri FSD Annual Report, FY 2018

    Figure 2. Temporary AssistanceAverage Monthly Caseload Fiscal Years 2014 - 2018

    Figure 3. Temporary AssistanceAverage Monthly Payments Fiscal Years 2014 - 2018

    33,461

    29,201

    21,783

    13,48011,492

    0

    5,000

    10,000

    15,000

    20,000

    25,000

    30,000

    35,000

    40,000

    FY 2014 FY 2015 FY 2016 FY 2017 FY 2018

    FAM

    ILIE

    S

    $7,606,212

    $6,643,817

    $4,874,337

    $3,031,973$2,564,628

    $0

    $1,000,000

    $2,000,000

    $3,000,000

    $4,000,000

    $5,000,000

    $6,000,000

    $7,000,000

    $8,000,000

    $9,000,000

    FY 2014 FY 2015 FY 2016 FY 2017 FY 2018

    PAYM

    ENTS

  • Missouri FSD Annual Report, FY 2018 Page 6

    Statewide Summary - Average Monthly

    CHANGE FROMFY 2018 FY 2017 LAST YEAR

    *** TEMPORARY ASSISTANCEAPPLICATIONS RECEIVED 2,795 2,447 14.2%APPLICATIONS APPROVED 961 1,133 -15.2%APPLICATIONS REJECTED 1,727 1,197 44.3%APPLICATIONS PENDING 1,445 1,189 21.5%CASES CLOSED 1,111 1,360 -18.3%

    CHILD(REN) ONLY RECEIVING CASHFAMILIES 5,549 6,060 -8.4%CHILDREN 9,753 10,610 -8.1%PAYMENTS $1,074,551 $1,172,556 -8.4%

    ONE PARENT RECEIVING CASHFAMILIES 5,498 6,833 -19.5%CHILDREN 9,582 11,664 -17.8%PARENTS/CARETAKERS 5,502 6,834 -19.5%PERSONS 15,084 18,498 -18.5%PAYMENTS $1,351,964 $1,671,258 -19.1%

    TWO PARENTS RECEIVING CASHFAMILIES 445 587 -24.2%CHILDREN 1,092 1,469 -25.7%PARENTS/CARETAKERS 879 1,159 -24.2%PERSONS 1,971 2,628 -25.0%PAYMENTS $138,113 $188,159 -26.6%

    ALL RECEIVING CASHTOTAL FAMILIES 11,492 13,480 -14.7%TOTAL CHILDREN 20,427 23,743 -14.0%TOTAL PARENTS/CARETAKERS 6,381 7,993 -20.2%TOTAL PERSONS 26,808 31,736 -15.5%TOTAL PAYMENTS $2,564,628 $3,031,973 -15.4%AVERAGE PER FAMILY $223 $225 -0.9%

    *** TEBAPPLICATIONS APPROVED 192 227 -15.4%APPLICATIONS REJECTED 117 150 -22.0%

    FAMILIES 901 1,135 -20.6%CHILDREN 1,636 2,005 -18.4%PARENTS/CARETAKERS 873 1,118 -21.9%PERSONS 2,509 3,123 -19.7%PAYMENTS $44,949 $56,739 -20.8%

    CASES CLOSED 113 113 0.0%

    *** TA DIVERSION*FAMILIES 1 1 -14.3%PAYMENTS $593 $910 -34.8%

    Table 1. Temporary Assistance

  • Page 7 Missouri FSD Annual Report, FY 2018

    Table 2. Temporary AssistanceAverage Monthly Applications and Closings

    COUNTY

    ADAIR 8 3 5 4 4ANDREW 4 1 3 2 1ATCHISON 1 0 1 1 1AUDRAIN 11 4 7 6 4BARRY 17 5 11 9 6BARTON 5 2 3 3 2BATES 6 2 4 4 3BENTON 9 3 5 5 3BOLLINGER 6 2 4 3 3BOONE 64 23 39 30 28BUCHANAN 48 17 29 27 22BUTLER 29 10 18 17 12CALDWELL 4 2 2 2 1CALLAWAY 18 7 10 9 7CAMDEN 17 6 10 9 6CAPE GIRARDEAU 33 12 20 17 13CARROLL 4 1 2 2 1CARTER 3 1 2 2 1CASS 35 10 23 19 11CEDAR 7 3 4 4 3CHARITON 2 1 1 1 1CHRISTIAN 24 7 17 12 6CLARK 4 1 2 2 1CLAY 72 20 50 37 23CLINTON 6 2 4 3 3COLE 39 13 25 20 15COOPER 6 3 4 3 3CRAWFORD 13 4 8 6 4DADE 2 1 1 1 1DALLAS 7 3 5 4 3DAVIESS 2 1 2 1 0DE KALB 2 1 1 1 1DENT 7 2 5 4 3DOUGLAS 4 2 2 2 2DUNKLIN 32 12 19 19 15FRANKLIN 38 12 25 20 13GASCONADE 4 1 2 2 2GENTRY 2 0 1 1 1GREENE 135 40 92 70 51GRUNDY 4 1 3 2 2HARRISON 4 2 2 2 3HENRY 10 4 6 5 4HICKORY 4 1 2 2 1HOLT 1 0 1 1 0HOWARD 3 1 2 2 1HOWELL 23 8 15 13 10IRON 5 2 3 3 2JACKSON 421 159 244 216 193JASPER 60 21 37 32 20JEFFERSON 73 20 51 39 21JOHNSON 19 5 13 10 6KNOX 1 0 0 0 0LACLEDE 23 9 13 13 9LAFAYETTE 11 3 7 6 4LAWRENCE 14 4 9 8 6LEWIS 3 1 2 1 1LINCOLN 28 9 17 15 10LINN 6 2 4 3 2LIVINGSTON 5 1 3 3 2MCDONALD 10 3 7 6 4MACON 5 2 3 3 2MADISON 9 3 6 5 3MARIES 3 1 2 1 1

    APPLICATIONSPENDING

    CASESCLOSED

    APPLICATIONSRECEIVED

    APPLICATIONSAPPROVED

    APPLICATIONSREJECTED

  • Missouri FSD Annual Report, FY 2018 Page 8

    Table 2. Temporary AssistanceAverage Monthly Applications and Closings

    COUNTYAPPLICATIONS

    PENDINGCASES

    CLOSEDAPPLICATIONS

    RECEIVEDAPPLICATIONS

    APPROVEDAPPLICATIONS

    REJECTED

    MARION 17 7 9 9 9MERCER 1 0 0 0 0MILLER 11 3 8 7 5MISSISSIPPI 13 4 7 6 4MONITEAU 5 1 3 3 2MONROE 3 1 2 1 1MONTGOMERY 5 2 3 2 3MORGAN 11 4 7 5 4NEW MADRID 16 6 10 10 7NEWTON 24 6 16 14 7NODAWAY 5 2 3 2 2OREGON 7 3 4 4 3OSAGE 3 1 2 2 1OZARK 4 1 3 3 1PEMISCOT 22 9 13 12 9PERRY 7 2 4 3 3PETTIS 24 8 17 13 10PHELPS 16 5 10 9 6PIKE 8 2 6 5 3PLATTE 26 6 19 13 7POLK 14 5 8 8 5PULASKI 22 7 14 13 8PUTNAM 4 1 2 2 1RALLS 3 1 2 1 1RANDOLPH 15 5 10 7 5RAY 10 3 7 5 4REYNOLDS 3 1 2 2 1RIPLEY 9 3 6 5 3ST CHARLES 76 21 55 37 23ST CLAIR 3 1 2 1 1ST FRANCOIS 39 14 25 21 16STE GENEVIEVE 5 1 4 3 2ST LOUIS COUNTY 406 141 243 199 156SALINE 10 4 6 6 4SCHUYLER 1 1 1 1 1SCOTLAND 2 1 1 1 1SCOTT 39 16 22 19 18SHANNON 4 2 2 2 2SHELBY 1 0 1 1 0STODDARD 16 4 11 8 5STONE 10 3 7 6 3SULLIVAN 4 2 2 2 2TANEY 30 8 22 16 9TEXAS 12 4 7 6 5VERNON 14 5 9 8 5WARREN 15 6 9 9 5WASHINGTON 17 6 10 9 7WAYNE 5 2 3 3 2WEBSTER 13 3 9 7 6WORTH 1 0 1 0 0WRIGHT 13 4 9 7 6ST LOUIS CITY 275 110 149 132 129UNKNOWN 1 1 0 0 1

    KC REGION 573 204 346 296 247NE REGION 266 93 163 136 107NW REGION 171 54 111 90 64SE REGION 428 150 265 232 174STL REGION 868 304 523 427 342SW REGION 488 155 319 264 176UNKNOWN 1 1 0 0 1

    STATEWIDE 2,795 961 1,727 1,445 1,111

  • Page 9 Missouri FSD Annual Report, FY 2018

    Table 3. Temporary AssistanceAverage Monthly Caseload and Payments

    COUNTY PAYMENTS

    ADAIR 29 43 17 60 $5,969 $99ANDREW 10 16 6 22 $2,212 $101ATCHISON 5 6 2 8 $819 $102AUDRAIN 52 95 27 122 $11,786 $97BARRY 78 144 45 189 $17,621 $93BARTON 25 43 16 59 $5,485 $93BATES 25 45 12 57 $5,680 $100BENTON 40 62 19 81 $8,475 $105BOLLINGER 27 45 15 60 $6,176 $103BOONE 274 509 128 637 $60,864 $96BUCHANAN 211 379 110 489 $47,443 $97BUTLER 135 226 64 290 $28,979 $100CALDWELL 12 23 8 31 $2,824 $91CALLAWAY 66 110 39 149 $14,528 $98CAMDEN 59 96 35 131 $12,502 $95CAPE GIRARDEAU 137 256 65 321 $30,404 $95CARROLL 18 26 6 32 $3,372 $105CARTER 13 27 6 33 $3,093 $94CASS 100 181 70 251 $23,057 $92CEDAR 34 65 19 84 $7,701 $92CHARITON 6 8 4 12 $1,238 $103CHRISTIAN 78 121 35 156 $15,306 $98CLARK 9 16 8 24 $2,015 $84CLAY 213 365 151 516 $49,350 $96CLINTON 21 37 15 52 $4,797 $92COLE 132 243 83 326 $31,080 $95COOPER 25 47 15 62 $6,070 $98CRAWFORD 68 122 30 152 $14,989 $99DADE 6 12 2 14 $1,435 $103DALLAS 33 54 13 67 $6,805 $102DAVIESS 8 16 3 19 $1,628 $86DE KALB 14 30 13 43 $3,437 $80DENT 37 62 18 80 $7,686 $96DOUGLAS 17 38 11 49 $4,068 $83DUNKLIN 185 347 67 414 $39,600 $96FRANKLIN 154 249 81 330 $33,877 $103GASCONADE 16 31 7 38 $3,661 $96GENTRY 7 10 3 13 $1,395 $107GREENE 481 839 297 1,136 $108,825 $96GRUNDY 18 24 10 34 $3,680 $108HARRISON 22 40 15 55 $5,022 $91HENRY 50 76 29 105 $10,700 $102HICKORY 17 29 10 39 $3,576 $92HOLT 1 1 0 1 $118 $118HOWARD 14 21 7 28 $2,829 $101HOWELL 109 191 50 241 $23,912 $99IRON 20 30 10 40 $3,938 $98JACKSON 1,838 3,459 1,163 4,622 $426,935 $92JASPER 225 440 114 554 $50,769 $92JEFFERSON 197 333 136 469 $44,587 $95JOHNSON 51 95 29 124 $12,061 $97KNOX 2 4 2 6 $525 $88LACLEDE 95 173 59 232 $22,017 $95LAFAYETTE 42 75 21 96 $9,488 $99LAWRENCE 68 129 38 167 $15,168 $91LEWIS 15 31 5 36 $3,597 $100LINCOLN 102 168 52 220 $21,366 $97LINN 26 42 13 55 $5,094 $93LIVINGSTON 19 38 10 48 $4,484 $93MCDONALD 49 97 16 113 $10,671 $94MACON 15 26 10 36 $3,525 $98MADISON 36 62 18 80 $7,861 $98MARIES 9 19 6 25 $2,417 $97

    AVERAGE PERFAMILY

    $226$232$263$236$226$226

    $235

    $218$235$218$236$196$209$240$223

    $219$202$118

    $206

    $204$206$239$220$243

    $204$226$199

    $229$212

    $206

    $238$187$222$212$220$235

    $221$164

    $215$225$222

    $227$219$226$227

    $227$231

    $228$232$224$196

    $228

    $229$220$214$239$208$246

    $210$214

    $232$197

    FAMILIESRECEIVING

    CHILDRENRECEIVING

    PARENTSRECEIVING

    AVERAGE PERPERSON

    TOTALPERSONS

    $269

  • Missouri FSD Annual Report, FY 2018 Page 10

    Table 3. Temporary AssistanceAverage Monthly Caseload and Payments

    COUNTY PAYMENTSAVERAGE PER

    FAMILYFAMILIES

    RECEIVINGCHILDRENRECEIVING

    PARENTSRECEIVING

    AVERAGE PERPERSON

    TOTALPERSONS

    MARION 76 134 44 178 $16,632 $93MERCER 5 7 3 10 $1,072 $107MILLER 55 84 22 106 $10,841 $102MISSISSIPPI 56 99 30 129 $12,140 $94MONITEAU 20 34 11 45 $4,157 $92MONROE 15 25 6 31 $3,212 $104MONTGOMERY 26 49 13 62 $5,950 $96MORGAN 48 80 28 108 $10,618 $98NEW MADRID 87 150 39 189 $18,831 $100NEWTON 79 144 42 186 $18,071 $97NODAWAY 11 21 12 33 $2,659 $81OREGON 38 71 17 88 $8,531 $97OSAGE 9 13 5 18 $1,821 $101OZARK 18 27 8 35 $3,603 $103PEMISCOT 110 195 49 244 $23,236 $95PERRY 21 40 12 52 $4,858 $93PETTIS 114 241 50 291 $26,964 $93PHELPS 70 121 40 161 $15,934 $99PIKE 28 55 18 73 $6,466 $89PLATTE 67 123 40 163 $15,355 $94POLK 55 91 31 122 $11,321 $93PULASKI 79 135 54 189 $17,700 $94PUTNAM 10 15 5 20 $2,064 $103RALLS 17 32 11 43 $3,817 $89RANDOLPH 61 103 31 134 $13,097 $98RAY 28 55 18 73 $6,807 $93REYNOLDS 8 13 6 19 $1,534 $81RIPLEY 44 72 18 90 $9,188 $102ST CHARLES 233 410 133 543 $53,098 $98ST CLAIR 16 30 6 36 $3,430 $95ST FRANCOIS 187 303 83 386 $38,470 $100STE GENEVIEVE 20 34 8 42 $4,308 $103ST LOUIS COUNTY 1,497 2,602 841 3,443 $330,936 $96SALINE 47 83 22 105 $10,744 $102SCHUYLER 7 13 5 18 $1,712 $95SCOTLAND 6 8 4 12 $1,018 $85SCOTT 186 324 78 402 $39,407 $98SHANNON 24 49 19 68 $6,088 $90SHELBY 5 9 3 12 $1,226 $102STODDARD 56 94 26 120 $11,639 $97STONE 35 60 17 77 $7,545 $98SULLIVAN 15 27 10 37 $3,294 $89TANEY 80 144 47 191 $17,857 $93TEXAS 64 121 30 151 $14,798 $98VERNON 51 88 28 116 $11,788 $102WARREN 67 123 39 162 $15,618 $96WASHINGTON 87 148 36 184 $18,075 $98WAYNE 26 48 15 63 $5,966 $95WEBSTER 62 96 31 127 $12,624 $99WORTH 1 3 1 4 $389 $97WRIGHT 60 112 42 154 $14,076 $91ST LOUIS CITY 1,497 2,602 800 3,402 $331,190 $97UNKNOWN 8 20 6 26 $2,261 $87

