Disability services in Missouri

People of any age with an intellectual or developmental disability at ICF/IID level of care who have a place to live in the community, usually with family. Annual cost limit applies.

Start with: Missouri DMH Division of Developmental Disabilities Regional Office · Website (opens in a new tab)

Enrollment depends on need and available funding; ask your regional office.

Apply for Medicaid first.

Steps

1. Find your county on the DMH Regional Office map and call that office
2. Ask to apply for Division of DD eligibility
3. Send the records the office asks for and complete the intake assessment
4. Once eligible, work with your support coordinator to ask for waiver services
5. Apply for MO HealthNet if you do not have it

Have these ready

• Records showing a developmental disability (school, psychological or medical)
• Proof of age and Missouri residence
• Social Security number
• MO HealthNet number if you have one

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

People with an intellectual or developmental disability at ICF/IID level of care; residential services such as group homes and supported living are for ages 18 and older.

Start with: Missouri DMH Division of Developmental Disabilities Regional Office · Website (opens in a new tab)

Enrollment depends on need and available funding; ask your regional office.

Apply for Medicaid first.

Steps

1. Find your county on the DMH Regional Office map and call that office
2. Ask to apply for Division of DD eligibility
3. Send the records the office asks for and complete the intake assessment
4. Once eligible, work with your support coordinator to ask for waiver services
5. Apply for MO HealthNet if you do not have it

Have these ready

• Records showing a developmental disability (school, psychological or medical)
• Proof of age and Missouri residence
• Social Security number
• MO HealthNet number if you have one

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

Children birth through 17 with a developmental disability who live at home with their parents and need ICF/IID level of care; only the child's income counts.

Start with: Missouri DMH Division of Developmental Disabilities Regional Office · Website (opens in a new tab)

Enrollment depends on need and available funding; ask your regional office.

Medicaid eligibility is decided as part of the waiver.

Steps

1. Find your county on the DMH Regional Office map and call that office
2. Ask to apply for Division of DD eligibility
3. Send the records the office asks for and complete the intake assessment
4. Once eligible, work with your support coordinator to ask for waiver services

Have these ready

• Records showing a developmental disability (school, psychological or medical)
• Proof of age and Missouri residence
• Social Security number
• MO HealthNet number if you have one

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

Closed. Children with autism can ask a DMH Regional Office about the current DD waivers.

Start with: Program ended

This waiver ended on June 30, 2017.

Steps

1. This program is closed and takes no new people
2. Call your DMH Regional Office to ask about the DD Community Support, Comprehensive, MOCDD or Partnership for Hope waivers

Have these ready

• Records showing an autism diagnosis
• MO HealthNet number if you have one

Providers in the Atlas

Adults 21 and older with serious, complex medical needs who need continuous private duty nursing that started before age 21 and who aged out of the Medically Complex Children and Youth program.

Start with: Missouri DHSS Bureau of Special Health Care Needs (Medically Complex Adult Waiver) · (573) 751-6246 · Website (opens in a new tab)

No waitlist information was found on state pages.

Apply for Medicaid first.

Steps

1. Call the Bureau of Special Health Care Needs at 573-751-6246 or 800-451-0669, or email shcn@health.mo.gov
2. Ask about the Medically Complex Adult Waiver
3. Keep or apply for MO HealthNet
4. Complete the nursing assessment
5. Choose your nursing and support providers

Have these ready

• MO HealthNet number
• Medical records and current nursing orders
• Doctor's name and phone
• Current private duty nursing schedule

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

People of any age with an intellectual or developmental disability at ICF/IID level of care with lower support needs who live in a county that takes part; annual cost limit applies.

Start with: Missouri DMH Division of Developmental Disabilities Regional Office · Website (opens in a new tab)

Available only in participating counties and depends on county and state funding.

Apply for Medicaid first.

Steps

1. Check the Partnership for Hope county map to see if your county takes part
2. Call your DMH Regional Office
3. Apply for Division of DD eligibility
4. Work with your support coordinator to request the waiver
5. Apply for MO HealthNet if you do not have it

Have these ready

• Records showing a developmental disability (school, psychological or medical)
• Proof of age and Missouri residence
• Social Security number
• MO HealthNet number if you have one

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

MO HealthNet members 21 and older living with HIV or AIDS who meet nursing home level of care.

Start with: Missouri HIV Case Management Program (DHSS Bureau of HIV, STD, and Hepatitis) · Website (opens in a new tab)

Missouri reported no one waiting for HIV/AIDS home and community services in KFF 2026 state data.

Apply for Medicaid first.

