Skip to Main Content

Member News & Resources

Medicaid Eligibility Requirements Are Changing

Changes are coming to Missouri Medicaid. Here’s what you need to know.

New federal rules will change some Medicaid requirements starting in 2027. The Missouri Department of Social Services (MO DSS) is working to help make these changes as easy as possible for you.


1. Some adults will have a new monthly work or community engagement requirement.

Starting January 1, 2027, some adults ages 19-64 who receive MO HealthNet (Missouri Medicaid) may need to complete a certain number of hours each month through work, school, community service or other qualifying activities.

Some people may be excluded from this requirement.

For more details about this new requirement see the MO DSS AEG Community Engagement Flyer.

2. You may need to renew your Medicaid coverage twice a year

Starting January 1, 2027, some Medicaid members will need to complete an eligibility check twice a year instead of once a year.

You may need to provide information about your household income to show that you still qualify for Medicaid.
 

Keep your contact information up to date.

Make sure MO DSS has your current mailing address, phone number and email address. If your information has changed, update it at, mydss.mo.gov.

Watch important messages.
Check your mail, email, text messages and MO HealthNet Member Portal regularly. Important notices will tell you what you need to do and when you need to do it.

Look for a notice about the new community engagement requirement.

MO DSS will mail notices to households from August through September in a colored envelope. 

DSS notice 

Visit the links below for more tools and information from MO DSS on these new requirements.

Stay informed. Keep your information up to date. Watch for notices so you know what to do and when to do it.
 

HSH27031 SMHK27024;

8/13/2026