    KC REGION 2,353 4,372 1,483 5,855 $544,732 $93NE REGION 1,063 1,895 575 2,470 $236,471 $96NW REGION 612 1,121 345 1,466 $139,140 $95SE REGION 1,999 3,516 951 4,467 $433,834 $97STL REGION 3,578 6,196 1,991 8,187 $793,688 $97SW REGION 1,879 3,307 1,030 4,337 $414,502 $96UNKNOWN 8 20 6 26 $2,261 $87

    STATEWIDE 11,492 20,427 6,381 26,808 $2,564,628 $96

    $283

    $215$225$206

    $221$235$389$204$229$208$233$231$231$223$220$216

    $214$228$209$192$243

    $245

    $224$206$229$231$228$237$231$211$200

    $223

    $221$222$217$227$222$232

    $283

    $219

    $216$221$229$214$208$217$197$214

    $202$225$242$229

    $229$221$215$206

    $208$245$254$212$170

  • Page 11 Missouri FSD Annual Report, FY 2018

    Table 4. Transitional Employment BenefitAverage Monthly Applications, Closings and Caseload

    COUNTY

    ADAIR 0 0 0 2 4 2 6 $96ANDREW 0 0 0 0 0 0 0 $0ATCHISON 0 0 0 0 0 0 0 $0AUDRAIN 1 0 0 4 8 3 11 $188BARRY 1 1 1 4 8 4 12 $196BARTON 0 0 0 1 2 1 3 $54BATES 1 0 0 4 8 4 12 $179BENTON 1 0 0 2 5 2 7 $96BOLLINGER 1 0 0 2 3 2 5 $100BOONE 7 3 4 36 71 33 104 $1,788BUCHANAN 2 2 1 9 15 8 23 $425BUTLER 2 1 1 12 22 11 33 $588CALDWELL 0 0 0 1 3 1 4 $50CALLAWAY 1 1 1 6 9 5 14 $288CAMDEN 1 1 0 4 8 4 12 $204CAPE GIRARDEAU 2 1 1 10 16 8 24 $479CARROLL 0 0 0 1 1 1 2 $38CARTER 0 0 0 0 1 0 1 $21CASS 2 1 1 10 19 10 29 $508CEDAR 1 0 0 2 4 1 5 $113CHARITON 0 0 0 0 0 0 0 $4CHRISTIAN 1 1 0 8 15 8 23 $379CLARK 0 0 0 1 1 1 2 $33CLAY 5 4 2 18 31 18 49 $900CLINTON 1 0 1 3 5 3 8 $154COLE 4 2 2 15 28 14 42 $742COOPER 0 0 0 2 2 2 4 $96CRAWFORD 1 0 0 2 5 2 7 $121DADE 0 0 0 0 0 0 0 $8DALLAS 0 0 0 1 1 1 2 $46DAVIESS 0 0 0 1 3 1 4 $38DE KALB 0 0 0 2 3 2 5 $79DENT 0 0 0 2 4 2 6 $96DOUGLAS 0 0 0 2 2 1 3 $75DUNKLIN 1 2 1 5 9 5 14 $246FRANKLIN 2 1 2 10 16 9 25 $500GASCONADE 0 0 0 1 3 1 4 $63GENTRY 0 0 0 1 3 1 4 $42GREENE 11 6 4 50 88 49 137 $2,492GRUNDY 0 0 0 2 3 2 5 $75HARRISON 0 0 0 0 0 0 0 $8HENRY 1 0 0 2 3 2 5 $88HICKORY 0 0 0 1 2 1 3 $54HOLT 0 0 0 0 0 0 0 $17HOWARD 0 0 0 1 1 0 1 $46HOWELL 1 1 0 3 6 3 9 $167IRON 0 0 0 1 2 1 3 $63JACKSON 40 23 25 184 353 184 537 $9,183JASPER 3 2 2 17 31 17 48 $842JEFFERSON 3 2 2 17 34 16 50 $838JOHNSON 1 0 1 6 9 5 14 $300KNOX 0 0 0 1 1 1 2 $50LACLEDE 1 1 1 7 11 6 17 $329LAFAYETTE 0 0 1 4 6 3 9 $175LAWRENCE 1 1 0 2 4 2 6 $100LEWIS 0 0 0 0 1 0 1 $8LINCOLN 2 1 1 6 10 6 16 $313LINN 0 0 0 1 2 1 3 $67LIVINGSTON 0 0 0 1 4 1 5 $50MCDONALD 0 0 0 2 5 2 7 $100MACON 0 0 0 1 3 1 4 $71MADISON 1 0 0 3 3 3 6 $138MARIES 0 0 0 0 0 0 0 $0

    APPLICATIONSAPPROVED

    APPLICATIONSREJECTED

    CASESCLOSED PAYMENTS

    PERSONSRECEIVING

    FAMILIESRECEIVING

    CHILDRENRECEIVING

    PARENTSRECEIVING

  • Missouri FSD Annual Report, FY 2018 Page 12

    Table 4. Transitional Employment BenefitAverage Monthly Applications, Closings and Caseload

    COUNTYAPPLICATIONS

    APPROVEDAPPLICATIONS

    REJECTEDCASES

    CLOSED PAYMENTSPERSONS

    RECEIVINGFAMILIES

    RECEIVINGCHILDRENRECEIVING

    PARENTSRECEIVING

    MARION 1 1 1 6 13 6 19 $308MERCER 0 0 0 0 1 0 1 $21MILLER 1 0 0 1 2 1 3 $67MISSISSIPPI 1 0 0 2 5 2 7 $108MONITEAU 0 0 0 0 1 0 1 $17MONROE 0 0 0 1 3 1 4 $71MONTGOMERY 0 0 0 1 3 1 4 $58MORGAN 1 0 0 3 4 3 7 $129NEW MADRID 1 1 0 3 6 3 9 $171NEWTON 1 1 1 3 4 3 7 $154NODAWAY 0 1 0 1 2 1 3 $58OREGON 0 0 0 0 1 0 1 $17OSAGE 0 0 0 0 0 0 0 $4OZARK 0 0 0 0 1 0 1 $13PEMISCOT 2 1 1 7 12 7 19 $354PERRY 1 0 0 2 4 2 6 $113PETTIS 2 1 1 8 17 8 25 $392PHELPS 1 1 0 5 9 4 13 $263PIKE 1 0 0 5 9 5 14 $246PLATTE 1 1 1 8 13 8 21 $375POLK 1 1 1 3 7 3 10 $158PULASKI 1 1 1 6 9 5 14 $288PUTNAM 0 0 0 1 2 1 3 $46RALLS 0 0 0 1 2 1 3 $67RANDOLPH 1 0 0 3 5 3 8 $138RAY 0 0 0 2 3 2 5 $96REYNOLDS 0 0 0 1 1 1 2 $33RIPLEY 1 0 0 3 6 3 9 $158ST CHARLES 4 4 2 19 37 18 55 $938ST CLAIR 0 0 0 1 1 1 2 $25ST FRANCOIS 1 2 1 7 11 7 18 $338STE GENEVIEVE 0 0 0 1 1 0 1 $33ST LOUIS COUNTY 30 18 16 131 224 130 354 $6,579SALINE 1 1 0 3 7 3 10 $163SCHUYLER 0 0 0 1 2 1 3 $38SCOTLAND 0 0 0 0 0 0 0 $4SCOTT 2 1 1 11 20 11 31 $538SHANNON 1 0 0 2 3 2 5 $100SHELBY 0 0 0 0 0 0 0 $0STODDARD 1 1 0 3 6 3 9 $163STONE 0 0 0 2 3 2 5 $96SULLIVAN 1 0 0 2 3 2 5 $79TANEY 1 1 1 6 8 6 14 $308TEXAS 0 0 0 2 5 2 7 $117VERNON 0 0 0 2 3 2 5 $117WARREN 1 1 0 3 4 3 7 $142WASHINGTON 1 1 1 3 5 4 9 $167WAYNE 0 0 0 2 3 2 5 $96WEBSTER 1 1 0 4 6 4 10 $196WORTH 0 0 0 0 1 0 1 $8WRIGHT 1 1 1 3 4 3 7 $146ST LOUIS CITY 24 17 12 120 213 115 328 $5,988UNKNOWN 1 0 0 1 1 1 2 $40

    KC REGION 48 30 29 221 415 220 635 $10,962NE REGION 19 9 9 95 182 88 270 $4,779NW REGION 8 4 5 50 96 48 144 $2,485SE REGION 24 15 9 103 182 98 280 $5,222STL REGION 63 42 34 297 524 288 812 $14,843SW REGION 29 17 11 134 236 130 366 $6,618UNKNOWN 1 0 0 1 1 1 2 $40

    STATEWIDE 192 117 97 901 1,636 873 2,509 $44,949

  • Page 13 Missouri FSD Annual Report, FY 2018

    Table 5. Temporary Assistance Case ManagementAverage Monthly Participation by Component Type

    ADAIR 3 0 0 0 0 1 2 1ANDREW 0 0 0 0 0 0 0 0ATCHISON 1 0 0 0 0 0 0 1AUDRAIN 4 0 0 0 0 0 2 2BARRY 13 0 1 1 0 4 7 3BARTON 2 0 0 0 0 0 1 0BATES 3 0 0 0 0 1 2 0BENTON 3 0 0 0 0 1 2 1BOLLINGER 3 0 0 0 0 1 2 1BOONE 28 0 2 0 0 1 13 14BUCHANAN 12 0 1 0 0 3 7 2BUTLER 14 0 1 1 0 1 10 3CALDWELL 1 0 1 0 0 0 1 0CALLAWAY 8 0 1 0 0 1 3 4CAMDEN 7 0 0 1 0 2 3 1CAPE GIRARDEAU 13 0 2 0 0 2 8 3CARROLL 3 0 0 0 0 0 1 2CARTER 1 0 0 0 0 0 1 0CASS 9 0 1 0 0 3 4 2CEDAR 2 0 0 0 0 0 1 0CHARITON 1 0 0 0 0 1 0 0CHRISTIAN 9 0 1 1 0 2 5 2CLARK 1 0 0 0 0 1 1 0CLAY 45 2 4 2 0 9 22 11CLINTON 2 0 0 0 0 1 1 0COLE 15 0 1 0 0 2 8 4COOPER 2 0 0 0 0 0 1 1CRAWFORD 4 0 0 0 0 2 2 1DADE 0 0 0 0 0 0 0 0DALLAS 2 0 0 0 0 1 1 0DAVIESS 1 0 0 0 0 0 1 0DE KALB 2 0 0 0 0 0 2 0DENT 7 1 1 2 0 1 2 1DOUGLAS 1 0 0 0 0 0 1 0DUNKLIN 11 0 0 2 0 1 5 2FRANKLIN 15 0 2 0 0 4 6 4GASCONADE 1 0 0 0 0 0 1 0GENTRY 0 0 0 0 0 0 0 0GREENE 76 3 7 3 0 11 41 17GRUNDY 1 0 0 0 0 0 1 0HARRISON 2 0 0 0 0 0 2 0HENRY 6 0 1 0 0 2 2 3HICKORY 1 0 0 0 0 0 1 0HOLT 0 0 0 0 0 0 0 0HOWARD 2 0 0 0 0 0 1 1HOWELL 5 0 1 0 0 0 2 2IRON 2 0 0 0 0 0 2 0JACKSON 269 12 22 31 1 66 130 50JASPER 30 0 5 1 0 8 16 3JEFFERSON 21 0 1 1 0 10 10 2JOHNSON 12 0 1 0 0 4 5 3KNOX 1 0 0 0 0 1 1 0LACLEDE 11 0 0 1 0 6 4 2LAFAYETTE 5 0 0 0 0 0 2 2LAWRENCE 12 0 0 0 0 4 5 3LEWIS 0 0 0 0 0 0 0 0LINCOLN 12 1 0 0 0 4 7 0LINN 3 0 0 0 0 0 2 1LIVINGSTON 2 0 0 0 0 0 2 0MCDONALD 2 0 0 0 0 0 2 0MACON 2 0 0 0 0 2 0 0MADISON 3 0 0 0 0 1 1 1

    TOTALPERSONSENROLLED

    EDUCATIONRELATED TOEMPLOYMENT OTHER

    VOC EDUCAND

    TRAININGCWEP/AWEP

    ON-THE-JOBTRAINING

    JOBSEARCH/

    READINESSJOB

    ENTRY

  • Missouri FSD Annual Report, FY 2018 Page 14

    Table 5. Temporary Assistance Case ManagementAverage Monthly Participation by Component Type

    TOTALPERSONSENROLLED

    EDUCATIONRELATED TOEMPLOYMENT OTHER

    VOC EDUCAND

    TRAININGCWEP/AWEP

    ON-THE-JOBTRAINING

    JOBSEARCH/

    READINESSJOB

    ENTRY

    MARIES 1 0 0 0 0 0 0 1MARION 10 0 0 0 0 5 5 1MERCER 0 0 0 0 0 0 0 0MILLER 5 0 1 1 0 3 2 1MISSISSIPPI 3 0 0 0 0 1 2 0MONITEAU 1 0 0 0 0 0 0 0MONROE 2 0 0 0 0 1 1 1MONTGOMERY 2 0 0 0 0 1 1 0MORGAN 4 0 0 0 0 1 1 1NEW MADRID 7 1 0 0 0 1 4 1NEWTON 5 0 0 0 0 1 3 1NODAWAY 3 0 0 0 0 1 1 1OREGON 3 0 1 0 0 0 1 1OSAGE 0 0 0 0 0 0 0 0OZARK 1 0 0 0 0 0 0 0PEMISCOT 8 0 1 0 0 2 4 1PERRY 4 0 0 0 0 0 3 1PETTIS 10 1 1 0 0 3 4 3PHELPS 8 0 1 1 0 4 3 1PIKE 6 0 0 0 0 2 4 1PLATTE 11 0 1 1 0 2 5 3POLK 4 0 0 0 0 0 2 2PULASKI 11 0 0 3 0 3 5 1PUTNAM 1 0 0 0 0 0 0 0RALLS 3 0 0 0 0 1 1 0RANDOLPH 8 0 0 2 0 4 2 2RAY 3 0 0 0 0 0 1 3REYNOLDS 0 0 0 0 0 0 0 0RIPLEY 3 0 1 0 0 0 2 1ST CHARLES 21 1 2 2 0 9 7 3ST CLAIR 1 0 0 0 0 0 0 0ST FRANCOIS 12 0 0 1 0 4 7 4STE GENEVIEVE 1 0 0 0 0 0 1 0ST LOUIS COUNTY 109 2 14 9 0 32 37 23SALINE 4 0 0 0 0 1 1 2SCHUYLER 1 0 1 0 0 0 0 0SCOTLAND 1 0 0 0 0 1 0 0SCOTT 11 0 0 0 0 1 7 4SHANNON 3 0 0 0 0 0 2 1SHELBY 1 0 0 0 0 0 0 0STODDARD 4 0 1 0 0 0 3 1STONE 2 0 0 0 0 0 2 0SULLIVAN 1 0 0 0 0 0 0 1TANEY 5 0 0 0 0 0 4 0TEXAS 5 1 1 0 0 0 2 1VERNON 3 0 0 0 0 1 1 1WARREN 6 0 0 0 0 4 3 0WASHINGTON 7 0 1 0 0 2 4 2WAYNE 2 0 0 1 0 0 1 0WEBSTER 5 0 0 0 0 1 4 1WORTH 0 0 0 0 0 0 0 0WRIGHT 11 1 3 1 0 0 6 2ST LOUIS CITY 95 4 19 2 0 21 34 20

    KC REGION 339 14 29 34 1 79 166 66NE REGION 118 1 7 4 0 31 55 31NW REGION 68 1 5 1 0 15 30 21SE REGION 165 7 15 13 0 28 88 36STL REGION 261 7 38 14 0 77 94 52SW REGION 212 4 18 11 0 50 112 43

    STATEWIDE 1,163 34 110 76 1 280 543 249Note: Participants may be enrolled in more than one component.

