Page 4

4 of 6 MO HealthNet Eligibility for Non-MAGI Programs (07/2026) Program Services Monthly income limits Resource limits Main eligibility requirements (some programs may have others not listed) Vendor Care in a: • Nursing facility • Institution for the intellectually disabled • State mental hospital (if age 65 or older) • Psychiatric hospital (if under age 22) MO HealthNet covered health services, including payment to the facility, institution, or hospital for the amount beyond what the covered person is expected to pay Institutionalized participants must pay all available income for cost of care, except for: • a $50 needs allowance • medical insurance premiums • court ordered child support • dependent allotments Individual: $6,220.50 Couple: $12,441.00, if both are institutionalized or Division of Assets (see bottom of chart for Division of Assets information) • Requires care in a facility, institution, or hospital as listed in column 1 • Eligibility requirements are the same as for MHNS, except resources (see bottom of chart for Division of Assets information) • Can’t transfer resources without receiving money or other resources with a comparable value, with some exceptions • Note: Allotment of income is a process that may allow some or all of the institutionalized person’s income to be given to their spouse or certain dependents. Home and Community Based services (HCB) waiver MO HealthNet covered health services Individual: $1,737 Couple: HCB income test is calculated individually, regardless of marital status. Individual: $6,220.50 Couple: $12,441.00 if both are eligible for HCB or Division of Assets • Age 63 or over. • Requires nursing facility level of care and in-home services as determined by Department of Health and Senior Services (DHSS) • Income limit of $1,737 for each person • Can’t transfer property without receiving money or other resources with a comparable value, with some exceptions. • Eligibility requirements are the same as for MHNS, except resources.