Medicaid

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 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 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 offers mental health services (also called behavioral health services) for many of its members. However, Medicaid coverage will vary by state and individual plan. Some plans may require a referral, implement a deductible, or charge co-pays for services. Mental health care can be provided in a variety of settings and treatment facilities, including outpatient, […]

Depending on the state and the individual plan, Medicaid may cover physical therapy services for recipients. Physical therapy is considered an optional benefit for some plans. Some plans have a limit on the number of sessions per calendar year, or they may require a prior authorization before health services can begin. Other state Medicaid plans […]

In Missouri, In-Home Supportive Services (IHSS) may be available to those over 65 who qualify for Medicaid. These services can include personal care, home care, assistance with activities of daily living (ADLs), and respite care. Most care is provided in the IHSS recipient’s own home, although some services may be provided in care facilities such […]