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The Program of All-Inclusive Care for the Elderly (PACE) is administered by MO HealthNet (Missouri Medicaid) and Medicare to provide comprehensive health care and other services to older adults. The PACE program is available in larger service areas across the state, such as Kansas City, Springfield, and St. Louis. PACE utilizes an interdisciplinary team to […]

Medicaid expansion, authorized by the federal government’s Affordable Care Act (ACA), allows people who previously did not qualify to obtain Medicaid coverage. Most states and the District of Columbia have expanded coverage to up to 138% of the federal poverty level (FPL) for single adults without disabilities. The additional federal funding allows millions of people […]

The Ticket to Work Health Assurance Program (TWHA) provides Medicaid health coverage for disabled people ages 16-64 who still wish to work. The TWHA program provides coverage without a spend down as long as the enrollee’s countable income is less than 250% of the federal poverty level (FPL). If the disabled worker’s income is higher […]

Medicaid health insurance is federally required to cover emergency room visits in all 50 states for “true emergencies”. “True emergency” status is based on symptoms, not final diagnosis, and if a reasonable person believes their symptoms constitute a medical emergency, Medicaid covers the visit. This is true of all Medicaid programs and health plans, including […]

Medicaid for workers with disabilities is available in most states, often known as a Medicaid Buy-In Program. In Missouri, this program is called the Ticket to Work Health Assurance Program. The program is available for people with disabilities ages 16-64 who still wish to work. There are both medical and financial eligibility requirements. The disability […]

The Medicaid sibling exemption allows a Medicaid applicant to transfer their primary residence to a qualified sibling without violating the 5-year Look-Back Period or facing Medicaid penalties. This protects the home from being counted toward asset limits and shields it from Medicaid’s Estate Recovery Program after the applicant passes away. There are strict eligibility requirements […]