How to Renew Missouri Medicaid
Updated August 2026
Missouri reviews MO HealthNet eligibility annually through a redetermination process. Like all states, Missouri first attempts ex parte renewal — using existing data sources (wage records, SSA data, tax information) to verify continued eligibility without requiring the member to take any action.
Annual
Renewal frequency
mydssapp.mo.gov
Online renewal portal
90 days
Response window (most generous among states)
Respond to your MO HealthNet renewal notice within 90 days to avoid a gap in coverage
Missouri gives MO HealthNet members up to 90 days to respond to a renewal notice. Don't wait — respond as soon as you receive the notice. Coverage terminated for non-response can be reinstated within 90 days, but there may be a gap. Contact DSS Family Support Division (FSD) at 855-373-9994 with questions.
How Missouri renews Medicaid coverage
If ex parte renewal succeeds, the member receives a notice that their coverage has been renewed automatically. No action required.
If Missouri cannot verify eligibility through available data, a renewal packet is mailed to the last known address. Missouri provides a 90-day window to respond — one of the more generous timelines among states. Failure to respond results in coverage termination at the end of the 90-day period.
How to complete your MO HealthNet renewal
- Online (MyDSSapp) — log into mydssapp.mo.gov to complete your renewal online; create an account if needed using the case number from your renewal notice
- By phone — call DSS FSD at 855-373-9994 (enrollment/renewal line) or 855-373-4636 (general MO HealthNet); TTY: 711
- In person — visit your local Family Support Division (FSD) office, bringing your renewal notice, photo ID, and any required documents
- By mail — complete Form IM-7R (renewal form) and mail to your local FSD office; upload supporting documents at mydssupload.mo.gov to speed processing
Documents you may need for renewal
If nothing has changed, Missouri may be able to complete your renewal with data already on file. Respond to the notice anyway — a non-response is treated as failure to cooperate, even if you remain fully eligible.
- Proof of income — recent pay stubs, employer letter, or self-employment records
- Proof of Missouri residency — utility bill, lease, or recent mail at current address
- Social Security numbers for all household members applying
- Household composition changes — births, deaths, marriages, or anyone moving in or out
- Changes in other health insurance coverage
Supplemental form for certain populations
Missouri requires a supplemental form, IM-1ABDS, for individuals who are elderly, blind, disabled, receive or apply for SSI, are in a nursing home, are on Medicare, or are veterans requesting VA benefits consideration. This is in addition to the main renewal form. Ask your FSD caseworker whether IM-1ABDS applies to your case.
If your coverage is terminated at renewal
If MO HealthNet terminates your coverage, you have the right to appeal within 90 days of the termination notice. Request a fair hearing by calling the MO HealthNet Division, writing to DSS, or requesting a hearing through mydssapp.mo.gov.
Individuals whose coverage is terminated but who remain income-eligible can reapply at any time. If you lost coverage because Missouri could not reach you (an address update issue, for example), contact FSD promptly — reinstatement without a new full application may be possible if you reopen your case within 90 days.
If your renewal is denied
A denial must state the reason in writing and explain your right to appeal. You have 90 days from the date of the notice to request a fair hearing. File the appeal quickly — if you appeal before your coverage ends, you may be able to continue coverage during the appeal period, though this depends on timing and the reason for denial.
Common renewal denials include: income that increased above the threshold, failure to respond to the renewal packet, a change in household size that affects eligibility, or immigration status questions. Some of these can be addressed by reapplying with updated information rather than appealing.
Contact MO HealthNet (Missouri Medicaid) within the 90-day window. A reconsideration or new application filed promptly can often restore coverage retroactively to the date it was lost.
Keeping your account information up to date
The most effective way to avoid renewal problems is to report changes promptly. Federal rules require Medicaid enrollees to report changes that may affect eligibility within a specified period — typically 10 to 30 days depending on the state.
Report a new job or income change, a move to a new address, a change in household size (new baby, someone moves in or out), or gaining or losing other health coverage. Contact MO HealthNet (Missouri Medicaid) or update your information through the online portal at dss.mo.gov/mhd.
MO HealthNet (Missouri Medicaid)
- DSS FSD renewal line: 855-373-9994
- General MO HealthNet line: 855-373-4636 (TTY: 711)
- Online renewal portal: mydssapp.mo.gov