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Medicaid Planning · Missouri

Missouri Long-term-care Medicaid eligibility

Long-term-care Medicaid eligibility rules for Missouri.

Published: September 4, 2026. Last checked: September 5, 2026.

Income limits

Institutional long-term-care income test

No fixed gross-income cap; income is applied to cost of care after a $50 personal-needs allowance and permitted deductions

Applies to the applicant under the institutional long-term care pathway for nursing-facility services. This is an allowance. Details: applicant whose income is applied to cost of care after permitted deductions.

Source: Missouri DSS MHABD Appendix J [state-medicaid-agency] — Appendix marker (07/2026); row-specific effective dates retained

Asset limits

Applicant resource maximum after Division of Assets

$6,220.50

Applies to the applicant under the institutional long-term care pathway for vendor-care services. This is a cap. Details: single applicant.

Source: Missouri DSS MHABD Appendix J [state-medicaid-agency] — Appendix marker (07/2026); row-specific effective dates retained

Community spouse resource allowance (CSRA)

Community-spouse resource allowance

$32,532 minimum to $162,660 maximum

Applies to the community spouse under the spousal impoverishment pathway for long-term-care services. This is a range. Details: institutionalized applicant with a community spouse.

Source: Missouri DSS MHABD Appendix J [state-medicaid-agency] — Appendix marker (07/2026); cited annual figures effective 01-01-26

Monthly maintenance needs allowance (MMMNA)

Community-spouse monthly maintenance-needs allowance

$2,705 minimum to $4,066.50 maximum per month

Applies to the community spouse under the spousal impoverishment pathway for long-term-care services. This is a range. Details: institutionalized applicant with a community spouse.

Source: Missouri DSS MHABD Appendix J [state-medicaid-agency] — Appendix marker (07/2026); row-specific effective dates retained Additional authority: Missouri DSS MHABD Appendix J [state-medicaid-agency] — Appendix marker (07/2026); cited annual figures effective 01-01-26

Home-equity limits

Home-equity limit

$752,000

Applies to the applicant under the institutional long-term care pathway for long-term-care services. This is a cap. Details: applicant subject to the home-equity rule.

Source: Missouri DSS MHABD Appendix J [state-medicaid-agency] — Appendix marker (07/2026); cited annual figures effective 01-01-26

Sources

Methodology & sources

Checked at least annually and whenever the state or CMS publishes new long-term-care eligibility figures.

General information, not legal advice.