  • Page 15 Missouri FSD Annual Report, FY 2018

    Figure 4. Representative Missouri Temporary Assistance CharacteristicsJune 2018

    Female86%

    Male14%

    Gender of TANF Parent(s)/Caretaker(s)

    36+

    31-35

    26-30

    21-25

    18-20

    < 18

    27%

    16%

    25%

    25%

    6%

    1%

    Age of TANF Parent(s)/Caretaker(s)Average Age: 30.8

    14-18

    6-13

    5 and under

    16%

    41%

    43%

    Age of TANF ChildrenAverage Age: 7.4

    White51%

    Black37%

    Other12%

    Race of TANF Participants

    Less thanHigh School

    High SchoolGrad/GED

    More thanHigh School

    27%

    51%

    22%

    Education of TANF Parent(s)/Caretaker(s)

    Average Education: 11.8 years

    0 1 2 3 4 ormore

    1%

    29%

    13%7%

    Children per TANF FamilyAverage individuals per case: 1.8 children,

    0.5 parent/caretakers 50%

  • MO HEALTHNET

  • Missouri FSD Annual Report, FY 2018 Page 18

    Statewide Summary - Average Monthly

    CHANGE FROMFY 2018 FY 2017 LAST YEAR

    *** FAMILY MO HEALTHNET NON-FFMAPPLICATIONS RECEIVED 7,461 6,901 8.1%APPLICATIONS APPROVED 3,123 3,264 -4.3%APPLICATIONS REJECTED 1,034 974 6.2%APPLICATIONS WITHDRAWN 3,530 2,629 34.3%APPLICATIONS PENDING 9,902 8,416 17.7%

    *** FAMILY MO HEALTHNET FFMAPPLICATIONS RECEIVED 3,825 3,819 0.2%APPLICATIONS APPROVED 401 824 -51.3%APPLICATIONS REJECTED 2,064 1,559 32.4%APPLICATIONS WITHDRAWN 1,518 1,549 -2.0%APPLICATIONS PENDING 5,513 5,712 -3.5%

    MO HEALTHNET FOR KIDSNON-CHIP POVERTY CHILDREN 344,229 340,715 1.0%CHIP NON-PREMIUM CHILDREN 1,663 1,386 20.0%CHIP PREMIUM CHILDREN 25,395 24,425 4.0%

    MO HEALTHNET FOR FAMILIESPARENTS/CARETAKERS 94,697 96,626 -2.0%CHILDREN 180,065 191,057 -5.8%

    TRANSITIONAL MO HEALTHNETPARENTS/CARETAKERS 59 0 100.0%CHILDREN 179 0 100.0%

    TOTAL MHK/MHF/TMHFAMILIES 291,809 293,463 -0.6%PARENTS/CARETAKERS 94,756 96,626 -1.9%CHILDREN 551,531 557,583 -1.1%

    NEWBORNS 45,076 49,248 -8.5%

    MPWMO HEALTHNET FOR PREG WOMEN 22,475 23,677 -5.1%EXTENDED WOMEN'S HEALTH 23,601 29,626 -20.3%

    UNINSURED WOMEN'S HEALTHPERSONS 44,361 41,814 6.1%

    SHOW ME HEALTHY BABIESPERSONS 2,535 1,686 50.4%

    NOTE: FAMILY MO HEALTHNET APPLICATIONS INCLUDE MHK, MHF, TMH, MPW AND UWHS.

    Table 6. MO HealthNet Eligibility

  • Page 19 Missouri FSD Annual Report, FY 2018

    Statewide Summary - Average Monthly

    CHANGE FROMFY 2018 FY 2017 LAST YEAR

    Table 6. MO HealthNet Eligibility

    *** BCCTPERSONS 1,837 1,691 8.6%PRESUMPTIVE ELIGIBILITY PERSONS 47 41 14.6%

    *** PE FOR KIDSPERSONS 336 264 27.3%

    *** MHCCAPPLICATIONS RECEIVED 95 101 -5.9%APPLICATIONS APPROVED 91 93 -2.2% DEPT. OF MENTAL HEALTH 0 0 0.0% JUVENILE COURT 45 45 0.0% DIV. OF YOUTH SERVICES 46 48 -4.2% VOLUNTARY PLACEMENTS 0 0 0.0%APPLICATIONS REJECTED 4 7 -42.9%APPLICATIONS PENDING 1 4 -75.0%

    TOTAL PERSONS 1,173 1,254 -6.5% DEPT. OF MENTAL HEALTH 0 0 0.0% JUVENILE COURT 332 300 10.7% DIV. OF YOUTH SERVICES 841 954 -11.8% VOLUNTARY PLACEMENTS 0 0 0.0%

    *** REFUGEEAPPLICATIONS RECEIVED 9 53 -83.0%APPLICATIONS APPROVED 8 53 -84.9%APPLICATIONS REJECTED 0 2 -100.0%APPLICATIONS PENDING 1 4 -75.0%

    CASES 103 380 -72.9%PERSONS 114 407 -72.0%TOTAL PAYMENTS $7,297 $37,656 -80.6%

    *** SSI ONLY 105 154 -31.8%

    *** SSI-SPPERSONS 38 49 -22.4%TOTAL PAYMENTS $1,473 $2,703 -45.5%

    *** SP ONLYPERSONS 8 8 0.0%TOTAL PAYMENTS $406 $484 -16.1%

  • Missouri FSD Annual Report, FY 2018 Page 20

    Statewide Summary - Average Monthly

    CHANGE FROMFY 2018 FY 2017 LAST YEAR

    Table 6. MO HealthNet Eligibility

    *** MHABDAPPLICATIONS RECEIVED 12,309 13,090 -6.0%APPLICATIONS APPROVED 5,859 6,020 -2.7%APPLICATIONS REJECTED 6,948 7,157 -2.9%APPLICATIONS PENDING 15,031 15,485 -2.9%

    BLIND PENSIONPERSONS 2,876 2,874 0.1%PAYMENTS $2,121,302 $2,089,250 1.5%

    SUPPLEMENTAL AID TO THE BLINDPERSONS 999 1,048 -4.7%PAYMENTS $596,474 $626,587 -4.8%

    SPENDDOWN PERSONS 19,208 18,974 1.2%

    NON-SPENDDOWN PERSONS 157,924 156,850 0.7%

    TICKET TO WORKNON-PREMIUM PERSONS 234 223 4.9%PREMIUM PERSONS 1,391 1,234 12.7%

    NURSING CARETOTAL PERSONS 6,839 6,891 -0.8% RCF-II 4,905 4,843 1.3% RCF-I 1,781 1,884 -5.5% SNF-ICF 153 164 -6.7%TOTAL PAYMENTS $2,039,682 $2,040,358 0.0%

    QMB PERSONS 15,107 14,914 1.3%

    SLMB PERSONS 24,015 24,112 -0.4%

    VENDOR PERSONS 35,792 36,334 -1.5%

  • Page 21 Missouri FSD Annual Report, FY 2018

    Table 7. Family MO HealthNet Average Monthly Applications (Non-FFM) and Caseload

    COUNTY

    ADAIR 31 16 5 12 36 1,107ANDREW 15 6 2 7 21 577ATCHISON 6 2 1 3 8 202AUDRAIN 34 14 4 14 45 1,330BARRY 54 26 8 22 78 2,251BARTON 17 8 3 5 23 717BATES 23 9 4 11 35 818BENTON 29 11 4 14 43 991BOLLINGER 15 7 2 6 17 797BOONE 160 82 24 66 200 6,207BUCHANAN 126 55 18 56 168 5,145BUTLER 70 34 9 30 89 3,321CALDWELL 12 5 2 6 15 390CALLAWAY 53 25 8 23 69 1,993CAMDEN 56 23 8 27 77 2,159CAPE GIRARDEAU 81 41 14 29 112 3,523CARROLL 12 5 1 7 16 402CARTER 10 4 1 5 18 463CASS 114 42 20 56 160 4,158CEDAR 19 9 2 9 28 850CHARITON 8 3 1 4 8 344CHRISTIAN 108 46 17 51 138 3,997CLARK 9 5 2 2 10 392CLAY 262 103 40 126 333 8,154CLINTON 21 8 3 10 29 798COLE 87 36 11 42 121 3,171COOPER 20 9 2 9 32 793CRAWFORD 35 14 4 17 55 1,599DADE 9 4 2 4 14 426DALLAS 26 12 4 13 35 979DAVIESS 11 4 1 6 16 412DE KALB 8 4 1 4 9 384DENT 26 12 3 10 35 999DOUGLAS 21 9 3 9 33 892DUNKLIN 59 28 8 28 84 2,794FRANKLIN 119 48 16 55 152 4,493GASCONADE 14 6 2 7 21 672GENTRY 8 4 1 4 11 315GREENE 418 167 60 207 547 13,992GRUNDY 14 7 2 6 20 517HARRISON 11 5 2 5 14 517HENRY 39 14 5 21 47 1,233HICKORY 10 6 1 4 16 475HOLT 5 2 1 2 6 187HOWARD 11 4 2 5 15 481HOWELL 71 29 10 36 103 2,915IRON 13 6 1 6 21 664JACKSON 1,038 415 154 512 1,337 38,543JASPER 212 105 34 81 283 7,492JEFFERSON 228 91 29 117 316 9,007JOHNSON 59 23 8 28 73 1,835KNOX 4 2 1 2 5 174LACLEDE 59 24 8 31 88 2,429LAFAYETTE 35 13 5 19 51 1,576LAWRENCE 53 24 8 23 77 2,312LEWIS 13 6 2 6 16 421LINCOLN 61 25 8 30 83 2,658LINN 18 8 2 8 26 642LIVINGSTON 17 9 2 7 20 648MCDONALD 54 21 10 26 70 1,625MACON 18 8 3 6 24 760MADISON 17 8 2 9 25 803MARIES 9 4 1 3 13 345

    APPLICATIONSPENDING

    MHK/MHF/TMHFAMILIES RECEIVING

    APPLICATIONSRECEIVED

    APPLICATIONSAPPROVED

    APPLICATIONSWITHDRAWN

    APPLICATIONSREJECTED

  • Missouri FSD Annual Report, FY 2018 Page 22

    Table 7. Family MO HealthNet Average Monthly Applications (Non-FFM) and Caseload

    COUNTYAPPLICATIONS

    PENDINGMHK/MHF/TMH

    FAMILIES RECEIVINGAPPLICATIONS

    RECEIVEDAPPLICATIONS

    APPROVEDAPPLICATIONSWITHDRAWN

    APPLICATIONSREJECTED

    MARION 43 23 7 16 58 1,627MERCER 5 2 1 2 6 138MILLER 35 14 5 19 52 1,545MISSISSIPPI 21 9 2 10 32 1,045MONITEAU 17 8 3 8 22 687MONROE 9 4 1 4 14 434MONTGOMERY 14 7 1 6 20 609MORGAN 30 13 4 16 36 1,218NEW MADRID 24 11 2 12 33 1,257NEWTON 89 45 15 32 114 3,279NODAWAY 17 8 3 7 24 576OREGON 21 9 2 10 27 795OSAGE 8 4 1 4 14 373OZARK 13 6 2 5 19 669PEMISCOT 36 16 4 19 60 1,614PERRY 21 9 3 10 28 856PETTIS 75 31 9 38 97 2,798PHELPS 61 27 7 29 85 2,252PIKE 17 9 2 7 24 909PLATTE 88 38 14 43 101 2,613POLK 47 18 6 24 69 1,695PULASKI 65 31 12 27 87 1,979PUTNAM 7 4 1 3 10 225RALLS 10 5 1 4 13 395RANDOLPH 38 15 4 20 53 1,497RAY 27 11 3 14 37 1,035REYNOLDS 8 4 1 4 12 382RIPLEY 25 10 3 12 34 1,132ST CHARLES 247 97 34 123 326 9,035ST CLAIR 12 5 1 7 20 501ST FRANCOIS 81 35 8 38 116 3,902STE GENEVIEVE 14 5 2 7 25 778ST LOUIS COUNTY 876 358 112 435 1,116 38,253SALINE 37 14 5 21 44 1,265SCHUYLER 5 2 1 2 7 230SCOTLAND 5 3 1 2 6 265SCOTT 60 30 7 27 87 2,944SHANNON 14 6 2 7 19 604SHELBY 10 5 1 4 11 350STODDARD 48 20 6 21 67 1,902STONE 43 19 6 21 52 1,460SULLIVAN 9 4 1 4 15 372TANEY 125 53 19 58 153 3,432TEXAS 34 15 4 17 51 1,430VERNON 29 14 3 14 37 1,160WARREN 32 13 4 15 48 1,642WASHINGTON 30 13 3 16 47 1,724WAYNE 19 9 3 9 28 911WEBSTER 51 22 6 24 62 2,059WORTH 2 2 0 0 3 100WRIGHT 29 14 4 11 45 1,425ST LOUIS CITY 377 164 41 184 472 21,155UNKNOWN 126 5 19 49 174 10

    KC REGION 1,537 621 229 748 1,969 55,416NE REGION 703 327 99 307 935 28,384NW REGION 550 225 77 269 741 20,245SE REGION 1,017 460 130 465 1,455 45,155STL REGION 1,847 758 232 914 2,382 81,943SW REGION 1,681 727 248 778 2,246 60,656UNKNOWN 126 5 19 49 174 10

    STATEWIDE 7,461 3,123 1,034 3,530 9,902 291,809

  • Page 23 Missouri FSD Annual Report, FY 2018

    Table 8. Family MO HealthNetAverage Monthly Caseload for Children

    COUNTY

    ADAIR 1,340 7 140 560 1 204 2,252ANDREW 656 5 50 335 0 112 1,158ATCHISON 261 0 24 90 0 18 393AUDRAIN 1,586 10 113 751 0 205 2,665BARRY 2,993 9 137 1,258 2 340 4,739BARTON 949 3 70 373 0 104 1,499BATES 1,012 7 89 454 0 126 1,688BENTON 1,171 4 97 549 0 148 1,969BOLLINGER 955 4 103 456 0 110 1,628BOONE 7,300 36 696 3,525 6 1,028 12,591BUCHANAN 5,717 15 303 3,434 5 964 10,438BUTLER 3,569 6 288 2,069 1 541 6,474CALDWELL 478 2 41 229 0 61 811CALLAWAY 2,377 7 172 1,157 1 295 4,009CAMDEN 2,704 11 253 1,059 1 274 4,302CAPE GIRARDEAU 4,079 19 302 2,174 2 546 7,122CARROLL 502 3 40 200 0 56 801CARTER 617 4 37 241 0 75 974CASS 4,844 42 536 2,412 2 559 8,395CEDAR 1,138 7 78 453 0 140 1,816CHARITON 414 2 42 179 0 45 682CHRISTIAN 5,186 30 587 1,850 3 543 8,199CLARK 463 1 54 219 0 48 785CLAY 9,714 69 907 4,703 4 1,172 16,569CLINTON 942 8 69 518 0 131 1,668COLE 3,708 21 314 2,013 2 473 6,531COOPER 1,068 5 95 380 0 109 1,657CRAWFORD 1,736 4 155 1,048 1 254 3,198DADE 570 1 51 205 0 53 880DALLAS 1,157 4 126 567 0 131 1,985DAVIESS 570 5 48 222 1 67 913DE KALB 471 3 44 174 0 53 745DENT 1,180 6 107 602 1 144 2,040DOUGLAS 1,141 4 104 478 1 132 1,860DUNKLIN 2,927 12 164 2,214 4 421 5,742FRANKLIN 5,267 32 394 2,627 3 779 9,102GASCONADE 876 4 80 322 1 99 1,382GENTRY 414 1 52 132 0 55 654GREENE 16,878 89 1,259 7,643 5 2,210 28,084GRUNDY 662 2 56 267 1 85 1,073HARRISON 649 7 63 271 0 70 1,060HENRY 1,455 15 131 697 1 188 2,487HICKORY 590 8 49 255 0 73 975HOLT 255 2 21 72 0 26 376HOWARD 623 2 73 203 0 74 975HOWELL 3,601 12 295 1,709 1 492 6,110IRON 773 2 51 394 0 84 1,304JACKSON 44,438 223 2,681 28,210 35 5,876 81,463JASPER 9,244 42 540 4,418 4 1,202 15,450JEFFERSON 9,954 57 899 5,065 3 1,374 17,352JOHNSON 2,140 7 182 1,055 1 258 3,643KNOX 258 1 25 54 0 31 369LACLEDE 2,970 17 278 1,311 3 446 5,025LAFAYETTE 1,886 13 190 903 1 229 3,222LAWRENCE 3,068 12 194 1,333 1 363 4,971LEWIS 512 8 43 212 0 69 844LINCOLN 2,989 34 280 1,660 1 410 5,374LINN 815 2 50 316 0 95 1,278LIVINGSTON 813 3 65 355 0 99 1,335MCDONALD 2,212 6 110 981 0 269 3,578MACON 993 3 111 332 0 128 1,567MADISON 999 6 72 456 1 115 1,649MARIES 417 3 26 210 0 48 704

