If you’ve already enrolled, go to MO HealthNet for assistance using your benefits or finding a doctor.
Missouri currently has two programs which cover pregnant women, unborn children, and newborns:
- MO HealthNet for Pregnant Women (MPW); and
- Show-Me Healthy Babies (SMHB).
Eligibility for each program is determined with the following guidelines:
|Eligibility Guidelines||MO HealthNet for Pregnant Women||
Show-Me Healthy Babies
(Children’s Health Insurance Program for Unborn Children)
|Pregnancy||Individual must be pregnant||There must be an unborn child|
|Social Security Number||Must provide or apply for||Not an eligibility factor|
|Residency||Must live in Missouri||Must live in Missouri|
|Citizenship/Alien Status||Must be a US citizen or qualified and eligible alien||Not an eligibility factor; however, citizens and eligible aliens will receive 60-day post-partum coverage and ineligible aliens will only receive one post-partum visit.|
|Income guideline||Up to and including 196% of the Federal Poverty Level||
For citizens and eligible aliens: above 196% and up to and including 300% of the Federal Poverty LevelFor ineligible aliens: from 0% and up to and including 300% of the Federal Poverty Level
|Uninsured||Not an eligibility factor||Applicant cannot be insured and receiving full maternity benefits (Prenatal, labor and delivery, and post-partum)|
|Access to employer insurance /affordable private insurance||
Not an eligibility factor
|Cannot have access to employer insurance or affordable private insurance which includes maternity benefits.|
|Eligibility for any other MO HealthNet Program||
Not an eligibility factor
|Cannot be eligible for any other no-cost MO HealthNet program that offers full coverage|
MO HealthNet for Pregnant Women program provides healthcare coverage, including sixty-day postpartum coverage, for pregnant women whose family income does not exceed 196% of the federal poverty level for their household size. Once eligible, the coverage continues through the postpartum period despite subsequent increases in income. Coverage begins the first day of the month of application. Prior Quarter coverage is available if requested and eligibility is met.
Show-Me Healthy Babies program provides healthcare coverage for unborn children and their mother whose family income does not exceed 300% of the federal poverty level for their household size. Once eligible, the coverage continues despite subsequent increases in income. Application must be submitted prior to delivery date as there must be an unborn child. Coverage begins the date of application. Prior Quarter coverage is not available for this program.
Services provided for MPW and SMHB are shown below:
|Service||MO HealthNet for Pregnant Women||Show-Me Healthy Babies (citizen or eligible alien)||Show-Me Healthy Babies (non-eligible aliens)|
|Prenatal||Full Coverage||Full Coverage||Full Coverage|
|Labor and Delivery||Full Coverage||Full Coverage||Full Coverage|
|Post-Partum||Until the end of the month in which the 60th day after delivery lands||Until the end of the month in which the 60th day after delivery lands||Coverage ends on date of discharge after delivery. Participant is allowed one post-partum visit to physician.|
|Newborn Coverage||No cost coverage until day before first birthday||No cost coverage until day before first birthday||No cost coverage until day before first birthday|
Children born to a woman eligible for and receiving either MO HealthNet for Pregnant Women, Show-Me Healthy Babies, or other non-premium [f1] MO HealthNet health care coverage on the date of the infant's birth continue to be eligible for MO HealthNet coverage throughout the first year of life as long as the child maintains Missouri residence.
After your application has been processed, you will receive a letter from the Family Support Division. If you are eligible for services, you will be issued a “MO HealthNet Identification Card,” and explanation of the medical services available to you. For information regarding medical coverage included with MO HealthNet for Pregnant Women and Newborns, see Medical Services - MO HealthNet for Families, Kids, Pregnant Women and Newborns.
If you’ve already enrolled, go to the MO HealthNet Participants page for assistance using your benefits or finding a doctor.
There is no cash grant with this program.
Already applied for MO HealthNet? Check the status of your application.