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To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in Missouri?
Last verified October 17, 2026 · All Missouri resources
In Missouri, the income limit is $1,737/month and the asset limit is $6,220.50 single. Missouri's 2026 income limit for Home and Community Based Services (nursing-facility-level care in your own home) is $1,737 a month for the eligible individual, not counting a spouse. The resource maximum for HCB and nursing facility care rose to $6,220.50 for one person on July 1, 2026 ($12,441 for a couple), applied after the division of assets for married couples. In a nursing facility, all income above a $50 personal needs allowance and allowed deductions is paid to the facility. Missouri also has a spend-down program with a $1,131 monthly income standard for one aged or disabled person.
| Program | MO HealthNet long-term care: Home and Community Based Services (HCB, including the Aged and Disabled Waiver), PACE and nursing facility vendor care |
|---|---|
| Income limit (single applicant) | $1,737/month for a single applicant (HCB income limit, not counting a spouse) |
| How income is counted | other: HCB has a $1,737 income limit; nursing facility (vendor) care has no fixed cap and income above allowances goes to the facility; spend-down available |
| Medically needy spend-down | Yes |
| Asset limit (single) | $6,220.50 single (from July 1, 2026) |
| Asset limit (couple, both applying) | $12,441.00 couple (from July 1, 2026) |
| Home equity limit | $752,000 |
| Look-back period | 60 months |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the Missouri Medicaid waivers that pay for home care.
How to apply in Missouri (Missouri Department of Social Services, Family Support Division and MO HealthNet Division (with DHSS for HCBS authorization))
Sources
More for Missouri
Medicaid eligibility by state: other states
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