    MHK CHIPMHK NON-CHIPPOVERTY CHILDREN

    TOTALNEWBORNSTMHMHFPREMIUM

    MHK CHIPNON-PREMIUM

  • Missouri FSD Annual Report, FY 2018 Page 24

    Table 8. Family MO HealthNetAverage Monthly Caseload for Children

    COUNTY

    MHK CHIPMHK NON-CHIPPOVERTY CHILDREN

    TOTALNEWBORNSTMHMHFPREMIUM

    MHK CHIPNON-PREMIUM

    MARION 1,993 13 161 848 1 251 3,267MERCER 166 0 20 87 0 20 293MILLER 1,843 10 166 822 2 220 3,063MISSISSIPPI 1,170 6 73 662 1 148 2,060MONITEAU 921 6 72 330 0 99 1,428MONROE 532 1 58 214 0 64 869MONTGOMERY 726 5 71 366 0 88 1,256MORGAN 1,518 6 155 672 0 187 2,538NEW MADRID 1,450 4 86 789 1 198 2,528NEWTON 4,281 21 294 1,771 2 547 6,916NODAWAY 720 5 102 251 0 91 1,169OREGON 966 4 71 492 1 114 1,648OSAGE 476 6 37 172 0 54 745OZARK 838 4 77 342 1 72 1,334PEMISCOT 1,673 8 73 1,353 0 262 3,369PERRY 1,004 3 86 496 0 121 1,710PETTIS 3,641 15 252 1,685 2 440 6,035PHELPS 2,644 12 205 1,245 0 326 4,432PIKE 1,161 6 93 447 1 152 1,860PLATTE 2,950 21 327 1,442 1 353 5,094POLK 2,156 12 182 978 1 272 3,601PULASKI 2,213 15 190 1,246 1 311 3,976PUTNAM 288 1 28 100 1 40 458RALLS 453 2 55 217 0 61 788RANDOLPH 1,772 10 150 819 0 238 2,989RAY 1,179 7 81 597 1 157 2,022REYNOLDS 449 1 32 229 1 56 768RIPLEY 1,296 3 99 690 2 173 2,263ST CHARLES 10,406 55 1,032 4,899 3 1,198 17,593ST CLAIR 605 6 37 306 0 79 1,033ST FRANCOIS 4,424 14 282 2,361 2 597 7,680STE GENEVIEVE 905 3 58 496 1 108 1,571ST LOUIS COUNTY 44,912 201 2,962 23,939 23 6,025 78,062SALINE 1,557 8 101 744 1 186 2,597SCHUYLER 280 2 31 134 0 42 489SCOTLAND 329 0 57 129 0 25 540SCOTT 3,251 16 197 1,955 1 424 5,844SHANNON 741 2 68 361 0 95 1,267SHELBY 482 0 58 140 0 48 728STODDARD 2,177 11 214 1,124 3 277 3,806STONE 1,810 8 173 754 1 202 2,948SULLIVAN 398 2 24 246 0 54 724TANEY 4,367 19 392 1,572 3 484 6,837TEXAS 1,765 9 117 879 0 233 3,003VERNON 1,449 6 104 685 0 197 2,441WARREN 1,905 9 157 1,124 1 243 3,439WASHINGTON 1,930 10 115 1,085 1 279 3,420WAYNE 1,107 8 77 506 1 156 1,855WEBSTER 2,728 7 222 1,102 1 302 4,362WORTH 100 0 14 48 0 12 174WRIGHT 1,785 11 166 863 1 228 3,054ST LOUIS CITY 23,077 60 735 16,622 16 3,537 44,047UNKNOWN 14 0 0 15 0 1 30

    KC REGION 63,946 336 4,312 38,298 45 8,530 115,467NE REGION 34,055 194 3,101 15,948 15 4,429 57,742NW REGION 24,762 142 2,196 11,359 11 2,963 41,433SE REGION 51,803 218 3,809 28,405 28 6,936 91,199STL REGION 93,616 405 6,022 53,152 48 12,913 166,156SW REGION 76,033 368 5,955 32,888 32 9,304 124,580UKNOWN 14 0 0 15 0 1 30

    STATEWIDE 344,229 1,663 25,395 180,065 179 45,076 596,607

  • Page 25 Missouri FSD Annual Report, FY 2018

    Table 9. Family MO HealthNetAverage Monthly Caseload for Parents/Caretakers

    COUNTY

    ADAIR 371 0 103 135 138 747ANDREW 187 0 49 49 66 351ATCHISON 64 0 8 17 21 110AUDRAIN 417 0 107 105 163 792BARRY 665 1 177 172 246 1,261BARTON 218 0 47 48 91 404BATES 266 0 63 74 102 505BENTON 328 0 75 69 128 600BOLLINGER 268 0 64 62 113 507BOONE 1,806 2 513 576 1,127 4,024BUCHANAN 1,776 2 399 429 757 3,363BUTLER 1,226 0 263 264 442 2,195CALDWELL 131 0 35 35 42 243CALLAWAY 667 0 157 152 309 1,285CAMDEN 653 1 135 175 276 1,240CAPE GIRARDEAU 1,067 1 275 312 585 2,240CARROLL 132 0 34 31 62 259CARTER 133 0 39 37 72 281CASS 1,326 1 285 293 541 2,446CEDAR 286 0 73 90 112 561CHARITON 98 0 23 23 44 188CHRISTIAN 1,122 1 339 345 583 2,390CLARK 131 0 25 29 51 236CLAY 2,572 1 672 672 1,085 5,002CLINTON 281 0 61 79 96 517COLE 1,000 1 258 274 499 2,032COOPER 225 1 58 60 145 489CRAWFORD 627 0 106 112 190 1,035DADE 129 0 29 31 47 236DALLAS 345 0 82 74 113 614DAVIESS 112 0 35 40 49 236DE KALB 104 0 22 37 40 203DENT 343 1 88 80 141 653DOUGLAS 289 0 75 93 133 590DUNKLIN 1,041 1 190 188 342 1,762FRANKLIN 1,563 1 348 392 615 2,919GASCONADE 198 0 41 58 109 406GENTRY 77 0 21 25 49 172GREENE 4,417 3 1,314 1,341 2,309 9,384GRUNDY 164 0 44 58 68 334HARRISON 144 0 33 39 57 273HENRY 401 0 100 77 178 756HICKORY 170 0 42 36 64 312HOLT 38 0 14 16 23 91HOWARD 127 0 36 39 72 274HOWELL 962 1 273 253 325 1,814IRON 252 0 55 44 95 446JACKSON 12,992 9 2,710 2,740 5,217 23,668JASPER 2,230 1 552 654 1,022 4,459JEFFERSON 3,108 1 723 683 1,396 5,911JOHNSON 624 0 134 142 248 1,148KNOX 41 0 17 14 21 93LACLEDE 777 0 241 226 299 1,543LAFAYETTE 509 0 113 131 206 959LAWRENCE 735 0 202 213 270 1,420LEWIS 140 0 36 38 62 276LINCOLN 936 0 186 216 371 1,709LINN 180 1 56 51 85 373LIVINGSTON 204 0 61 60 94 419MCDONALD 490 0 126 144 155 915MACON 198 0 60 70 112 440MADISON 268 0 65 70 103 506MARIES 127 0 25 24 40 216

    TOTALADULTSTMHMHF MPW WOMEN'S HEALTH

    UNINSUREDWOMEN'S HEALTH

    EXTENDED

  • Missouri FSD Annual Report, FY 2018 Page 26

    Table 9. Family MO HealthNetAverage Monthly Caseload for Parents/Caretakers

    COUNTYTOTALADULTSTMHMHF MPW WOMEN'S HEALTH

    UNINSUREDWOMEN'S HEALTH

    EXTENDED

    MARION 471 1 139 157 293 1,061MERCER 45 0 9 11 14 79MILLER 462 0 110 118 207 897MISSISSIPPI 355 0 79 80 168 682MONITEAU 193 0 43 56 93 385MONROE 121 0 33 34 62 250MONTGOMERY 204 1 40 40 88 373MORGAN 394 0 88 88 166 736NEW MADRID 378 1 98 110 184 771NEWTON 943 1 264 274 449 1,931NODAWAY 165 0 43 52 74 334OREGON 264 0 61 69 105 499OSAGE 97 0 31 34 53 215OZARK 203 0 33 46 110 392PEMISCOT 639 0 119 112 230 1,100PERRY 275 0 59 65 127 526PETTIS 798 1 216 251 363 1,629PHELPS 708 0 156 167 284 1,315PIKE 253 0 70 82 137 542PLATTE 830 0 191 195 343 1,559POLK 574 0 140 146 227 1,087PULASKI 734 0 152 158 258 1,302PUTNAM 62 0 23 24 24 133RALLS 104 0 27 36 64 231RANDOLPH 467 1 140 129 248 985RAY 347 0 84 85 122 638REYNOLDS 122 0 38 24 54 238RIPLEY 414 1 74 89 139 717ST CHARLES 2,767 1 577 661 1,299 5,305ST CLAIR 187 0 41 37 57 322ST FRANCOIS 1,376 1 310 302 564 2,553STE GENEVIEVE 300 0 49 63 130 542ST LOUIS COUNTY 11,768 9 2,848 3,105 7,117 24,847SALINE 409 1 75 97 163 745SCHUYLER 74 0 21 22 29 146SCOTLAND 69 0 15 22 34 140SCOTT 1,010 0 234 234 445 1,923SHANNON 203 0 52 57 107 419SHELBY 89 0 28 28 52 197STODDARD 641 0 153 149 278 1,221STONE 480 0 107 118 189 894SULLIVAN 123 0 23 35 36 217TANEY 931 1 315 316 479 2,042TEXAS 515 0 124 117 210 966VERNON 362 0 89 89 132 672WARREN 549 0 113 125 223 1,010WASHINGTON 637 0 140 141 228 1,146WAYNE 310 1 64 72 135 582WEBSTER 645 0 182 189 275 1,291WORTH 35 0 7 5 9 56WRIGHT 481 0 117 129 208 935ST LOUIS CITY 7,623 7 1,638 1,639 4,658 15,565UNKNOWN 13 0 1 1 2 17

    KC REGION 18,461 12 4,043 4,122 7,508 34,146NE REGION 8,723 6 2,239 2,471 4,410 17,849NW REGION 6,293 5 1,495 1,660 2,635 12,088SE REGION 15,676 8 3,522 3,584 6,302 29,092STL REGION 26,829 19 6,134 6,480 15,085 54,547SW REGION 18,702 9 5,041 5,283 8,419 37,454UNKNOWN 13 0 1 1 2 17

    STATEWIDE 94,697 59 22,475 23,601 44,361 185,193

  • Page 27 Missouri FSD Annual Report, FY 2018

    Table 10. RefugeeAverage Monthly Applications, Caseload and Payments

    APPLICATIONS RECEIVED 5 1 0 0 2 1 9

    APPLICATIONS APPROVED 4 1 0 0 2 1 8

    APPLICATIONS REJECTED 0 0 0 0 0 0 0

    APPLICATIONS PENDING 1 0 0 0 0 0 1

    FAMILIES RECEIVING 47 9 2 0 38 7 103

    PERSONS RECEIVING 51 10 2 0 42 9 114

    PAYMENTS $3,998 $633 $120 $0 $1,524 $1,022 $7,297

    Note: As of May 1, 2018, DSS no longer administers the Refugee Resettlement program. Applications taken and approvedprior to May 1, 2018 will continue to be administered through FSD until the end of their 8-month eligibility period.

    Table 11. Breast & Cervical Cancer TreatmentAverage Monthly Caseload

    PERSONS RECEIVING 217 128 97 279 667 449 1,837

    PRESUMPTIVE ELIGIBILITY/ PERSONS RECEIVING 13 2 1 2 20 9 47

    SW REGION STATEWIDEKC REGION NE REGION NW REGION SE REGION STL REGION

    KC REGION STATEWIDESTL REGIONSE REGIONNW REGIONNE REGION SW REGION

  • Missouri FSD Annual Report, FY 2018 Page 28

    Table 12. MO HealthNet for Children in CareAverage Monthly Applications and Caseload

    APPLICATIONS RECEIVED 26 12 2 21 26 8 95

    APPLICATIONS APPROVED 23 12 1 19 27 9 91DEPT. OF MENTAL HEALTH 0 0 0 0 0 0 0JUVENILE COURT 15 7 0 4 18 1 45DIV. OF YOUTH SERVICES 8 5 1 15 9 8 46VOLUNTARY PLACEMENTS 0 0 0 0 0 0 0

    APPLICATIONS REJECTED 3 1 0 0 0 0 4

    APPLICATIONS PENDING 1 0 0 0 0 0 1

    PERSONS RECEIVING 284 133 71 211 287 187 1,173DEPT. OF MENTAL HEALTH 0 0 0 0 0 0 0JUVENILE COURT 167 25 3 14 117 6 332DIV. OF YOUTH SERVICES 117 108 68 197 170 181 841VOLUNTARY PLACEMENTS 0 0 0 0 0 0 0

    KC REGION NE REGION NW REGION SE REGION STL REGION SW REGION STATEWIDE

  • Page 29 Missouri FSD Annual Report, FY 2018

    Table 13. Supplemental Security Income and State SupplementationAverage Monthly Caseload and Payments

    COUNTY

    ADAIR 0 1 $5 0 $0ANDREW 0 0 $0 0 $0ATCHISON 0 0 $0 0 $0AUDRAIN 0 2 $44 0 $0BARRY 1 0 $0 0 $0BARTON 0 0 $0 0 $0BATES 0 0 $0 1 $41BENTON 0 0 $0 0 $0BOLLINGER 0 0 $0 0 $0BOONE 0 0 $0 0 $0BUCHANAN 1 0 $0 0 $0BUTLER 0 2 $44 0 $0CALDWELL 0 0 $0 0 $0CALLAWAY 0 1 $20 0 $0CAMDEN 0 0 $0 0 $0CAPE GIRARDEAU 0 0 $0 0 $0CARROLL 0 0 $0 0 $0CARTER 0 0 $0 0 $0CASS 1 0 $0 0 $0CEDAR 2 0 $0 0 $0CHARITON 0 0 $0 0 $0CHRISTIAN 1 0 $0 0 $0CLARK 0 0 $0 0 $0CLAY 0 0 $0 0 $0CLINTON 0 0 $0 0 $0COLE 0 0 $0 0 $0COOPER 0 0 $0 0 $0CRAWFORD 3 0 $0 0 $0DADE 0 0 $0 0 $0DALLAS 0 0 $0 0 $0DAVIESS 0 0 $0 0 $0DE KALB 0 0 $0 0 $0DENT 1 0 $0 0 $0DOUGLAS 0 1 $60 0 $0DUNKLIN 0 1 $58 0 $0FRANKLIN 0 0 $0 0 $0GASCONADE 1 0 $0 0 $0GENTRY 1 0 $0 0 $0GREENE 6 4 $209 0 $0GRUNDY 0 0 $0 0 $0HARRISON 0 1 $1 0 $0HENRY 0 0 $0 0 $0HICKORY 0 0 $0 0 $0HOLT 0 0 $0 0 $0HOWARD 0 0 $0 0 $0HOWELL 0 0 $0 0 $0IRON 0 1 $9 0 $0JACKSON 7 1 $82 2 $102JASPER 0 0 $0 0 $0JEFFERSON 3 0 $0 0 $0JOHNSON 0 0 $0 0 $0KNOX 0 0 $0 0 $0LACLEDE 0 0 $0 0 $0LAFAYETTE 0 0 $0 0 $0LAWRENCE 0 0 $0 0 $0LEWIS 0 0 $0 0 $0LINCOLN 12 5 $167 1 $58LINN 0 0 $0 0 $0LIVINGSTON 1 0 $0 0 $0MCDONALD 0 0 $0 0 $0MACON 0 0 $0 0 $0MADISON 0 0 $0 0 $0

