---
title: "Missouri Home Care Medicaid | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/missouri/home-care-medicaid/
description: "Missouri HCBS includes the Aged and Disabled, Adult Day Care, Independent Living, and Structured Family Caregiving waivers, with limited ILW slots."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
Missouri · Home & Community Care

# Missouri Home Care Medicaid

Last updated 2026-10-20

Missouri's Home and Community Based Services system runs on Section 1915(c) waivers, and its HCBS manual names four of them: the Aged and Disabled Waiver, the Adult Day Care Waiver, the Independent Living Waiver, and the Structured Family Caregiving Waiver. A participant can only be enrolled in one HCBS waiver at a time, even though different state agencies administer different programs.

The Aged and Disabled Waiver is the one built for people age 63 or older with assessed impairments and unmet needs serious enough that nursing-home care would otherwise be required. Services on the list include homemaker help, chore assistance, respite care, home-delivered meals, and adult day care, with the Department of Health and Senior Services' Division of Senior and Disability Services running the program through an agreement with the MO HealthNet Division.

Two of the other waivers come with real capacity limits worth planning around: the Independent Living Waiver has a limited number of slots and a waitlist once they're full, and the Structured Family Caregiving Waiver is likewise capped by waiver-year slot availability.

## Sources and official resources

- [Missouri DSS: Nursing Home](https://dss.mo.gov/mhd/nursing-home)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full Missouri guide](https://fundingltcmarketplace.com/states/missouri/)