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Medicaid Planning · Missouri

Missouri Medicaid look-back rules

Medicaid look-back rules rules for Missouri.

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

Look-back period

60 months for transfers made on or after February 8, 2006

Source: Missouri DSS Income Maintenance Memorandum IM-32 [state-medicaid-agency] — IM-32 dated 03/24/06; transfer provisions apply February 8, 2006

Transfer-penalty divisor

$8,235 average monthly private-pay nursing rate

Source: Missouri DSS MHABD Appendix J [state-medicaid-agency] — Appendix marker (07/2026); average monthly private-pay nursing rate effective 04-01-26

How the state administers the rule

The penalty starts on the later of the first day of the transfer month or the date the person is otherwise eligible for institutional care; penalties run sequentially and include partial months.

Source: Missouri DSS Income Maintenance Memorandum IM-32 [state-medicaid-agency] — IM-32 dated 03/24/06; transfer provisions apply February 8, 2006

Sources

Methodology & sources

Checked at least annually and whenever the state publishes a new transfer-penalty divisor or administration rule.

General information, not legal advice.