    PERSONSSSI SP

    PERSONSSSI ONLY

    PAYMENTSSP ONLY

    PERSONSSP ONLY

    PAYMENTSSSI SP

  • Missouri FSD Annual Report, FY 2018 Page 30

    Table 13. Supplemental Security Income and State SupplementationAverage Monthly Caseload and Payments

    COUNTY PERSONSSSI SP

    PERSONSSSI ONLY

    PAYMENTSSP ONLY

    PERSONSSP ONLY

    PAYMENTSSSI SP

    MARIES 0 0 $0 1 $53MARION 1 1 $67 0 $0MERCER 0 0 $0 0 $0MILLER 0 0 $0 0 $0MISSISSIPPI 0 0 $0 0 $0MONITEAU 0 0 $0 0 $0MONROE 0 1 $6 0 $0MONTGOMERY 1 0 $0 0 $0MORGAN 0 0 $0 0 $0NEW MADRID 0 1 $10 0 $0NEWTON 0 0 $0 0 $0NODAWAY 3 1 $43 0 $0OREGON 1 0 $0 0 $0OSAGE 0 0 $0 0 $0OZARK 0 0 $0 0 $0PEMISCOT 0 0 $0 0 $0PERRY 0 0 $0 0 $0PETTIS 0 0 $0 0 $0PHELPS 2 0 $0 0 $0PIKE 0 0 $0 0 $0PLATTE 0 0 $0 0 $0POLK 0 2 $203 0 $0PULASKI 0 0 $0 0 $0PUTNAM 0 0 $0 0 $0RALLS 0 1 $51 0 $0RANDOLPH 0 0 $5 0 $0RAY 0 0 $0 0 $0REYNOLDS 0 0 $0 0 $0RIPLEY 1 0 $0 0 $0ST CHARLES 0 1 $110 0 $0ST CLAIR 0 0 $0 0 $0ST FRANCOIS 3 0 $0 1 $61STE GENEVIEVE 0 0 $0 0 $0ST LOUIS COUNTY 8 4 $153 0 $0SALINE 0 0 $0 0 $0SCHUYLER 0 0 $0 0 $0SCOTLAND 0 0 $0 0 $0SCOTT 3 0 $0 0 $0SHANNON 0 0 $0 0 $0SHELBY 0 0 $0 0 $0STODDARD 0 0 $0 0 $0STONE 1 0 $0 0 $0SULLIVAN 0 0 $0 0 $0TANEY 0 0 $0 0 $0TEXAS 0 0 $0 0 $0VERNON 0 0 $0 0 $0WARREN 0 0 $0 0 $0WASHINGTON 3 0 $0 1 $28WAYNE 0 1 $5 0 $0WEBSTER 1 0 $0 0 $0WORTH 0 0 $0 0 $0WRIGHT 4 1 $14 0 $0ST LOUIS CITY 32 4 $107 1 $63

    KC REGION 8 1 $82 2 $102NE REGION 15 12 $365 1 $58NW REGION 6 2 $44 0 $0SE REGION 21 7 $140 3 $142STL REGION 43 9 $370 1 $63SW REGION 12 7 $472 1 $41

    STATEWIDE 105 38 $1,473 8 $406

  • Page 31 Missouri FSD Annual Report, FY 2018

    Table 14. MO HealthNet for the Aged, Blind and DisabledAverage Monthly Applications

    COUNTY

    ADAIR 42 20 24 53ANDREW 19 10 12 24ATCHISON 11 4 7 15AUDRAIN 50 23 29 58BARRY 97 41 61 136BARTON 27 13 16 32BATES 39 17 25 51BENTON 60 29 36 69BOLLINGER 29 14 17 38BOONE 268 121 155 350BUCHANAN 229 107 133 296BUTLER 148 70 84 192CALDWELL 15 7 9 20CALLAWAY 87 38 50 102CAMDEN 72 34 43 92CAPE GIRARDEAU 146 65 90 193CARROLL 20 9 13 27CARTER 15 8 10 18CASS 137 57 86 174CEDAR 41 20 23 49CHARITON 13 6 8 18CHRISTIAN 119 50 75 151CLARK 15 6 9 19CLAY 303 116 194 364CLINTON 27 11 18 36COLE 117 49 74 151COOPER 35 16 19 45CRAWFORD 63 28 41 86DADE 20 9 12 28DALLAS 48 23 30 65DAVIESS 16 8 10 19DE KALB 19 9 10 21DENT 47 20 31 68DOUGLAS 33 15 19 48DUNKLIN 124 62 71 174FRANKLIN 178 87 101 222GASCONADE 28 15 15 39GENTRY 15 8 8 19GREENE 635 277 389 834GRUNDY 24 12 14 35HARRISON 19 10 10 23HENRY 68 30 44 92HICKORY 29 14 19 41HOLT 10 5 6 14HOWARD 20 9 11 22HOWELL 128 60 76 166IRON 32 16 19 43JACKSON 1,514 666 899 1,844JASPER 291 139 169 374JEFFERSON 315 147 181 376JOHNSON 75 28 51 100KNOX 8 5 4 10LACLEDE 93 46 53 132LAFAYETTE 57 23 36 73LAWRENCE 95 44 52 129LEWIS 21 9 12 23LINCOLN 91 40 55 115LINN 33 16 18 45LIVINGSTON 40 18 23 59MCDONALD 51 23 30 59MACON 28 13 16 39MADISON 35 18 19 46

    APPROVEDAPPLICATIONS

    RECEIVEDAPPLICATIONS

    PENDINGAPPLICATIONS

    REJECTEDAPPLICATIONS

  • Missouri FSD Annual Report, FY 2018 Page 32

    Table 14. MO HealthNet for the Aged, Blind and DisabledAverage Monthly Applications

    COUNTY APPROVEDAPPLICATIONS

    RECEIVEDAPPLICATIONS

    PENDINGAPPLICATIONS

    REJECTEDAPPLICATIONS

    MARIES 14 7 8 21MARION 75 38 41 92MERCER 10 4 6 13MILLER 63 28 39 87MISSISSIPPI 40 18 23 55MONITEAU 22 10 13 29MONROE 15 8 8 24MONTGOMERY 25 14 12 26MORGAN 54 26 31 73NEW MADRID 50 23 30 65NEWTON 122 62 67 153NODAWAY 31 15 18 37OREGON 35 18 20 45OSAGE 15 6 10 19OZARK 29 13 19 35PEMISCOT 73 35 43 102PERRY 39 17 25 47PETTIS 122 49 78 165PHELPS 94 48 54 134PIKE 36 16 21 48PLATTE 94 36 61 115POLK 70 34 38 87PULASKI 78 37 45 110PUTNAM 10 5 6 11RALLS 14 7 8 16RANDOLPH 66 32 36 90RAY 45 21 26 63REYNOLDS 17 7 10 22RIPLEY 49 26 27 67ST CHARLES 314 129 195 389ST CLAIR 25 11 17 30ST FRANCOIS 162 74 98 219STE GENEVIEVE 27 12 16 33ST LOUIS COUNTY 1,676 867 825 1,765SALINE 54 19 38 69SCHUYLER 7 5 3 10SCOTLAND 6 4 4 9SCOTT 108 49 66 153SHANNON 24 12 14 37SHELBY 11 6 8 16STODDARD 78 36 46 103STONE 61 28 37 83SULLIVAN 16 7 9 18TANEY 143 62 90 187TEXAS 55 26 32 65VERNON 55 26 31 72WARREN 52 23 34 75WASHINGTON 75 33 47 106WAYNE 39 19 26 58WEBSTER 74 34 42 96WORTH 4 3 2 6WRIGHT 50 27 28 70ST LOUIS CITY 1,302 774 543 1,255

    KC REGION 2,178 944 1,309 2,664NE REGION 1,119 517 652 1,435NW REGION 839 361 519 1,104SE REGION 1,874 885 1,116 2,536STL REGION 3,785 2,004 1,845 4,007SW REGION 2,514 1,148 1,507 3,285

    STATEWIDE 12,309 5,859 6,948 15,031

  • Page 33 Missouri FSD Annual Report, FY 2018

    Table 15. MHABD Blind Pension and Supplemental Aid to the BlindAverage Monthly Caseload and Payments

    COUNTY

    ADAIR 15 $11,316 3 $2,045ANDREW 3 $2,337 1 $639ATCHISON 2 $1,470 0 $0AUDRAIN 17 $12,546 4 $2,706BARRY 17 $12,546 8 $5,433BARTON 3 $1,968 5 $2,673BATES 11 $8,426 2 $1,110BENTON 18 $12,977 6 $3,922BOLLINGER 2 $1,353 1 $994BOONE 55 $40,836 15 $9,267BUCHANAN 39 $28,536 16 $8,886BUTLER 29 $21,710 11 $5,879CALDWELL 3 $2,399 2 $1,046CALLAWAY 11 $7,872 4 $2,556CAMDEN 10 $7,442 6 $2,983CAPE GIRARDEAU 23 $16,947 12 $7,587CARROLL 5 $3,506 0 $246CARTER 2 $1,476 0 $0CASS 36 $26,689 9 $5,022CEDAR 5 $3,629 3 $1,602CHARITON 4 $2,952 2 $1,168CHRISTIAN 24 $17,835 7 $4,119CLARK 3 $1,968 2 $1,436CLAY 96 $70,905 20 $12,647CLINTON 7 $5,043 2 $952COLE 38 $28,167 11 $6,569COOPER 6 $4,551 0 $0CRAWFORD 16 $11,685 6 $3,342DADE 2 $1,476 0 $0DALLAS 7 $5,166 5 $2,550DAVIESS 3 $2,214 2 $766DE KALB 6 $4,551 1 $861DENT 10 $7,503 5 $2,192DOUGLAS 4 $3,259 1 $919DUNKLIN 27 $19,742 12 $7,201FRANKLIN 33 $24,412 10 $5,137GASCONADE 6 $4,736 2 $675GENTRY 4 $2,952 1 $437GREENE 125 $92,350 57 $34,711GRUNDY 5 $3,690 1 $959HARRISON 2 $1,353 2 $1,675HENRY 14 $9,955 3 $1,915HICKORY 2 $1,230 1 $26HOLT 1 $738 1 $570HOWARD 7 $5,105 0 $0HOWELL 21 $15,559 8 $5,386IRON 9 $6,642 5 $2,234JACKSON 478 $352,496 165 $100,254JASPER 56 $41,394 20 $10,974JEFFERSON 74 $54,548 26 $15,770JOHNSON 9 $6,642 6 $4,135KNOX 1 $738 0 $0LACLEDE 21 $15,744 12 $5,559LAFAYETTE 14 $10,085 2 $782LAWRENCE 14 $10,271 2 $955LEWIS 3 $2,337 1 $524LINCOLN 17 $12,111 4 $2,312LINN 2 $1,476 1 $309LIVINGSTON 8 $6,110 3 $1,865MCDONALD 8 $5,535 6 $3,638MACON 8 $6,212 3 $2,460MADISON 9 $6,335 4 $2,316

    PERSONSBLIND PENSION

    PAYMENTSSAB

    PERSONSSAB

    PAYMENTSBLIND PENSION

  • Missouri FSD Annual Report, FY 2018 Page 34

    Table 15. MHABD Blind Pension and Supplemental Aid to the BlindAverage Monthly Caseload and Payments

    COUNTY PERSONSBLIND PENSION

    PAYMENTSSAB

    PERSONSSAB

    PAYMENTSBLIND PENSION

    MARIES 4 $2,952 4 $2,435MARION 11 $7,931 3 $1,832MERCER 1 $738 0 $0MILLER 13 $9,225 5 $3,021MISSISSIPPI 6 $4,606 6 $3,914MONITEAU 0 $0 1 $492MONROE 4 $2,952 2 $961MONTGOMERY 8 $5,779 6 $3,650MORGAN 14 $10,025 3 $1,731NEW MADRID 15 $10,824 7 $3,865NEWTON 27 $19,741 10 $5,816NODAWAY 5 $3,567 2 $1,028OREGON 3 $2,460 2 $1,282OSAGE 10 $7,134 3 $1,497OZARK 7 $5,412 4 $1,796PEMISCOT 12 $8,733 9 $5,281PERRY 7 $5,351 1 $491PETTIS 24 $17,466 13 $7,683PHELPS 13 $9,471 9 $6,055PIKE 8 $5,720 4 $2,418PLATTE 14 $10,431 3 $1,043POLK 9 $6,640 5 $3,068PULASKI 16 $11,931 1 $799PUTNAM 3 $2,214 2 $1,136RALLS 3 $2,214 0 $308RANDOLPH 14 $10,332 3 $2,273RAY 11 $7,995 1 $861REYNOLDS 4 $3,198 2 $1,661RIPLEY 14 $10,025 3 $1,936ST CHARLES 85 $62,846 22 $12,048ST CLAIR 9 $6,765 3 $2,214ST FRANCOIS 65 $47,653 16 $9,213STE GENEVIEVE 2 $1,599 4 $2,453ST LOUIS COUNTY 474 $350,004 149 $90,283SALINE 8 $6,026 2 $1,106SCHUYLER 0 $0 0 $1SCOTLAND 2 $1,784 1 $369SCOTT 32 $23,924 11 $6,836SHANNON 4 $2,891 4 $2,466SHELBY 1 $800 2 $960STODDARD 18 $13,469 7 $4,174STONE 12 $8,856 1 $738SULLIVAN 3 $1,968 1 $849TANEY 28 $20,841 9 $5,946TEXAS 10 $7,565 3 $1,855VERNON 8 $6,212 2 $965WARREN 19 $13,956 2 $1,471WASHINGTON 21 $15,249 9 $6,031WAYNE 15 $10,824 6 $4,390WEBSTER 10 $7,621 7 $3,005WORTH 0 $0 0 $0WRIGHT 9 $6,273 6 $3,932ST LOUIS CITY 251 $185,355 88 $51,940

    KC REGION 636 $469,256 206 $124,330NE REGION 261 $192,546 76 $46,782NW REGION 166 $121,844 55 $32,595SE REGION 418 $307,950 174 $106,200STL REGION 917 $677,165 295 $175,178SW REGION 478 $352,541 193 $111,389

    STATEWIDE 2,876 $2,121,302 999 $596,474

  • Page 35 Missouri FSD Annual Report, FY 2018

    Table 16. MHABD Spenddown and Ticket to Work Health AssuranceAverage Monthly Caseload

    COUNTY

    ADAIR 778 108 2 22ANDREW 251 28 0 1ATCHISON 123 22 1 3AUDRAIN 693 97 1 7BARRY 1,213 126 1 2BARTON 372 43 0 2BATES 484 63 0 3BENTON 754 87 0 3BOLLINGER 494 82 0 3BOONE 3,244 439 11 61BUCHANAN 2,857 332 6 30BUTLER 2,457 294 4 15CALDWELL 180 26 0 1CALLAWAY 983 99 3 11CAMDEN 929 127 4 9CAPE GIRARDEAU 1,862 253 4 15CARROLL 257 37 0 0CARTER 381 51 0 2CASS 1,329 189 6 14CEDAR 582 57 0 4CHARITON 183 27 0 1CHRISTIAN 1,282 148 0 8CLARK 176 18 1 2CLAY 2,967 506 4 42CLINTON 292 35 0 7COLE 1,479 184 0 35COOPER 428 72 1 5CRAWFORD 942 123 0 2DADE 230 25 0 1DALLAS 685 66 0 2DAVIESS 220 26 0 2DE KALB 229 27 0 1DENT 787 95 4 6DOUGLAS 597 66 0 1DUNKLIN 2,296 249 1 2FRANKLIN 2,076 246 5 26GASCONADE 368 49 3 3GENTRY 188 40 3 6GREENE 8,066 877 11 75GRUNDY 344 48 1 5HARRISON 296 36 0 6HENRY 915 92 1 8HICKORY 350 51 0 0HOLT 91 14 0 3HOWARD 285 34 1 2HOWELL 2,041 200 3 7IRON 596 65 0 2JACKSON 17,674 2,002 21 152JASPER 3,766 479 5 24JEFFERSON 3,837 553 1 36JOHNSON 802 102 3 9KNOX 101 14 0 0LACLEDE 1,441 142 2 4LAFAYETTE 733 144 1 12LAWRENCE 1,166 151 1 2LEWIS 242 25 1 3LINCOLN 1,071 139 4 14LINN 434 48 0 4LIVINGSTON 441 65 4 8MCDONALD 681 72 0 2MACON 395 65 2 9MADISON 549 87 0 4MARIES 199 23 0 1

