Medically Complex Adult Waiver

The Medically Fragile Adult Waiver offers services to individuals who have serious and complex medical needs and are no longer eligible for services under the Healthy Children and Youth program. To be eligible, an individual must be age 21 or older and assessed as requiring placement in an ICF/MR absent these services. The services available include attendant care, private duty nursing, and specialized medical supplies. The Department of Health and Senior Services, Bureau of Special Health Care Needs administers this program.

 Public Notice

2025

2023

2021

03.25.2021 - Public Notice regarding the submission of the Medically Fragile Adult Waiver LOC amendment

2020

11.19.2020 - Public Notice regarding the renewal of the Medically Fragile Adult Waiver application
05.14.2020 - Public Notice regarding the Medically Fragile Adult Waiver Amendment

MO HealthNet News

The table below provides general information and updates that are relevant to this program page, as well as all MO HealthNet providers. To find information for all other MO HealthNet programs, or to search by date, program or keyword, visit the MO HealthNet News page. If you would like to receive updates in your inbox, subscribe to MO HealthNet News!

Date Volume Number Subject Type Program
08/10/2026 Pharmacy Administration Helpdesk Change of Business Hours Hot Tips All MO HealthNet Providers
08/03/2026 Changes to Preferred Biosimilar Medications Effective October 1, 2026 Hot Tips All MO HealthNet Providers
08/03/2026 TPL Insurance Forms Portal Hot Tips All MO HealthNet Providers
07/28/2026 49-07 Bureau of Special Health Care Needs Program Name Changes Bulletins Medically Fragile Adult Waiver
07/27/2026 Upcoming Mandatory MFA Implementation for eMOMED Hot Tips All MO HealthNet Providers
07/23/2026 49-06 Temporary Deactivation of Maximum Daily Limits for Drugs on Crossover Claims Bulletins All MO HealthNet Providers
07/21/2026 Optimizing Benefits for Maternal and Infant Health Meetings Hot Tips All MO HealthNet Providers
07/20/2026 Upcoming Notification of Pregnancy (NOP) and Risk Screening Webinar Hot Tips All MO HealthNet Providers
07/16/2026 Verifying Eligibility for MO HealthNet Participants and Managed Care Members Hot Tips All MO HealthNet Providers
07/09/2026 49-02 Participant Non-Liability and Billing Bulletins All MO HealthNet Providers
07/08/2026 2026-3 MO HealthNet Provider Newsletter - July 2026 Newsletters All MO HealthNet Providers
07/08/2026 49-01 MORx Policy Regarding CMS GLP-1 Bridge Demonstration Program Copayments Bulletins All MO HealthNet Providers
07/06/2026 2026-2 Inside Missouri’s Rural Health Transformation Program (RHTP) Newsletter Newsletters All MO HealthNet Providers
06/30/2026 48-69 Upcoming Changes to the MO HealthNet Fee Schedule Bulletins All MO HealthNet Providers
06/25/2026 MO HealthNet Coverage Ending for Some Services Hot Tips All MO HealthNet Providers