Medically Fragile Adult Waiver header

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

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
07/19/2024 New MO HealthNet Provider Resources Hot Tips All MO HealthNet Providers
07/11/2024 Private Duty Nursing OPR Requirement Hot Tips Medically Fragile Adult Waiver
07/08/2024 Home Health Provider Notice Hot Tips All MO HealthNet Providers
07/02/2024 46-68 RATE UPDATE FOR DHSS-AUTHORIZED HOME AND COMMUNITY-BASED SERVICES Bulletins Medically Fragile Adult Waiver
07/01/2024 2024-2 Provider Newsletter 3rd Quarter 2024 Newsletters All MO HealthNet Providers
06/21/2024 Missouri’s Master Plan on Aging Survey Hot Tips All MO HealthNet Providers
06/18/2024 MO HealthNet Community Connection Hot Tips All MO HealthNet Providers
05/28/2024 Optimizing MO's Managed Care Plan Benefits for Maternal & Infant Health – June 27 Hot Tips All MO HealthNet Providers
05/06/2024 46-57 Private Duty Nursing Multiple Agency Selection Bulletins Medically Fragile Adult Waiver
04/30/2024 MO Medicaid Audit & Compliance New Toll-Free Number Hot Tips All MO HealthNet Providers
04/25/2024 Claims Processing Schedule for Fiscal Year 2025 Hot Tips All MO HealthNet Providers
04/25/2024 45-55 Private Duty Nursing Prior Authorization Flexibility Bulletins Medically Fragile Adult Waiver
04/19/2024 46-53 Update to Medicare Crossover Claims Bulletins All MO HealthNet Providers
04/18/2024 46-52 Ordering, Prescribing, Referring (OPR) Provider Requirements for Private Duty Nursing Program Bulletins Medically Fragile Adult Waiver
04/11/2024 2024 Relias Continuing Education Courses Hot Tips All MO HealthNet Providers