    PERSONSNON-SPENDDOWN

    PERSONSTWHA PREMIUM

    PERSONSTWHA NON-PREMIUM

    PERSONSSPENDDOWN

  • Missouri FSD Annual Report, FY 2018 Page 36

    Table 16. MHABD Spenddown and Ticket to Work Health AssuranceAverage Monthly Caseload

    COUNTY PERSONSNON-SPENDDOWN

    PERSONSTWHA PREMIUM

    PERSONSTWHA NON-PREMIUM

    PERSONSSPENDDOWN

    MARION 1,082 143 2 21MERCER 94 10 0 1MILLER 798 88 1 9MISSISSIPPI 803 96 2 4MONITEAU 279 37 1 1MONROE 209 33 0 2MONTGOMERY 346 39 0 2MORGAN 850 80 2 6NEW MADRID 966 149 0 1NEWTON 1,461 184 1 12NODAWAY 370 63 2 5OREGON 691 69 0 1OSAGE 185 23 2 3OZARK 386 24 0 1PEMISCOT 1,419 171 0 4PERRY 443 70 6 13PETTIS 1,394 180 3 13PHELPS 1,409 162 3 15PIKE 528 74 1 5PLATTE 725 111 1 22POLK 1,029 124 1 7PULASKI 1,019 100 2 4PUTNAM 154 15 0 0RALLS 211 39 0 1RANDOLPH 959 100 2 4RAY 461 85 4 4REYNOLDS 328 48 0 1RIPLEY 948 126 0 1ST CHARLES 3,364 584 14 79ST CLAIR 404 32 0 1ST FRANCOIS 2,847 328 4 18STE GENEVIEVE 381 63 3 3ST LOUIS COUNTY 18,349 2,455 25 200SALINE 714 128 1 6SCHUYLER 129 17 0 0SCOTLAND 85 13 0 0SCOTT 1,996 256 1 16SHANNON 493 46 0 1SHELBY 164 20 2 3STODDARD 1,361 203 1 5STONE 703 76 0 0SULLIVAN 192 26 1 2TANEY 1,513 134 2 13TEXAS 937 98 2 2VERNON 813 101 0 7WARREN 727 91 3 12WASHINGTON 1,478 147 1 1WAYNE 847 113 1 5WEBSTER 912 107 1 3WORTH 50 7 0 1WRIGHT 997 96 1 3ST LOUIS CITY 16,753 1,534 8 95UNKNOWN 4 0 0 0

    KC REGION 24,703 3,006 32 248NE REGION 14,719 1,900 42 223NW REGION 9,770 1,445 31 118SE REGION 31,967 3,863 43 157STL REGION 44,379 5,372 53 436SW REGION 32,382 3,622 33 209UNKNOWN 4 0 0 0

    STATEWIDE 157,924 19,208 234 1,391

  • Page 37 Missouri FSD Annual Report, FY 2018

    Table 17. MHABD Nursing CareAverage Monthly Caseload and Payments

    COUNTY

    ADAIR 26 0 0 26 $6,921 ANDREW 0 0 0 0 $86 ATCHISON 0 0 0 0 $0 AUDRAIN 51 8 2 61 $19,132 BARRY 37 18 0 55 $16,236 BARTON 1 10 0 11 $2,573 BATES 0 9 0 9 $1,890 BENTON 29 8 0 37 $11,255 BOLLINGER 44 58 0 102 $26,398 BOONE 75 14 5 94 $28,972 BUCHANAN 78 69 0 147 $36,346 BUTLER 123 44 0 167 $49,592 CALDWELL 0 3 0 3 $601 CALLAWAY 79 3 0 82 $26,962 CAMDEN 3 5 0 8 $2,085 CAPE GIRARDEAU 153 17 1 171 $54,376 CARROLL 0 1 0 1 $250 CARTER 16 0 0 16 $5,575 CASS 10 10 0 20 $5,450 CEDAR 2 34 0 36 $7,807 CHARITON 0 1 0 1 $309 CHRISTIAN 192 20 6 218 $71,572 CLARK 0 0 0 0 $0 CLAY 165 16 2 183 $59,672 CLINTON 2 1 0 3 $653 COLE 50 10 0 60 $17,399 COOPER 3 4 0 7 $1,850 CRAWFORD 33 69 0 102 $25,298 DADE 0 0 0 0 $0 DALLAS 1 23 0 24 $4,891 DAVIESS 0 0 0 0 $29 DE KALB 29 5 1 35 $11,293 DENT 12 1 0 13 $4,219 DOUGLAS 10 0 0 10 $3,235 DUNKLIN 93 1 0 94 $30,989 FRANKLIN 84 58 0 142 $40,453 GASCONADE 1 11 0 12 $2,688 GENTRY 0 0 0 0 $86 GREENE 225 23 1 249 $80,265 GRUNDY 4 13 1 18 $4,055 HARRISON 0 6 0 6 $1,345 HENRY 42 8 0 50 $15,303 HICKORY 0 1 0 1 $326 HOLT 0 0 0 0 $0 HOWARD 33 1 0 34 $10,807 HOWELL 73 1 0 74 $24,380 IRON 17 59 17 93 $24,514 JACKSON 364 105 57 526 $159,863 JASPER 70 30 0 100 $28,569 JEFFERSON 172 123 0 295 $82,774 JOHNSON 4 19 0 23 $5,140 KNOX 47 0 0 47 $16,076 LACLEDE 44 28 2 74 $21,042 LAFAYETTE 2 9 1 12 $2,848 LAWRENCE 33 1 0 34 $11,431 LEWIS 1 0 0 1 $366 LINCOLN 96 82 0 178 $46,890 LINN 0 4 0 4 $824 LIVINGSTON 57 13 18 88 $28,779 MCDONALD 1 0 0 1 $473 MACON 1 2 0 3 $794 MADISON 30 36 0 66 $16,974

    PERSONSRCF-I

    PERSONSRCF-II

    PAYMENTSTOTAL

    PERSONSTOTAL

    PERSONSSNF-ICF

  • Missouri FSD Annual Report, FY 2018 Page 38

    Table 17. MHABD Nursing CareAverage Monthly Caseload and Payments

    COUNTY PERSONSRCF-I

    PERSONSRCF-II

    PAYMENTSTOTAL

    PERSONSTOTAL

    PERSONSSNF-ICF

    MARIES 1 3 0 4 $1,034 MARION 116 23 2 141 $43,245 MERCER 4 3 3 10 $3,126 MILLER 2 6 0 8 $1,592 MISSISSIPPI 1 0 0 1 $371 MONITEAU 1 4 0 5 $1,271 MONROE 9 31 0 40 $9,087 MONTGOMERY 1 2 0 3 $862 MORGAN 21 3 0 24 $7,849 NEW MADRID 0 0 0 0 $99 NEWTON 20 12 0 32 $8,992 NODAWAY 0 1 0 1 $332 OREGON 9 0 0 9 $2,958 OSAGE 4 0 0 4 $1,345 OZARK 7 1 0 8 $2,515 PEMISCOT 1 0 0 1 $371 PERRY 14 0 0 14 $4,367 PETTIS 109 13 1 123 $39,720 PHELPS 74 1 0 75 $24,520 PIKE 22 0 0 22 $7,524 PLATTE 42 45 1 88 $22,660 POLK 103 7 0 110 $36,373 PULASKI 1 2 0 3 $600 PUTNAM 0 2 0 2 $494 RALLS 16 0 0 16 $5,219 RANDOLPH 55 12 1 68 $21,531 RAY 0 0 0 0 $29 REYNOLDS 0 9 0 9 $1,837 RIPLEY 29 0 0 29 $9,800 ST CHARLES 91 30 5 126 $37,220 ST CLAIR 0 0 0 0 $114 ST FRANCOIS 273 111 0 384 $111,633 STE GENEVIEVE 58 0 0 58 $19,319 ST LOUIS COUNTY 218 112 12 342 $98,477 SALINE 48 8 1 57 $17,971 SCHUYLER 0 0 0 0 $0 SCOTLAND 0 1 0 1 $223 SCOTT 81 1 0 82 $27,711 SHANNON 0 14 0 14 $2,936 SHELBY 9 0 0 9 $2,907 STODDARD 70 18 1 89 $27,783 STONE 8 29 0 37 $8,645 SULLIVAN 0 25 0 25 $5,162 TANEY 8 31 0 39 $9,012 TEXAS 25 1 0 26 $8,619 VERNON 40 9 0 49 $15,177 WARREN 1 10 0 11 $2,511 WASHINGTON 43 5 0 48 $15,537 WAYNE 11 1 0 12 $3,817 WEBSTER 27 8 1 36 $11,053 WORTH 2 0 0 2 $575 WRIGHT 12 0 0 12 $3,962 ST LOUIS CITY 500 92 11 603 $188,614

    KC REGION 678 240 61 979 $289,920 NE REGION 694 214 10 918 $272,732 NW REGION 245 136 25 406 $119,628 SE REGION 1,297 452 19 1,768 $529,589 STL REGION 1,065 415 28 1,508 $447,538 SW REGION 926 324 10 1,260 $380,275

    STATEWIDE 4,905 1,781 153 6,839 $2,039,682

  • Page 39 Missouri FSD Annual Report, FY 2018

    Table 18. MHABD QMB, SLMB and VendorAverage Monthly Caseload

    COUNTY

    ADAIR 71 103 138ANDREW 29 44 114ATCHISON 16 30 58AUDRAIN 83 107 115BARRY 137 233 183BARTON 44 82 118BATES 66 90 125BENTON 105 172 178BOLLINGER 32 60 97BOONE 276 425 409BUCHANAN 250 420 459BUTLER 184 305 500CALDWELL 28 48 65CALLAWAY 137 171 166CAMDEN 120 194 154CAPE GIRARDEAU 157 272 500CARROLL 30 40 75CARTER 23 53 63CASS 155 305 514CEDAR 75 130 122CHARITON 19 30 158CHRISTIAN 154 327 201CLARK 22 38 42CLAY 333 545 589CLINTON 28 71 138COLE 141 214 287COOPER 45 76 139CRAWFORD 98 184 179DADE 31 59 59DALLAS 93 135 132DAVIESS 18 59 35DE KALB 35 54 94DENT 59 105 144DOUGLAS 81 122 88DUNKLIN 171 251 585FRANKLIN 235 484 445GASCONADE 37 81 148GENTRY 21 31 65GREENE 857 1,214 1,534GRUNDY 38 57 150HARRISON 38 59 78HENRY 76 165 175HICKORY 48 82 69HOLT 11 16 43HOWARD 26 41 63HOWELL 229 402 451IRON 34 86 212JACKSON 1,665 2,490 3,684JASPER 354 604 573JEFFERSON 435 675 1,073JOHNSON 82 134 194KNOX 14 20 19LACLEDE 155 249 212LAFAYETTE 67 148 255LAWRENCE 142 255 203LEWIS 22 33 112LINCOLN 135 221 273LINN 51 77 139LIVINGSTON 45 51 183MCDONALD 82 122 105MACON 42 73 132MADISON 39 82 233MARIES 37 42 74

    PERSONSVENDOR

    PERSONSSLMB

    PERSONSQMB

  • Missouri FSD Annual Report, FY 2018 Page 40

    Table 18. MHABD QMB, SLMB and VendorAverage Monthly Caseload

    COUNTY PERSONSVENDOR

    PERSONSSLMB

    PERSONSQMB

    MARION 73 153 429MERCER 9 18 31MILLER 99 179 227MISSISSIPPI 58 84 221MONITEAU 31 53 82MONROE 33 31 58MONTGOMERY 37 68 151MORGAN 98 151 152NEW MADRID 75 99 343NEWTON 163 306 350NODAWAY 86 64 107OREGON 64 110 97OSAGE 20 37 72OZARK 55 73 112PEMISCOT 76 117 305PERRY 29 59 169PETTIS 162 199 438PHELPS 145 237 289PIKE 46 95 113PLATTE 83 134 232POLK 129 185 261PULASKI 94 128 179PUTNAM 17 42 47RALLS 20 38 67RANDOLPH 101 142 312RAY 52 83 175REYNOLDS 30 40 82RIPLEY 71 117 184ST CHARLES 403 593 766ST CLAIR 41 76 64ST FRANCOIS 228 424 656STE GENEVIEVE 30 61 107ST LOUIS COUNTY 1,531 2,382 5,558SALINE 61 99 147SCHUYLER 13 19 33SCOTLAND 16 21 28SCOTT 161 284 490SHANNON 34 77 74SHELBY 19 27 58STODDARD 119 219 347STONE 111 163 181SULLIVAN 25 31 97TANEY 199 316 264TEXAS 135 189 155VERNON 75 122 177WARREN 87 110 81WASHINGTON 111 178 197WAYNE 68 104 154WEBSTER 137 227 169WORTH 13 17 17WRIGHT 117 185 178ST LOUIS CITY 1,054 1,500 2,589UNKNOWN 0 1 0

    KC REGION 2,395 3,687 5,172NE REGION 1,502 2,321 3,388NW REGION 1,117 1,785 3,348SE REGION 2,708 4,554 7,265STL REGION 3,658 5,634 10,431SW REGION 3,727 6,033 6,188UNKNOWN 0 1 0

    STATEWIDE 15,107 24,015 35,792

  • Page 41 Missouri FSD Annual Report, FY 2018

    Table 19. MO HealthNet EligiblesAverage Monthly Approvals of Persons

    COUNTY

    ADAIR 52 13 13 6 13 8ANDREW 24 7 6 3 6 4ATCHISON 8 3 2 1 3 2AUDRAIN 51 13 14 7 15 8BARRY 92 22 21 10 27 15BARTON 26 7 7 3 7 6BATES 29 7 8 4 10 8BENTON 37 10 11 5 17 11BOLLINGER 25 10 9 2 9 5BOONE 267 65 69 42 91 35BUCHANAN 195 53 57 31 79 29BUTLER 107 37 37 15 50 24CALDWELL 16 5 5 3 4 3CALLAWAY 77 20 22 10 28 10CAMDEN 71 19 20 8 23 11CAPE GIRARDEAU 134 34 40 21 46 24CARROLL 14 4 4 2 5 4CARTER 15 6 5 3 6 3CASS 155 40 41 17 37 24CEDAR 34 9 9 4 13 7CHARITON 9 3 4 1 5 2CHRISTIAN 160 39 44 20 35 19CLARK 16 4 4 2 4 3CLAY 357 85 92 37 75 44CLINTON 35 10 8 4 8 4COLE 121 31 39 19 34 17COOPER 27 7 8 4 12 6CRAWFORD 44 17 14 8 20 10DADE 15 4 3 2 7 3DALLAS 35 11 10 4 15 8DAVIESS 19 4 5 2 5 4DE KALB 15 3 4 2 5 4DENT 35 8 10 5 14 7DOUGLAS 34 11 10 4 10 6DUNKLIN 99 32 26 14 40 23FRANKLIN 169 46 47 23 60 30GASCONADE 22 6 6 4 9 6GENTRY 12 4 3 2 4 4GREENE 554 147 173 84 198 87GRUNDY 24 6 6 4 9 5HARRISON 19 5 5 2 7 3HENRY 50 14 14 5 22 10HICKORY 18 5 4 3 8 5HOLT 6 1 3 2 3 2HOWARD 17 5 5 2 6 3HOWELL 116 31 35 11 38 22IRON 22 8 6 4 12 4JACKSON 1,532 392 376 178 464 233JASPER 317 77 77 43 93 45JEFFERSON 317 95 96 45 101 48JOHNSON 69 19 18 9 23 9KNOX 7 2 3 1 3 2LACLEDE 94 26 31 12 29 15LAFAYETTE 60 14 17 6 15 9LAWRENCE 91 25 27 10 27 16LEWIS 20 5 5 3 6 4LINCOLN 95 29 26 14 29 14LINN 26 7 8 3 10 6LIVINGSTON 28 7 8 4 14 6MCDONALD 78 16 20 7 17 7MACON 28 7 8 3 8 7MADISON 28 9 8 4 11 8MARIES 12 4 3 2 5 2

