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1 of 6 MO HealthNet Eligibility for Non-MAGI Programs (07/2026)

MO HealthNet Eligibility for Non-MAGI Programs

Program Services Monthly income limits Resource limits Main eligibility requirements (some programs may have others not listed) MO HealthNet Non-Spend Down (MHNS) MO HealthNet covered health services Individual: Elderly or disabled - $1,131 Blind - $1,330 Individual $6,220.50 Couple: $12,441.00 • U.S. citizen or qualified non- citizen • Live in Missouri • Have a Social Security number • Be elderly (65 and over), permanently and totally disabled, or blind • Have countable resources below the limits, some resources are excluded. Couple: Elderly or disabled - $1,533 Blind - $1,804 MO HealthNet Spend Down (MHSD) MO HealthNet covered health services, once you have met your monthly spend down amount Individual and couple: No income limit, but you must spend down your income below the amount listed for non-spend down (above). Individual $6,220.50 Couple: $12,441.00 • Eligibility requirements are the same as MHNS, except there is no income limit. Instead, a covered individual or couple must spend down their monthly income to the stated limit for any month they want MO HealthNet coverage. Ticket to Work Health Assurance (TWHA) Program MO HealthNet covered services Individual: $3,990 Couple: $5,410 (300% of FPL) Individual: $6,220.50 Couple: $12,441.00 Not all resources are counted. All retirement accounts are excluded. FSD may exclude certain health savings accounts and independent living accounts. Eligibility requirements are the same as MHNS with these exceptions: • Age 16 through age 64 • Employed with Social Security and Medicare taxes withheld • To determine income below 250% FPL disregard: o First $50,000 of non-disabled spouse's annual income o $20 standard exemption o Health insurance premiums o All SSI Payments o $50 of the disabled worker's SSDI payments Not all income is counted. Income disregards are outlined in eligibility requirements.