Missouri Medicaid limits by household size
Missouri DSS publishes MO HealthNet limits as maximum yearly incomes, updated as of April 1, 2026; the table divides them into monthly amounts and adds the 5% MAGI disregard to the expansion line.[1][4]
| Program and group | % FPL | 1 | 2 | 3 | 4 | 5 | 6 |
|---|---|---|---|---|---|---|---|
| MO HealthNet for Expansion Adults Adult 19–64; incl. 5% disregard | 138% | $1,836 | $2,489 | $3,142 | $3,795 | $4,449 | $5,102 |
| MO HealthNet for Expansion Adults Parent or caretaker of a child under 19; incl. 5% disregard | 138% | $1,836 | $2,489 | $3,142 | $3,795 | $4,449 | $5,102 |
| MO HealthNet for Pregnant Women Pregnant | 196% | $2,607 | $3,535 | $4,463 | $5,390 | $6,318 | $7,246 |
| Show Me Healthy Babies (CHIP unborn option) Pregnant | 300% | $3,990 | $5,410 | $6,830 | $8,250 | $9,670 | $11,090 |
| MO HealthNet for Kids under age 1 Child under 1 | 196% | $2,607 | $3,535 | $4,463 | $5,390 | $6,318 | $7,246 |
| State Children's Healthcare Insurance Program (CHIP) Child under 1; not re-verified for 2026 | 150% | $1,995 | $2,705 | $3,415 | $4,125 | $4,835 | $5,545 |
| MO HealthNet for Kids ages 1-18 Child 1–5 | 148% | $1,969 | $2,669 | $3,370 | $4,070 | $4,771 | $5,472 |
| State Children's Healthcare Insurance Program (CHIP) Child 1–5; not re-verified for 2026 | 150% | $1,995 | $2,705 | $3,415 | $4,125 | $4,835 | $5,545 |
| MO HealthNet for Kids ages 1-18 Child 6–18 | 148% | $1,969 | $2,669 | $3,370 | $4,070 | $4,771 | $5,472 |
| State Children's Healthcare Insurance Program (CHIP) Child 6–18; not re-verified for 2026 | 150% | $1,995 | $2,705 | $3,415 | $4,125 | $4,835 | $5,545 |
| MO HealthNet for the Aged and Disabled (MHABD); Blind 65 or older, blind or disabled; single / couple, non-MAGI rules, asset test applies | 85% | $1,131 | $1,533 | $1,533 | $1,533 | $1,533 | $1,533 |
DSS prints 133% for expansion adults, $21,226 a year for one person, and does not mention the disregard; federal MAGI rules generally adjust income by 5% of poverty, so the checker uses 138%.[1][4] The CHIP row is labeled “not re-verified for 2026” because two official sources disagree about it (see below).
MO HealthNet for Expansion Adults and parents
Missouri has expanded Medicaid: an adult 19 to 64 without a disability can get MO HealthNet for Expansion Adults with income up to 133% of poverty under DSS’s chart.[1][3] DSS’s yearly maximums for that group:[1]
- 1 person: $21,226 a year ($1,836 a month with the disregard)
- 2 people: $28,781 ($2,489)
- 3 people: $36,335 ($3,142)
- 4 people: $43,890 ($3,795)
Parents also have an older group, MO HealthNet for Families, but its dollar standard is tiny: $1,692 a year for one, $3,612 for three and $4,236 for four, with no poverty percentage on DSS’s chart.[1] A parent between 19 and 64 who is over that line can still qualify as an expansion adult, which is why the checker’s parent option shows the expansion limit.
Pregnancy, Show Me Healthy Babies and children
Pregnant women qualify for MO HealthNet up to 196% of poverty, and Show Me Healthy Babies, Missouri’s CHIP option for unborn children, goes up to 300%.[1] For a household of two that is $3,535 and $5,410 a month (DSS: $42,414 and $64,920 a year). Children’s limits as of April 1, 2026:[1]
- MO HealthNet for Kids under 1: 196%, $53,547 a year for a family of three ($4,463 a month)
- MO HealthNet for Kids 1–18: 148%, $40,434 a year for three ($3,370 a month)
DSS’s chart prints $774,059 for a household of seven in the 1–18 row, a typo: 148% of the 2026 guideline for seven is $74,059.[1][5] Medicaid.gov’s older federal table (data as of December 1, 2023) showed 150% for ages 1 to 18.[4]
Missouri CHIP: two published limits that do not match
The upper income limit for Missouri’s CHIP is not settled by the official sources. DSS’s April 2026 chart lists the State Children’s Healthcare Insurance Program at 150% of poverty, $49,500 a year for a family of four ($4,125 a month).[1] Medicaid.gov’s eligibility table, with data as of December 1, 2023, lists separate CHIP in Missouri up to 300%.[4]
We have not found a 2026 source that explains the gap, so this page does not choose between them. The checker shows the DSS line and marks it unverified. If your child is over 150% but under 300% of poverty ($4,125 to $8,250 a month for four), apply and let DSS make the call rather than assuming the answer is no.