    DISABLED/BLINDCHILDREN PARENTS ELDERLY

    PREGNANTWOMEN WHS

  • Missouri FSD Annual Report, FY 2018 Page 42

    Table 19. MO HealthNet EligiblesAverage Monthly Approvals of Persons

    COUNTYDISABLED/

    BLINDCHILDREN PARENTS ELDERLYPREGNANT

    WOMEN WHS

    MARION 68 17 20 12 27 13MERCER 7 3 1 1 3 2MILLER 54 12 15 7 18 10MISSISSIPPI 32 11 11 5 11 9MONITEAU 26 5 6 3 6 4MONROE 17 5 5 3 6 4MONTGOMERY 21 6 6 3 8 6MORGAN 44 12 12 5 16 10NEW MADRID 40 12 13 7 16 11NEWTON 140 35 35 15 39 24NODAWAY 24 5 7 2 9 4OREGON 32 9 8 5 12 7OSAGE 13 3 4 3 5 3OZARK 20 5 5 2 7 6PEMISCOT 60 20 14 8 24 11PERRY 30 8 7 4 10 7PETTIS 118 26 31 12 32 19PHELPS 83 22 21 8 31 16PIKE 31 9 9 5 11 6PLATTE 118 27 27 13 24 16POLK 66 18 19 9 23 12PULASKI 87 24 21 10 26 12PUTNAM 9 3 3 2 3 3RALLS 18 3 4 2 5 4RANDOLPH 50 16 17 8 24 9RAY 43 11 11 4 12 8REYNOLDS 13 4 5 2 5 3RIPLEY 35 13 11 5 17 8ST CHARLES 344 86 77 41 91 49ST CLAIR 18 5 5 3 7 5ST FRANCOIS 120 39 40 18 52 26STE GENEVIEVE 24 7 7 5 8 5ST LOUIS COUNTY 1,355 356 390 206 424 248SALINE 49 13 11 6 14 8SCHUYLER 9 2 3 2 4 2SCOTLAND 9 2 2 1 2 2SCOTT 105 31 31 14 34 23SHANNON 23 6 7 3 9 4SHELBY 14 3 4 2 4 3STODDARD 67 19 21 10 24 12STONE 60 17 16 8 18 11SULLIVAN 16 5 3 2 5 2TANEY 151 30 42 19 44 19TEXAS 53 17 15 7 17 9VERNON 44 12 13 4 18 8WARREN 59 16 15 8 20 6WASHINGTON 52 17 17 7 26 11WAYNE 29 10 9 4 13 6WEBSTER 78 21 24 10 20 12WORTH 2 2 1 1 2 2WRIGHT 54 15 15 8 18 12ST LOUIS CITY 667 199 219 121 331 161UNKNOWN 4 2 1 1 1 0

    KC REGION 2,241 567 562 264 653 330NE REGION 1,108 287 309 165 368 179NW REGION 795 207 213 96 244 141SE REGION 1,576 480 466 219 604 324STL REGION 2,852 782 829 436 1,007 536SW REGION 2,410 616 675 310 768 396UNKNOWN 4 2 1 1 1 0

    STATEWIDE 10,986 2,941 3,055 1,491 3,645 1,906

  • Page 43 Missouri FSD Annual Report, FY 2018

    Table 20. MO HealthNet EligiblesAverage Monthly Closings of Persons

    COUNTY

    ADAIR 52 13 17 4 18 8ANDREW 24 7 7 3 6 5ATCHISON 7 3 3 2 4 2AUDRAIN 50 11 16 6 19 8BARRY 99 25 26 9 30 15BARTON 27 6 8 3 11 7BATES 34 10 9 3 13 6BENTON 39 10 12 4 18 10BOLLINGER 29 9 9 3 11 6BOONE 258 67 74 37 97 31BUCHANAN 225 63 66 24 83 32BUTLER 126 36 41 12 61 28CALDWELL 16 4 5 3 5 3CALLAWAY 81 22 21 10 29 12CAMDEN 77 19 21 7 24 10CAPE GIRARDEAU 138 36 43 16 50 20CARROLL 15 3 4 2 6 3CARTER 17 5 6 2 5 3CASS 178 46 45 18 41 24CEDAR 34 9 10 3 15 7CHARITON 10 3 3 2 4 3CHRISTIAN 160 41 45 18 35 17CLARK 16 5 5 2 5 2CLAY 379 91 96 37 77 42CLINTON 38 10 12 4 10 6COLE 127 36 38 16 40 16COOPER 28 6 8 4 11 6CRAWFORD 57 19 17 6 23 9DADE 17 5 5 2 5 3DALLAS 37 10 10 3 15 6DAVIESS 22 5 5 2 4 2DE KALB 18 5 5 2 7 4DENT 40 13 10 5 16 6DOUGLAS 34 10 11 3 10 6DUNKLIN 120 35 31 9 54 25FRANKLIN 184 49 55 19 61 24GASCONADE 24 6 7 3 9 8GENTRY 14 3 4 2 4 3GREENE 576 162 183 74 205 83GRUNDY 23 6 7 2 9 3HARRISON 21 5 5 1 6 4HENRY 50 13 13 5 24 10HICKORY 17 5 5 2 9 5HOLT 7 2 2 1 2 3HOWARD 17 3 6 3 6 4HOWELL 114 33 35 10 43 20IRON 24 10 7 3 14 5JACKSON 1,672 426 410 162 491 207JASPER 335 81 93 31 98 41JEFFERSON 339 100 107 43 111 41JOHNSON 73 23 19 9 21 8KNOX 9 3 3 1 3 1LACLEDE 96 27 31 10 32 12LAFAYETTE 63 15 17 6 19 8LAWRENCE 98 27 29 8 29 14LEWIS 16 5 6 2 6 5LINCOLN 111 28 30 15 34 12LINN 25 8 9 2 10 6LIVINGSTON 24 7 9 3 14 5MCDONALD 90 16 20 5 18 6MACON 29 7 9 4 12 7MADISON 31 7 9 3 13 8MARIES 14 6 3 2 7 3

    ELDERLYPREGNANT DISABLED/

    CHILDREN PARENTS WOMEN WHS BLIND

  • Missouri FSD Annual Report, FY 2018 Page 44

    Table 20. MO HealthNet EligiblesAverage Monthly Closings of Persons

    COUNTY ELDERLYPREGNANT DISABLED/

    CHILDREN PARENTS WOMEN WHS BLIND

    MARION 69 17 20 11 28 14MERCER 6 2 2 2 2 3MILLER 56 14 16 5 19 11MISSISSIPPI 38 12 11 5 18 9MONITEAU 25 6 6 2 7 4MONROE 16 5 5 2 7 3MONTGOMERY 22 8 6 2 11 7MORGAN 43 11 13 5 21 9NEW MADRID 51 13 15 5 22 10NEWTON 150 34 39 12 39 21NODAWAY 30 6 7 3 8 5OREGON 40 11 10 4 13 7OSAGE 12 3 4 2 4 3OZARK 30 7 6 3 9 6PEMISCOT 79 25 19 7 29 12PERRY 33 10 10 4 12 7PETTIS 116 29 31 11 35 16PHELPS 93 22 23 8 36 15PIKE 37 11 11 4 10 6PLATTE 114 30 28 11 23 13POLK 69 20 21 7 25 13PULASKI 84 21 20 8 25 10PUTNAM 9 3 4 2 4 2RALLS 16 3 4 3 5 2RANDOLPH 56 17 17 8 26 11RAY 42 13 12 4 12 9REYNOLDS 14 5 4 2 6 3RIPLEY 41 12 13 4 19 7ST CHARLES 380 99 92 38 86 41ST CLAIR 17 5 5 3 7 4ST FRANCOIS 133 44 43 16 70 24STE GENEVIEVE 29 10 8 4 10 6ST LOUIS COUNTY 1,527 395 423 231 453 257SALINE 50 14 13 4 16 9SCHUYLER 11 3 3 2 3 2SCOTLAND 10 3 3 1 2 2SCOTT 112 35 33 11 44 21SHANNON 22 7 7 3 9 4SHELBY 11 3 4 1 3 2STODDARD 72 20 23 8 30 16STONE 69 20 16 6 18 10SULLIVAN 18 6 5 2 6 3TANEY 166 37 39 16 47 22TEXAS 53 17 16 5 20 9VERNON 49 10 14 4 17 7WARREN 66 18 16 7 20 6WASHINGTON 56 19 18 7 33 10WAYNE 30 9 11 4 17 7WEBSTER 76 21 25 8 22 10WORTH 3 1 2 1 2 2WRIGHT 53 17 17 6 22 10ST LOUIS CITY 769 229 234 135 399 144UNKNOWN 3 2 1 1 1 0

    KC REGION 2,432 622 612 239 687 303NE REGION 1141 303 331 148 404 176NW REGION 838 223 233 92 255 138SE REGION 1,743 518 512 182 732 320STL REGION 3,199 872 911 466 1,110 507SW REGION 2,545 655 725 259 815 371UNKNOWN 3 2 1 1 1 0

    STATEWIDE 11,901 3,195 3,325 1,387 4,004 1,815

  • FOOD STAMPS

  • Page 47 Missouri FSD Annual Report, FY 2018

    Figure 5. Food StampsAverage Monthly Caseload Fiscal Years 2014 - 2018

    Figure 6. Food StampsAnnual Benefits Issued Fiscal Years 2014 - 2018

    413,571396,557 389,241

    353,049 346,391

    0

    50,000

    100,000

    150,000

    200,000

    250,000

    300,000

    350,000

    400,000

    450,000

    FY 2014 FY 2015 FY 2016 FY 2017 FY 2018

    HO

    USE

    HO

    LDS

    $1,284,367,237 $1,245,276,210 $1,215,939,101$1,118,930,607 $1,079,320,336

    $0

    $200,000,000

    $400,000,000

    $600,000,000

    $800,000,000

    $1,000,000,000

    $1,200,000,000

    $1,400,000,000

    FY 2014 FY 2015 FY 2016 FY 2017 FY 2018

    PAYM

    ENTS

  • Missouri FSD Annual Report, FY 2018 Page 49

    Statewide Summary - Average Monthly

    CHANGE FROMFY 2018 FY 2017 LAST YEAR

    APPLICATIONS RECEIVED 45,152 45,665 -1.1%APPLICATIONS APPROVED 31,814 33,771 -5.8%APPLICATIONS REJECTED 9,781 8,552 14.4%

    HOUSEHOLDS RECEIVING 346,391 353,049 -1.9%PERSONS RECEIVING 745,983 764,121 -2.4%

    ANNUAL BENEFITS ISSUED $1,079,320,336 $1,118,930,607 -3.5%

    AVERAGE MONTHLY VALUE OF BENEFITS PER HOUSEHOLD $260 $264 -1.5% PER PERSON $121 $122 -0.8%

    Table 21. Food Stamps

  • Page 49 Missouri FSD Annual Report, FY 2018

    Table 22. Food StampsAverage Monthly Applications, Approvals and Rejections

    COUNTY

    ADAIR 167 151 115 76.2% 36 23.8%ANDREW 63 59 45 76.3% 14 23.7%ATCHISON 22 22 17 77.3% 5 22.7%AUDRAIN 174 157 121 77.1% 36 22.9%BARRY 296 268 207 77.2% 61 22.8%BARTON 93 84 66 78.6% 18 21.4%BATES 106 97 74 76.3% 23 23.7%BENTON 156 142 114 80.3% 28 19.7%BOLLINGER 107 93 74 79.6% 19 20.4%BOONE 1,052 971 725 74.7% 246 25.3%BUCHANAN 937 860 656 76.3% 204 23.7%BUTLER 548 493 386 78.3% 107 21.7%CALDWELL 47 43 34 79.1% 9 20.9%CALLAWAY 269 244 185 75.8% 59 24.2%CAMDEN 277 256 195 76.2% 61 23.8%CAPE GIRARDEAU 601 544 403 74.1% 141 25.9%CARROLL 62 57 43 75.4% 14 24.6%CARTER 63 55 46 83.6% 9 16.4%CASS 498 462 340 73.6% 122 26.4%CEDAR 116 103 83 80.6% 20 19.4%CHARITON 41 37 27 73.0% 10 27.0%CHRISTIAN 395 363 267 73.6% 96 26.4%CLARK 41 38 28 73.7% 10 26.3%CLAY 1,017 956 711 74.4% 245 25.6%CLINTON 96 87 65 74.7% 22 25.3%COLE 530 490 360 73.5% 130 26.5%COOPER 111 101 75 74.3% 26 25.7%CRAWFORD 227 206 164 79.6% 42 20.4%DADE 51 46 36 78.3% 10 21.7%DALLAS 134 122 97 79.5% 25 20.5%DAVIESS 50 46 35 76.1% 11 23.9%DE KALB 49 43 33 76.7% 10 23.3%DENT 155 136 106 77.9% 30 22.1%DOUGLAS 116 103 81 78.6% 22 21.4%DUNKLIN 478 423 331 78.3% 92 21.7%FRANKLIN 592 544 406 74.6% 138 25.4%GASCONADE 82 73 57 78.1% 16 21.9%GENTRY 34 31 23 74.2% 8 25.8%GREENE 2,331 2,151 1,628 75.7% 523 24.3%GRUNDY 82 74 55 74.3% 19 25.7%HARRISON 63 54 44 81.5% 10 18.5%HENRY 208 188 147 78.2% 41 21.8%HICKORY 68 64 50 78.1% 14 21.9%HOLT 23 22 16 72.7% 6 27.3%HOWARD 60 55 42 76.4% 13 23.6%HOWELL 428 382 299 78.3% 83 21.7%IRON 109 97 78 80.4% 19 19.6%JACKSON 6,320 5,885 4,498 76.4% 1,387 23.6%JASPER 1,132 1,053 802 76.2% 251 23.8%JEFFERSON 1,164 1,079 814 75.4% 265 24.6%JOHNSON 272 251 177 70.5% 74 29.5%KNOX 19 17 14 82.4% 3 17.6%LACLEDE 337 306 235 76.8% 71 23.2%LAFAYETTE 194 179 138 77.1% 41 22.9%LAWRENCE 315 284 221 77.8% 63 22.2%LEWIS 54 49 36 73.5% 13 26.5%LINCOLN 348 318 238 74.8% 80 25.2%LINN 87 80 61 76.3% 19 23.7%LIVINGSTON 102 91 68 74.7% 23 25.3%MCDONALD 181 164 130 79.3% 34 20.7%MACON 90 80 59 73.8% 21 26.2%MADISON 130 117 89 76.1% 28 23.9%MARIES 45 41 31 75.6% 10 24.4%

