STATE PROFILE • Last updated: November 11, 2026
Missouri Elder Care & Medicaid
Missouri's Medicaid programs for seniors offer home and community-based services through waivers like the Aged and Disabled Waiver, alongside a Medically Needy pathway for those exceeding income limits.
leaderboard
RANKED #36
GRADE D
FEATURED
Medicaid Coverage Guide for Missouri
Full breakdown of MO HealthNet Aged & Disabled Waiver for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
MO HealthNet Aged & Disabled Waiver
Income cap
No cap
Medically-needy
Yes
Elder Care Index Report Card
5-pillar composite scoring vs other states
D
Grade
AFFORDABILITY
GRADE A · 100
QUALITY
GRADE F · 25
STAFFING
GRADE F · 2
ACCESS
GRADE A · 70
MEDICAID SUPPORT
GRADE A · 54
Composite score: 38.0 / 100 (50 = average state)
Methodology arrow_forward
Missouri At a Glance
Nursing Home Facilities
487
Senior Medicaid Waivers
1
National Rank
#36 / 51
Range #32–#41 when the pillar weights shift
Senior Care Costs in Missouri
local_hospital
Nursing Home
$6,548/mo
-40.7% vs national avg
- 487 nursing homes · 50,029 beds
- Avg CMS rating 2.52★ (54 rated 5★, 158 rated 1★)
- 3.47 nurse hrs/resident/day (0.46 RN)
Source: CMS Nursing Home Compare
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home_health
Home Health Aide
$21/hr
-22.2% vs national avg
- Median aide wage $14.25/hr
- ~91,570 aides employed statewide
Source: BLS OEWS
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