Steps

1. Find your regional HIV case management agency on the DHSS HIV Case Management map
2. Call the agency and ask about the AIDS Waiver
3. Apply for MO HealthNet if you do not have it
4. Complete the assessment with your HIV case manager
5. Choose your providers and review your care plan

Have these ready

• MO HealthNet number
• Proof of HIV diagnosis from your doctor
• List of daily tasks you need help with
• List of medicines

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

Adults ages 21 to 65 with a traumatic brain injury who would otherwise need nursing facility care; services end at age 65.

Start with: Missouri DHSS Home and Community Based Services call center (Bureau of Federal Programs) · (866) 835-3505 · Website (opens in a new tab)

Missouri reported no one waiting for brain injury home and community services in KFF 2026 state data.

Apply for Medicaid first.

Steps

1. Call DHSS at 866-835-3505 or email Waivers.ltss@health.mo.gov to ask about the Brain Injury Waiver
2. Apply for MO HealthNet if you do not have it
3. Complete the assessment
4. If you qualify, choose providers and build your service plan

Have these ready

• MO HealthNet number
• Medical records showing the brain injury
• Doctor's name and phone
• List of daily tasks you need help with

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

Adults 65 and older, and adults 63 and 64 with physical disabilities, who would otherwise need nursing facility care.

Start with: Missouri DHSS Home and Community Based Services call center (Bureau of Federal Programs) · (866) 835-3505 · Website (opens in a new tab)

Missouri reported no one waiting for older adult and physical disability home and community services in KFF 2026 state data.

Apply for Medicaid first.

Steps

1. Call the DHSS HCBS line at 866-835-3505 or email HCBSCallCenterReferrals@health.mo.gov to ask for a referral
2. Apply for MO HealthNet if you do not have it yet
3. Complete the in-home assessment of your care needs
4. If you qualify, choose your service providers
5. Review your care plan with your provider

Have these ready

• MO HealthNet number or application date
• Doctor's name and phone
• List of daily tasks you need help with
• List of medicines and diagnoses

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

Adults ages 18 through 64 with a cognitive or physical disability who would otherwise need nursing facility care and can hire and manage their own care workers.

Start with: Missouri DHSS Home and Community Based Services call center (Bureau of Federal Programs) · (866) 835-3505 · Website (opens in a new tab)

Missouri reported no one waiting for older adult and physical disability home and community services in KFF 2026 state data.

Apply for Medicaid first.

Steps

1. Call the DHSS HCBS line at 866-835-3505 or email HCBSCallCenterReferrals@health.mo.gov to ask for a referral
2. Apply for MO HealthNet if you do not have it yet
3. Complete the in-home assessment of your care needs
4. If you qualify, choose your service providers
5. Review your care plan with your provider

Have these ready

• MO HealthNet number or application date
• Doctor's name and phone
• List of daily tasks you need help with
• List of medicines and diagnoses

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

Adults 21 and older with Alzheimer's disease or a related dementia who live with a family caregiver and would otherwise need nursing facility care.

Start with: Missouri DHSS Home and Community Based Services call center (Bureau of Federal Programs) · (866) 835-3505 · Website (opens in a new tab)

Missouri reported no one waiting for older adult and physical disability home and community services in KFF 2026 state data.

Apply for Medicaid first.

Steps

1. Call the DHSS HCBS line at 866-835-3505 or email HCBSCallCenterReferrals@health.mo.gov to ask for a referral
2. Apply for MO HealthNet if you do not have it yet
3. Complete the in-home assessment of your care needs
4. If you qualify, choose your service providers
5. Review your care plan with your provider

Have these ready

• MO HealthNet number or application date
• Doctor's name and phone
• List of daily tasks you need help with
• List of medicines and diagnoses
• Name of the family caregiver who lives with you

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas

Adults ages 18 through 63 with a disability who would otherwise need nursing facility care and want adult day care.

Start with: Missouri DHSS Home and Community Based Services call center (Bureau of Federal Programs) · (866) 835-3505 · Website (opens in a new tab)

Missouri reported no one waiting for older adult and physical disability home and community services in KFF 2026 state data.

Apply for Medicaid first.

Steps

1. Call the DHSS HCBS line at 866-835-3505 or email HCBSCallCenterReferrals@health.mo.gov to ask for a referral
2. Apply for MO HealthNet if you do not have it yet
3. Complete the in-home assessment of your care needs
4. If you qualify, choose your service providers
5. Review your care plan with your provider

Have these ready

• MO HealthNet number or application date
• Doctor's name and phone
• List of daily tasks you need help with
• List of medicines and diagnoses

Apply or start here (opens in a new tab) · About this program (opens in a new tab) · Providers in the Atlas