    REJECTEDAPPLICATIONS APPLICATIONS APPLICATIONS PERCENT APPLICATIONS PERCENT

    RECEIVED RESOLVED APPROVED APPROVED REJECTED

  • Missouri FSD Annual Report, FY 2018 Page 50

    Table 22. Food StampsAverage Monthly Applications, Approvals and Rejections

    COUNTY REJECTEDAPPLICATIONS APPLICATIONS APPLICATIONS PERCENT APPLICATIONS PERCENT

    RECEIVED RESOLVED APPROVED APPROVED REJECTED

    MARION 253 228 173 75.9% 55 24.1%MERCER 16 14 11 78.6% 3 21.4%MILLER 200 183 141 77.0% 42 23.0%MISSISSIPPI 193 177 137 77.4% 40 22.6%MONITEAU 67 63 47 74.6% 16 25.4%MONROE 49 44 35 79.5% 9 20.5%MONTGOMERY 80 71 55 77.5% 16 22.5%MORGAN 174 157 126 80.3% 31 19.7%NEW MADRID 232 211 164 77.7% 47 22.3%NEWTON 416 382 296 77.5% 86 22.5%NODAWAY 83 78 56 71.8% 22 28.2%OREGON 118 105 86 81.9% 19 18.1%OSAGE 44 39 30 76.9% 9 23.1%OZARK 75 67 56 83.6% 11 16.4%PEMISCOT 317 282 220 78.0% 62 22.0%PERRY 108 98 73 74.5% 25 25.5%PETTIS 394 355 260 73.2% 95 26.8%PHELPS 334 300 229 76.3% 71 23.7%PIKE 121 110 85 77.3% 25 22.7%PLATTE 289 267 192 71.9% 75 28.1%POLK 243 216 169 78.2% 47 21.8%PULASKI 334 305 230 75.4% 75 24.6%PUTNAM 26 22 17 77.3% 5 22.7%RALLS 41 37 29 78.4% 8 21.6%RANDOLPH 231 206 157 76.2% 49 23.8%RAY 134 121 90 74.4% 31 25.6%REYNOLDS 58 52 42 80.8% 10 19.2%RIPLEY 177 161 131 81.4% 30 18.6%ST CHARLES 1,002 941 701 74.5% 240 25.5%ST CLAIR 71 63 52 82.5% 11 17.5%ST FRANCOIS 645 580 447 77.1% 133 22.9%STE GENEVIEVE 86 79 61 77.2% 18 22.8%ST LOUIS COUNTY 6,220 5,810 4,450 76.6% 1360 23.4%SALINE 183 163 122 74.8% 41 25.2%SCHUYLER 23 20 16 80.0% 4 20.0%SCOTLAND 19 17 13 76.5% 4 23.5%SCOTT 506 453 350 77.3% 103 22.7%SHANNON 88 78 63 80.8% 15 19.2%SHELBY 36 34 25 73.5% 9 26.5%STODDARD 281 255 199 78.0% 56 22.0%STONE 176 161 125 77.6% 36 22.4%SULLIVAN 47 43 32 74.4% 11 25.6%TANEY 542 505 370 73.3% 135 26.7%TEXAS 194 171 140 81.9% 31 18.1%VERNON 183 167 129 77.2% 38 22.8%WARREN 217 198 153 77.3% 45 22.7%WASHINGTON 282 257 203 79.0% 54 21.0%WAYNE 149 134 109 81.3% 25 18.7%WEBSTER 228 207 160 77.3% 47 22.7%WORTH 13 11 9 81.8% 2 18.2%WRIGHT 193 173 139 80.3% 34 19.7%ST LOUIS CITY 4,943 4,634 3,605 77.8% 1,029 22.2%UNKNOWN 3 3 3 100.0% 0 0.0%

    KC REGION 8,675 8,070 6,135 76.0% 1935 24.0%NE REGION 4,067 3,710 2,798 75.4% 912 24.6%NW REGION 2,680 2,444 1,815 74.3% 629 25.7%SE REGION 7,186 6,458 5,030 77.9% 1,428 22.1%STL REGION 13,921 13,008 9,976 76.7% 3,032 23.3%SW REGION 8,620 7,902 6,057 76.7% 1,845 23.3%UNKNOWN 3 3 3 100.0% 0 0.0%

    STATEWIDE 45,152 41,595 31,814 76.5% 9,781 23.5%

  • Page 51 Missouri FSD Annual Report, FY 2018

    Table 23. Food StampsAverage Monthly Caseload and Annual Benefits Issued

    COUNTY

    ADAIR 1,275 2,621 $3,544,566 $232 $113ANDREW 501 1,116 $1,547,762 $257 $116ATCHISON 194 411 $483,247 $208 $98AUDRAIN 1,384 3,149 $4,339,563 $261 $115BARRY 2,374 5,492 $7,608,334 $267 $115BARTON 740 1,716 $2,303,807 $259 $112BATES 832 1,864 $2,464,226 $247 $110BENTON 1,330 2,703 $3,773,666 $236 $116BOLLINGER 860 1,948 $2,603,690 $252 $111BOONE 7,526 15,883 $23,225,304 $257 $122BUCHANAN 6,634 14,147 $20,648,418 $259 $122BUTLER 4,438 9,291 $12,996,681 $244 $117CALDWELL 365 907 $1,221,337 $279 $112CALLAWAY 2,037 4,595 $6,449,970 $264 $117CAMDEN 2,070 4,715 $6,674,754 $269 $118CAPE GIRARDEAU 4,361 9,315 $13,844,965 $265 $124CARROLL 464 982 $1,289,874 $232 $109CARTER 582 1,275 $1,727,296 $247 $113CASS 3,490 7,968 $11,401,421 $272 $119CEDAR 998 2,178 $2,938,316 $245 $112CHARITON 303 679 $889,907 $245 $109CHRISTIAN 2,943 7,172 $9,773,853 $277 $114CLARK 299 733 $962,326 $268 $109CLAY 7,290 16,717 $24,066,810 $275 $120CLINTON 689 1,720 $2,423,630 $293 $117COLE 3,554 7,951 $11,491,208 $269 $120COOPER 874 1,890 $2,611,670 $249 $115CRAWFORD 1,817 4,100 $5,729,194 $263 $116DADE 433 928 $1,171,796 $226 $105DALLAS 1,144 2,592 $3,518,556 $256 $113DAVIESS 386 951 $1,179,047 $255 $103DE KALB 412 861 $1,146,849 $232 $111DENT 1,271 2,716 $3,680,798 $241 $113DOUGLAS 1,028 2,398 $3,181,986 $258 $111DUNKLIN 3,992 8,424 $12,007,549 $251 $119FRANKLIN 4,460 10,273 $14,575,999 $272 $118GASCONADE 644 1,440 $1,920,349 $248 $111GENTRY 253 598 $719,130 $237 $100GREENE 17,358 36,055 $52,514,155 $252 $121GRUNDY 624 1,372 $1,759,765 $235 $107HARRISON 505 1,185 $1,563,938 $258 $110HENRY 1,645 3,419 $4,659,606 $236 $114HICKORY 616 1,270 $1,724,599 $233 $113HOLT 179 388 $466,592 $217 $100HOWARD 444 1,025 $1,379,635 $259 $112HOWELL 3,533 7,978 $10,766,527 $254 $112IRON 960 2,021 $2,683,089 $233 $111JACKSON 46,615 100,767 $151,449,760 $271 $125JASPER 8,346 18,229 $25,828,828 $258 $118JEFFERSON 9,041 20,126 $29,576,519 $273 $122JOHNSON 1,812 3,794 $5,440,046 $250 $119KNOX 166 388 $460,554 $231 $99LACLEDE 2,646 5,877 $8,232,345 $259 $117LAFAYETTE 1,540 3,416 $4,693,630 $254 $115LAWRENCE 2,440 5,644 $7,729,746 $264 $114LEWIS 423 944 $1,271,304 $250 $112LINCOLN 2,536 6,012 $8,693,995 $286 $121LINN 707 1,537 $2,056,569 $242 $112LIVINGSTON 782 1,648 $2,321,647 $247 $117MCDONALD 1,378 3,476 $4,844,773 $293 $116MACON 719 1,637 $2,059,871 $239 $105MADISON 1,072 2,246 $3,009,124 $234 $112MARIES 376 794 $1,063,317 $236 $112

    HOUSEHOLDS PERSONS ANNUAL BENEFITS AVERAGE MONTHLY AVERAGE MONTHLYRECEIVING RECEIVING ISSUED PER HOUSHOLD PER PERSON

  • Missouri FSD Annual Report, FY 2018 Page 52

    Table 23. Food StampsAverage Monthly Caseload and Annual Benefits Issued

    COUNTYHOUSEHOLDS PERSONS ANNUAL BENEFITS AVERAGE MONTHLY AVERAGE MONTHLYRECEIVING RECEIVING ISSUED PER HOUSHOLD PER PERSON

    MARION 1,926 4,181 $5,716,413 $247 $114MERCER 127 281 $348,157 $228 $103MILLER 1,566 3,550 $4,872,760 $259 $114MISSISSIPPI 1,577 3,200 $4,517,104 $239 $118MONITEAU 521 1,270 $1,642,655 $263 $108MONROE 384 836 $1,152,990 $250 $115MONTGOMERY 637 1,411 $1,939,762 $254 $115MORGAN 1,438 3,186 $4,358,751 $253 $114NEW MADRID 1,939 3,974 $5,590,517 $240 $117NEWTON 3,120 7,472 $10,254,748 $274 $114NODAWAY 586 1,206 $1,525,343 $217 $105OREGON 1,062 2,340 $3,089,496 $242 $110OSAGE 362 803 $1,085,543 $250 $113OZARK 688 1,481 $1,994,287 $242 $112PEMISCOT 2,574 5,396 $7,744,431 $251 $120PERRY 830 1,841 $2,589,070 $260 $117PETTIS 2,871 6,580 $9,283,435 $269 $118PHELPS 2,494 5,334 $7,526,745 $251 $118PIKE 934 2,145 $2,840,299 $253 $110PLATTE 1,878 4,546 $6,650,756 $295 $122POLK 1,919 4,467 $6,107,703 $265 $114PULASKI 2,348 5,351 $7,690,245 $273 $120PUTNAM 217 479 $597,469 $229 $104RALLS 345 815 $1,124,994 $272 $115RANDOLPH 1,812 3,879 $5,251,112 $241 $113RAY 949 2,185 $3,069,744 $270 $117REYNOLDS 536 1,112 $1,498,538 $233 $112RIPLEY 1,579 3,316 $4,513,345 $238 $113ST CHARLES 7,587 16,782 $24,901,758 $274 $124ST CLAIR 672 1,396 $1,921,382 $238 $115ST FRANCOIS 5,266 10,893 $15,450,361 $244 $118STE GENEVIEVE 711 1,526 $2,131,234 $250 $116ST LOUIS COUNTY 47,011 102,180 $154,209,031 $273 $126SALINE 1,397 3,066 $4,051,696 $242 $110SCHUYLER 192 404 $492,405 $214 $102SCOTLAND 150 335 $387,985 $216 $97SCOTT 4,072 8,414 $12,140,834 $248 $120SHANNON 810 1,764 $2,314,481 $238 $109SHELBY 285 690 $812,453 $238 $98STODDARD 2,395 4,947 $6,694,924 $233 $113STONE 1,407 3,237 $4,486,859 $266 $116SULLIVAN 326 720 $1,013,310 $259 $117TANEY 3,583 7,693 $10,879,933 $253 $118TEXAS 1,677 3,844 $5,262,735 $262 $114VERNON 1,486 3,234 $4,416,489 $248 $114WARREN 1,649 3,866 $5,693,942 $288 $123WASHINGTON 2,464 5,305 $7,354,223 $249 $116WAYNE 1,327 2,783 $3,820,695 $240 $114WEBSTER 1,822 4,463 $6,009,210 $275 $112WORTH 108 205 $260,008 $201 $106WRIGHT 1,673 3,802 $5,143,164 $256 $113ST LOUIS CITY 40,380 76,100 $116,462,680 $240 $128UNKNOWN 12 30 $44,344 $308 $123

    KC REGION 63,330 138,154 $205,510,355 $270 $124NE REGION 30,204 67,013 $93,939,198 $259 $117NW REGION 19,748 44,168 $60,670,612 $256 $114SE REGION 58,596 125,250 $175,184,372 $249 $117STL REGION 108,479 225,461 $339,725,987 $261 $126SW REGION 66,022 145,907 $204,245,468 $258 $117UNKNOWN 12 30 $44,344 $308 $123

    STATEWIDE 346,391 745,983 $1,079,320,336 $260 $121

  • Page 53 Missouri FSD Annual Report, FY 2018

    Figure 7. Representative Missouri Food Stamp CharacteristicsJune 2018

    Female65%

    Male35%

    Gender of Adults Receiving Benefits

    80+

    70-79

    60-69

    50-59

    40-49

    30-39

    18-30

    2%

    4%

    12%

    19%

    15%

    23%

    25%

    Age of Adults Receiving BenefitsAverage Age: 43.3

    14-17

    6-13

    5 and under

    17%

    46%

    37%

    Age of Children Receiving BenefitsAverage Age: 7.9

    White61%

    Other9%

    Black30%

    Race of Individuals Receiving Benefits

    Less thanHigh School

    High SchoolGrad/GED

    More thanHigh School

    Unknown

    30%

    48%

    18%

    4%

    Education of Adults Receiving BenefitsAverage Education: 11.6 years

    0 1 2 3 4 ormore

    55%

    16% 14%9% 6%

    Children Receiving Benefits Per CaseAverage individuals per case: 1.0 children,

    1.2 adults, 2.2 persons

  • Missouri FSD Annual Report, FY 2018 Page 54

    Table 24. Food Distribution ProgramCategorical Breakdown of Program Activities

    RECIPIENT GROUP

    CHARITABLE INSTITUTIONS 0 0 $0

    SUMMER FOOD SERVICE PROGRAMS FOR CHILDREN 191 71,165 $68,963

    THE EMERGENCY FOOD ASSISTANCE PROGRAM(FOOD BANKS/FOOD PANTRIES/HOMELESS SHELTERS/SOUP KITCHENS/DOMESTIC VIOLENCE SHELTERS) 341 170,180 $10,023,426

    DISASTER RELIEF 0 0 $0

    TOTAL 532 241,345 $10,092,389

    NUMBER OF MONTHLY ANNUALAGENCIES PARTICIPANTS COMMODITY VALUE

  • REHABILITATION SERVICESFOR THE BLIND

  • Page 57 Missouri FSD Annual Report, FY 2018

    Table 25. Rehabilitation Services for the BlindActive Vocational Rehabilitation Cases and Case Closings

    REPORTED ON LATEST FEDERAL FISCAL YEAR AVAILABLE

    ACTIVE CASES AT THE BEGINNING OF FFY 2017 1,149

    CASES ACCEPTED FOR SERVICE 375

    TOTAL ACTIVE CASELOAD 1,524

    TOTAL CASES CLOSED 297

    PLACED IN EMPLOYMENT 183

    CLOSED AFTER SERVICES INITIATED, WITHOUT EMPLOYMENT 15

    CLOSED AFTER ELIGIBILITY, BEFORE IPE DEVELOPED 30

    TOTAL ACTIVE CASES AT THE END OF FFY 2017 1,220

    FSD Annual ReportDSS Mission StatementLetter from FSD DirectorTable of ContentsGlossaryFigure 1. DSS Regions

    Temporary AssistanceFigure 2. Average Monthly CaseloadFigure 3. Average Monthly PaymentsTable 1. Statewide SummaryTable 2. Average Monthly Applications and ClosingsTable 3. Average Monthly Caseload and PaymentsTable 4. Transitional Employment BenefitTable 5. Case Management Average Monthly ParticipationFigure 4. Representative Missouri Temporary Assistance Characteristics

    MO HealthNetTable 6. Statewide Summary

    Family MO HealthNetTable 7. Average Monthly Applications and CaseloadTable 8. Average Monthly Caseload for ChildrenTable 9. Average Monthly Caseload for Parents/Caretakers

    RefugeeTable 10. Average Monthly Applications, Caseload and Payments

    Breast & Cervical Cancer TreatmentTable 11. Average Monthly Caseload

    MO HealthNet for Children in CareTable 12. Average Monthly Applications and Caseload

    Supplemental Security Income and State SupplementationTable 13. Average Monthly Caseload and Payments

    MO HealthNet for the Aged, Blind and DisabledTable 14. Average Monthly Applications

    MHABD Blind Pension and Supp. Aid to the BlindTable 15. Average Monthly Caseload and Payments

    MHABD Spenddown and Ticket to Work Health AssuranceTable 16. Average Monthly Caseload

    MHABD Nursing CareTable 17. Average Monthly Caseload and Payments

    MHABD QMB, SLMB and VendorTable 18. Average Monthly Caseload

    MO HealthNet EligiblesTable 19. Average Monthly ApprovalsTable 20. Average Monthly Closings

    Food StampsFigure 5. Average Monthly CaseloadFigure 6. Average Monthly Payments Table 21. Statewide SummaryTable 22. Average Monthly Applications, Approvals and RejectionsTable 23. Average Monthly Caseload and Annual Benefits IssuedFigure 7. Representative Missouri Food Stamp Characteristics

    Food Distribution ProgramTable 24. Categorical Breakdown of Program Activities

    Rehabilitation Services for the BlindTable 25. Active Vocational Cases and Closings

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