Family MO HealthNet (MAGI) Manual – Table of Contents

1830.005.00 LEGAL BASIS

Section 208.151.1(12) RSMo beginning January 1, 1988, provides Title XIX coverage to a group of age-limited children with family income less than 100% of the federal poverty level.

SB 765 enacted changes effective July 1, 1990, providing Title XIX coverage to children under six years old with family income less than 133% of the federal poverty level and eliminating the resource factor of eligibility for Medicaid for Children programs.

The Omnibus Budget Reconciliation Act of 1990 (OBRA ’90) and House Bill 447 mandate Medicaid coverage to children, age six and over, born after September 30, 1983, up to age 19, if their family’s income is below 100% of the federal poverty level.

HB 564 enacted changes effective January 1, 1994, providing Title XIX coverage to children under one year old with family income less than 185% of the federal poverty level and eliminated the born after September 30, 1983 provision for coverage of children ages six through 18.

In June of 1999 Missouri began referring to the Medicaid program for all family eligibility groups as MC+.

Effective September 1, 2007, the Missouri Health Improvement act of 2007, Senate Bill 577 changed the name of Missouri Medicaid to MO HealthNet.

Effective January 1, 2014, the Patient Protection and Affordable Care Act (PPACA, also known as the ACA) of 2010, requires Family MO HealthNet programs to use Modified Adjusted Gross Income (MAGI) methodology. To reflect the ACA requirement to remove income disregards from all Family MO HealthNet programs, the Federal Poverty Level (FPL) is increased as follows:

  • Children under the age of one (1), the FPL increased from 185% to 196%
  • Children between the ages of one (1) and eighteen (18), the FPL increased from 133% to 148%

Along with using MAGI methodology to determine income, the ACA removed net worth as a requirement.