STATE PROFILE • Last updated: April 23, 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.
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RANKED #6
GRADE A
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
$1,737/mo
Medically-needy
Yes
Elder Care Index Report Card
5-pillar composite scoring vs other states
A
Grade
AFFORDABILITY
STRONG
QUALITY
MODERATE
STAFFING
CRITICAL
ACCESS
MODERATE
MEDICAID SUPPORT
STRONG
Composite score: 55.6 / 100
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Missouri At a Glance
Nursing Home Facilities
487
Senior Medicaid Waivers
1
National Rank
#6 / 51
Senior Care Costs in Missouri
holiday_village
Assisted Living
$3,000/mo
-34.7% vs national avg
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
psychology
Memory Care
$3,750/mo
-34.7% vs national avg
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Home Health Aide
$21/hr
-22.2% vs national avg
- Median aide wage $14.25/hr
- ~91,570 aides employed statewide
Source: BLS OEWS