Aged, blind and disabled limits (MHABD)
MO HealthNet for the Aged and Disabled allows income up to 85% of poverty, $1,131 a month for one person or $1,533 for a couple from April 1, 2026, and resources up to $6,220.50 or $12,441.00 from July 1, 2026.[2][1] Other non-MAGI lines in the October 2026 DSS standards:[2][1]
- Blind: 100% of poverty, $1,330 single or $1,804 couple
- Spend down: available; DSS lists the $1,131 and $1,533 amounts as its aged and disabled spend-down standards
- QMB: 100% of poverty, $1,330 / $1,804, resources $9,950 / $14,910
- Ticket to Work Health Assurance: up to 300% of poverty
How to apply for MO HealthNet
Missouri takes MO HealthNet applications through the DSS online portal or by phone at 855-373-9994.[3] Families, children, pregnant women and expansion adults are tested on modified adjusted gross income (MAGI); the aged, blind and disabled programs use the non-MAGI standards and resource limits above.[4][2] Enter your household’s gross monthly income in the checker.
Missouri Medicaid changes in 2026–27
In 2026 DSS updated its income limits on April 1 and its non-MAGI resource maximums on July 1.[1][2] The bigger changes are federal and aimed at expansion adults:
- Community engagement from January 1, 2027. Expansion adults must show 80 hours a month of work, community service, a work program or half-time school, or earn at least $580 a month, unless exempt (for example, pregnant women and parents of a child 13 or under).[6] DSS’s pages cited here do not yet describe how Missouri will run it.
- 6-month renewals for expansion adults whose renewal is due on or after January 1, 2027.[7]
- Immigrant eligibility. From October 1, 2026, federal Medicaid and CHIP funding covers only citizens, green-card holders, Cuban and Haitian entrants and COFA migrants, with narrow exceptions.[8]
This page is independent and not affiliated with Missouri DSS or MO HealthNet. It converts published limits into dollars; DSS decides who qualifies.
Missouri food assistance uses a separate test; see Missouri food stamps. For other states, see New York Medicaid income limits, Indiana Medicaid income limits and Ohio Medicaid income limits; for SNAP, the food stamps income limit tables and the SNAP calculator.
Frequently asked questions
What is the income limit for Missouri Medicaid for 1 person?
About $1,836 a month for an adult 19–64 (138% of poverty with the 5% disregard). DSS’s chart shows the 133% standard as $21,226 a year. A person who is 65+ or disabled can qualify for MHABD with up to $1,131 a month.
What is the Missouri Medicaid income limit for a family of 4?
Adults $3,795 a month, children 1–18 $4,070, a baby under 1 or a pregnant woman $5,390, and Show Me Healthy Babies $8,250.
What is the Missouri Medicaid asset limit for seniors?
For MO HealthNet for the Aged, Blind and Disabled, $6,220.50 for one person or $12,441.00 for a couple from July 1, 2026. QMB allows $9,950 or $14,910.
Does Missouri CHIP cover children above 150% of poverty?
The sources disagree: DSS’s April 2026 chart lists CHIP at 150%, while Medicaid.gov’s table (data as of December 2023) lists separate CHIP up to 300%. If your child falls between the two, apply and ask DSS.
Sources
- Benefit Program Income Limits (maximum annual income by household size)
- MO HealthNet for the Aged, Blind and Disabled manual, Appendix J: Eligibility Standards for Non-MAGI Programs
- Apply for healthcare coverage (MO HealthNet)
- Medicaid, Children’s Health Insurance Program and Basic Health Program Eligibility Levels (MAGI groups by state)
- 2026 Poverty Guidelines for the 48 contiguous states, Alaska and Hawaii
- Medicaid Program; Community Engagement Requirement for Certain Individuals (CMS-2454-IFC), implementing P.L. 119-21 § 71119
- State Medicaid Director Letter SMD #26-001: eligibility redeterminations every 6 months for expansion adults (P.L. 119-21 § 71107)
- State Health Official Letter SHO #26-001: Medicaid and CHIP eligibility of certain immigrants (P.L. 119-21 § 71109)