Staff Contact: Brian Kinkade
The Missouri Medicaid caseload grew by 22,100 in April to a record 1.26 million participants. Since the beginning of the COVID-19 pandemic, Missouri’s Medicaid caseload has grown by 410,000, or nearly 49%. The number of children covered has increased by 167,000 during this time. Besides the slow but steady addition of expansion adults, the record growth in the caseload is driven by the federal government’s pandemic response, which prohibits states from ending a participant’s Medicaid coverage while the COVID-19 PHE is in effect unless the participant moves to another state, dies or requests that their coverage end. Once the PHE is lifted, states will have 14 months to reverify the eligibility of all participants.
The case count includes 169,785 Medicaid expansion adults. In April, nearly 70,000 Medicaid expansion eligible young adults and new mothers who remained enrolled in the regular Medicaid program because of federal COVID-19 disenrollment prohibition were moved to the Medicaid expansion eligibility group. Moving these individuals to expansion coverage allows the state to receive 90% federal match instead of the regular federal match of 65%.