1810.020.00 Eligibility Requirements

1810.020.20.20 Eligibility for 18-Year-Olds

IM-88 June 27, 2022; IM-55 August 10, 2018IM-155 December 1, 2017

When a child reaches age 18, but before attaining age 19, and can be reasonably expected to complete their education in one of the following: a secondary school, an equivalent vocational training or a technical training, they may remain eligible under MO HealthNet for Families (MHF).

If a child reaches age 18 and is completing their education:

  • their coverage may remain at MHF
  • parents/caretaker relatives in the household receiving MHF may continue to receive MHF while the 18 year old child is completing their education

If a child reaches age 18 and is NOT attending secondary school:

  • their coverage must change to MHK
  • parents/caretaker relatives in the household receiving MHF may no longer be eligible if there are no other children in the home
    • An ex parte review must be completed for the parent/caretaker relative if they are no longer eligible for MHF.

Student status is verified by self-attestation unless questionable. If the student status is questionable, the School Verification Report (IM-10) may be used. A school official should complete and sign the IM-10.